What are the responsibilities and job description for the Senior BMT Patient Navigator, Bilingual Spanish - Remote position at Remote - NMDP Careers?
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POSITION SUMMARY:
The BMT Patient Navigator is a critical role within NMDP, responsible for providing comprehensive financial support to patients diagnosed with a blood cancer or other transplantable disease. This position involves identifying and implementing a financial advocacy program to address financial barriers to treatment, supporting patients in overcoming these barriers, and advocating for adequate coverage. This is a remote position (US). #LI-Remote
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ACCOUNTABILITIES:
Build a sustainable financial advocacy program:
- Create a process for obtaining up-to-date knowledge of requirements for enrolling patients in:
- Health insurance (eg, Medicaid, Marketplace)
- Manufacturer, state, and local medication assistance programs
- Disease-specific assistance programs from nonprofit, independent foundations
- Medicare prescription benefits
- Medicare Low-Income Subsidy and any federal, state, and local benefits (eg, unemployment benefits, disability benefits).
- Create processes for identifying and developing relationships with contacts at important organizations to become familiar with available resources, policies, and procedures for working with them, including, but not limited to:
- In-network insurance plans
- Local pharmacies, including specialty pharmacies
- Local diagnostic service companies
- Local non-profit organizations and independent foundations
- External patient advocacy groups and community-based organizations that offer education, direct assistance, navigation, and/or other services.
- Build a process for making referrals to legal service organizations to assist patients with legal issues that arise after a cancer diagnosis (eg, employment, disability benefits, housing, consumer rights, estate planning, medical decision-making).
- Build a comprehensive intake process for patients at risk for financial toxicity.
- Connects with patient’s directly to navigate potential solutions and interventions for financial barriers before and after transplant.
- Develops and provides patient education on existing insurance, or ways to access coverage and where to apply.
- Provides emotional support, working closely with others in patient services and partner organizations.
- Builds and maintains a database of external financial resources and assists patients in applying.
- Identifies required data points for intake process.
- Conducts environmental scans for existing financial supports and programming.
- Collaborates across teams to identify key performance indicator’s (KPI’s) to manage and evaluate program performance, track patient outcomes, and provide data-driven recommendations.
- Meticulously capture insights on financial and insurance barriers to inform future organizational strategy and investment
- Serves as an internal consultant for NMDP billing practices that align with insurance billing processes
- Collaborates effectively with transplant center staff and internal cross-functional teams, including Patient Services, Case Management, field-based provider-facing teams, and Government Affairs.
- Implements tools to increase access to patients’ insurance benefits. NPI is key for this to work.
- Leverages existing technology, including Salesforce, Looker, Case Management Application, and Good Grants to drive efficiencies in connecting patients to financial programs.
- Builds partnerships with organizations that understand SSDI, SSI, FML
REQUIRED QUALIFICATIONS:
Knowledge of:
- Patient financial barriers and social drivers of health.
- Knowledge of health care administration, public health, financial navigation, or case management.
- Strong knowledge of insurance coverage and patient navigation for transplant-related coverage and financial preparation.
- Strong knowledge in BMT insurance coverage (Commercial/State/Federal programs).
- SSDI/SSI/Medicaid.
- FMLA and short and long-term disability.
- Debt management practices, healthcare payment plans, and medical billing practices to provide holistic financial advice.
- Pharmaceutical assistance programs: Expertise in securing medication coverage through patient assistance programs offered by pharmaceutical companies.
- Financial assistance programs and opportunities.
- Insurance and financial assistance for international patients seeking transplants in the U.S.
Ability to:
- Guide patients in accessing transplant within their insurance network,
- Help patients apply for assistance
- Work with patients from diverse backgrounds to address financial concerns that may be compounded by socioeconomic or cultural factors.
- Build relationships across disciplines.
- Work with physicians, advanced practice providers, medical, and billing staff.
- Employ strong patient assessment skills.
- Offer bilingual services to patients in English and Spanish
Education and/or experience:
- Bachelor’s degree in healthcare administration, public health, social work, or related field.
- Minimum of 5-10 years of experience in oncology focused care.
- Experience in navigating grants and charitable programs.
- Experience in implementing new programs and developing processes.
- Strong experience in leveraging existing products and implementation of new technologies.
- Uninsured or underinsured patients
- Patients coming from overseas for treatment
Preferred qualifications: (Additional qualifications that may make a person even more effective in the role, but are not required for consideration)
- Certification in healthcare financial management or patient advocacy.
- Experience working in a non-profit or healthcare organization.
- Experience working with government assistance programs (e.g., Medicaid, Medicare, SSDI, SSI).
- Knowledge of foundations and non-profit patient assistance programs.
DEI COMMITMENT:
As part of our values, we are committed to supporting diversity, equity, and inclusion at NMDP. We actively celebrate colleagues' different abilities, sexual orientation, ethnicity, faith, and gender. Everyone is welcome and supported in their development at all stages in their journey with us.
BENEFITS:
NMDP offers regular, full-time employees medical, dental, vision, life and disability, accident/critical illness/hospital, well-being, legal, identity theft and pet benefits. Retirement, paid time off/holidays, leave and incentive plans are also offered to eligible employees. Please reference this link for more information: NMDP Benefit Information
