What are the responsibilities and job description for the Complex Patient Advocate Lead position at Software Methods, Incorporated?
As a Clinical Care Coordinator at Software Methods, Incorporated, you will play a vital role in supporting our client in the Media, PA area. This is a 100% on-site position.
The Clinical Care Coordinator will be responsible for managing the care coordination process for complex members receiving medication in home infusion or in-office infusion settings.
- Manage, directly, Clinical Care Coordinator work for complex members.
- Research and analyze available programs for infused medications.
- Establish relationships with participants, foundations, and providers during transitions.
- Collaborate with providers to ensure they order medications through manufacturer programs and work with TPA for replacement drug setup.
- Enhance the use of telecommunications and IT services to improve efficiencies.
- Document all interactions with members, healthcare providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software in a timely manner.
- Regularly review pending activities/events and customer requests to provide excellent customer service and experience.
- Demonstrate expertise in Payer Matrix patient database, including data elements, case statuses, outcomes, documentation requirements, and company metrics.
- Identify available financial assistance programs for specialty drugs prescribed for active members.
- Report financial assistance program trends to supervisors.
- Communicate with member's health plan sponsors, funds, or PBMs as needed.
Requirements:
- Master's degree in Pharmacy; specialty pharmacy, home infusion, or physician infusion experience preferred.
- Minimum 3 years customer service experience.
- Excellent written and oral communication skills.
- Ability to multitask and handle consistent workflow.
- Strong time management and prioritization skills.
- Proficiency in computer, email, and MS Office applications.
