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Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose.
If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
What you will be doing
Usually works with minimum supervision, conferring with supervisor on unusual matters. Assignments are generally specific.
Manage daily activities that support appropriate patient access to our client’s products in various provider sites of service and work as a liaison to other patient assistance and patient services offered by our clients.
Scope and approach to the activities are defined by the client’s legal and compliance departments and may vary.
Activities may include, but are not limited to :
Review patient insurance benefit options
Validate prior authorization requirements
Identify alternate funding / financial assistance programs
Coordinate with our client’s patient support services programs representatives
Educate physician office staff on the use of our client’s patient assistance and patient services, including affordability offerings
Deliver interactive educational presentations at various provider sites of service
Provide information on relevant healthcare topics related to our client’s products
Communicate and collaborate with client cross-functional teams to include but not limited to sales representatives, account managers and district managers
Prioritize activities and abide by processes to maximize effective coverage of accounts and track progress while adhering to policies, procedures, and performance metrics
Serve as a peer buddy within the team
Leverage access knowledge and utilize resources to aid account and effectively build customer partnerships
Performs other related duties as assigned.
What your background should look like
EXPERIENCE AND EDUCATIONAL REQUIREMENTS :
Minimum of three years directly related and progressively responsible experience in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support.
Experience within healthcare provider support such as a physician practice, patient assistance program, or similar pharmaceutical / biological support program preferred.
Professional experience
Bachelor’s degree preferred
Minimum of 3 years access experience required
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS :
Knowledge of private payer, Medicare and Medicaid structure, systems, and specialty pharmacy and retail pharmacy process
Understanding of benefit verifications and prior authorization requirements
Knowledge of operational processes within the physician office, specifically related to prior authorizations
Ability to effectively interact with provider office staff
Ability to communicate reimbursement and access topics concisely and clearly to provider staff
Ability to coordinate issue resolution with provider sites of service and client support resources
Public speaking and presentation experience preferred
Above average communication skills
Project management skills
Demonstrated teamwork abilities
Understanding and comfortable with escalating issues to direct Manager in a timely manner
Ability to work independently
Ability to manage expenses within allocated budgets
Average computer skills : MS PowerPoint, MS Excel, MS Word, and MS Outlook
Specific knowledge of local payer policies related to a specific client product will be acquired during training sessions.
All interactions with allied health professionals require detailed attention to customer needs and satisfaction. In addition, and most importantly, all access activities are required to be conducted and managed within all appropriate legal and regulatory guidelines and require continuous monitoring of compliance with such guidelines and laws.
This position may require credentialing for specific facilities. This process includes passing limited medical examinations and may include some vaccinations and documentation review.
WORK ENVIRONMENT :
The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The team member will work remotely and maintain a home office. The team member will travel across the defined territory of Alabama, and Pensacola, FL.
Travel may be threeto fourdays per week and include overnight stays. Communication will include weekly participation on team and client conference calls and maintaining email.
PHYSICAL AND MENTAL REQUIREMENTS :
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions :
Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking, and hearing.
Visual requirements are for close vision, distance vision, peripheral vision, and ability to adjust focus.
75% or more time is spent looking directly at a computer.
Team member is frequently required to stand, walk (or otherwise be mobile).
Up to 80% overnight travel required.
Valid driver’s license is required.
Ability to deal with stressful situations as they arise.
What Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day.
In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness.
This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.
Schedule
Full time
Affiliated Companies
Affiliated Companies : Xcenda, LLC
Last updated : 2024-06-11
Full Time
Business Services
$90k-109k (estimate)
06/13/2024
09/11/2024
xcenda.com
FORT MILL, SC
500 - 1,000
1994
Private
STEVEN H COLLIS
$200M - $500M
Business Services
Xcenda offers market access strategy, value demonstration and field reimbursement support services.
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