Post job

Patient Service jobs near me - 192 jobs

  • Pharmacy Technician - (Floater) Retail Pharmacy Central Fill/Mail 80hrs Biweekly Day/Eve

    Metrohealth 4.7company rating

    Columbus, OH

    The following information aims to provide potential candidates with a better understanding of the requirements for this role. Bi-weekly Hours: 80 Shift: Monday - Friday; 8a-8p, Rotating Shifts For nearly two centuries, the MetroHealth System's mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. Join our Outpatient Pharmacy Team! Primary skills utilized/learned: • Epic - Electronic medical record system • Microsoft programs • Pharmacy skills and knowledge • Patient service / customer service • Inventory • Cash handling • Strategic thinking Personnel Pharmacy technicians will work with: • Pharmacy manager • Pharmacist • Certified Pharmacy Technicians • Pharmacy Technicians Awards, Recognitions, or Fun Facts about the department: • Employee engagement days • Pharmacy week celebrations • Company based recognition program MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications: - High School Diploma or passage of a high school equivalency exam. - 18 years of age or older with no felony convictions. - Registered as a Pharmacy Technician or Pharmacy Trainee with the Ohio State Board of Pharmacy. Maintains registration throughout employment. - Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds. - Able/willing to work in a fast-paced environment. Preferred Qualifications: - Current/active Certified Pharmacy Technician from the Pharmacy Technician Certification Board (PTCB) or possess an Exam for the Certification of Pharmacy Technicians (ExCPT) Certification from the National Healthcare Association. xevrcyc - 6 months to 1 year of experience in a retail pharmacy or a hospital-based ambulatory pharmacy.
    $29k-35k yearly est. 1d ago
  • Partner/Client Relationship Manager, Network Strategy & Operations (Remote)

    Blink Health 3.4company rating

    Remote job

    Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. BlinkRx is the world's first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low prices, free home delivery, and world-class support on this first-of-its-kind centralized platform. With BlinkRx, never again will a patient show up at the pharmacy only to discover that they can't afford their medication, their doctor needs to fill out a form for them, or the pharmacy doesn't have the medication in stock. We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us! The Opportunity: We are actively seeking a dedicated Partner/Client Relationship Manager with a focus on strategic account management and experience working with pharmacies. In this pivotal role, you will be responsible for managing relationships with our pharmacy network, emphasizing proactive account management, supply chain optimization, and adherence to service level agreements (SLAs). You will be responsible for: Supply Chain Optimization: Collaborate closely with suppliers to identify and proactively mitigate potential issues in the supply chain. This includes addressing inventory disruptions, pricing concerns, and routing challenges. Point of Contact (POC): Serve as a point of contact for day-to-day matters, including direct purchase agreements, order-related inquiries, and regular business reviews (WBRs/MBRs). SLA Definition and Management: Ensure adherence Service Level Agreements (SLAs) with pharmacy partners, monitoring performance and taking corrective actions as necessary. Contract Management: Manage administration of contracting with a focus on optimizing supply chain efficiency and fostering positive, long-term partnerships. Issue Resolution: Proactively identify and address any challenges or concerns faced by clients, working collaboratively with internal teams, particularly Revenue/Growth, Product, and Engineering to find effective solutions. Collaboration with Internal Teams: Work closely with internal teams, including Revenue/Growth, Product, Engineering, Patient Services, Finance and Legal teams, to ensure seamless onboarding and ongoing collaboration with pharmacy partners. SOP Development: Develop relevant internal and external SOPs to reflect market best practice, partnering with internal stakeholders and providing direction to our external pharmacy partners. A successful applicant will fit the following criteria: Analytics & Account Management Experience: Minimum of 6 years of experience in management consulting, operations/program management experience, and/or strategic account management at a high-growth startup (pharmacy experience and/or healthcare tech experience is preferred). Supply Chain Expertise: In-depth understanding of supply chain dynamics, with the ability to identify and address potential issues proactively. SLA Management: Experience in defining, implementing, and managing Service Level Agreements with an emphasis on performance monitoring. Communication Skills: Strong verbal and written communication skills, with the ability to convey complex information clearly and concisely. Results-Oriented: Track record of achieving and surpassing strategic account management targets. Adaptability: Ability to thrive in a dynamic and fast-paced environment, adapting to changing priorities. Why Join Us: It is rare to have a company that both deeply impacts its customers and is able to provide its services across a massive population. At Blink, we have a huge impact on people when they are most vulnerable: at the intersection of their healthcare and finances. We are also the fastest growing healthcare company in the country and are driving that impact across millions of new patients every year. Our business model not only helps people, but drives economics that allow us to build a generational company. We are a relentlessly learning, constantly curious, and aggressively collaborative cross-functional team dedicated to inventing new ways to improve the lives of our customers. We are an equal opportunity employer and value diversity of all kinds. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $71k-124k yearly est. Auto-Apply 2d ago
  • UltraCare Liaison, Rare Disease Field Sales, Bone (Nashville)

    Ultragenyx Pharmaceutical 3.8company rating

    Remote job

    Why Join Us? Be a hero for our rare disease patients At Ultragenyx, we fundamentally believe that taking real impactful action to care for the needs of patients and our people is always the right thing to do. To achieve this goal, our vision is to lead the future of rare disease medicine. For us, this means going where other biopharma companies won't go - challenging the status quo and creating a new model that advances our field so more patients and caregivers can benefit from life-changing treatments. We do this by following the science, applying a novel rapid development approach, making innovative medicines at fair and reasonable prices, and creating a collaborative ecosystem to reach patients in ways that are most meaningful for them. Our commitment and care for patients extends to our people, so culture is an essential cornerstone for Ultragenyx. We remain continuously focused on creating a supportive and inclusive environment of profound learning and growth - so employees can thrive in all areas of their lives, in and outside of work. Ultimately, we want to be an organization where we would be proud for our family, friends and children to work. If you want to have a meaningful impact, do the best work of your career, and grow a lot, both professionally and personally, come join our team . Position Summary: ultra focused - Work together to fearlessly uncover new possibilities We are looking for an experienced UltraCare Liaison (UCLs) that will represent Ultragenyx in Rare Disease . Ultragenyx is preparing for the potential commercialization of a potential breakthrough rare disease monoclonal antibody therapy for the treatment of Osteogenesis Imperfecta. We are seeking driven individuals with the desire to run their own business within a specified geography. These individuals will have strong business acumen, be able to drive change through innovative approaches, demonstrate excellent communication skills and consistently deliver sales results. Work Model: Field: Officially documented as working as a member of the Ultragenyx field team, generally interacting with third parties on behalf of Ultragenyx. Responsibilities: 1. Serve as territory business owner with a focus upon impact and territory analysis. Other key areas of focus include optimizing: i) patient diagnosis and care through HCP education, ii) educating HCPs about Ultragenyx approved products post launch , iii) assisting with treatment fulfillment post launch 2. Ability to develop and nurture effective business relationship management with key stakeholders, including HCPs, Registered Dieticians, Pharmacists, RNs/NPs/Pas and related support staff 3. Proactively builds effective working relationships with internal/external stakeholders; can drive agreement/decisions from multiple stakeholders; ability to understand people's emotions and flex communication style. Can adjust their approach based on different stakeholder needs, concerns, or audience member to drive alignment and meet their work goals. 4. Develop and maintain a strategic territory business plan focused on key academic centers, community targets within priority specialties, territory opportunities and challenges. 5. Determine and implement suitable travel schedule and call plan on a daily/weekly basis to ensure both adequate and highly effective coverage for all key accounts. 6. Execute programs, high impact in-services, and other educational opportunities for their territory. 7. Timely completion of compliance trainings, internal product & disease state trainings, Veeva administration, monthly expense reports, and all other administration expectations. Requirements: 1. Bachelor's Degree required 2. 8 years with 5+ years being in the healthcare/biotech industry, inclusive of 3 years of field-based experience in account management, sales, and/or field reimbursement. Rare disease experience is preferred. 3. Experience launching biopharma/pharma products successfully is preferred 4. Documented track record of field sales success 5. Strategic business acumen and cross-functional and collaborative leadership with internal stakeholders including; marketing, medical, clinical operations, and patient services. 6. Demonstrated experience effectively presenting clinical/scientific information required 7. Approximately 50 - 60% (dependent on geography) travel is required; overnight travel is required as needed 8. Must live in territory geography. Territory includes: Tennessee and parts of North Alabama. Territory subject to change based on business need #LI-CS1 #LI-Remote The typical annual salary range for this full-time position is listed below. This range reflects the characteristics of the job, such as required skills and qualifications and is based on the office location noted in this job posting. The range may also be adjusted based on applicant's geographic location. This position is eligible for annual bonus and equity incentives. Actual individual pay is determined by demonstrated experience and internal equity alignment. Pay Range$156,900-$193,800 USD Full Time employees across the globe enjoy a range of benefits, including, but not limited to: · Generous vacation time and public holidays observed by the company · Volunteer days · Long term incentive and Employee stock purchase plans or equivalent offerings · Employee wellbeing benefits · Fitness reimbursement · Tuition sponsoring · Professional development plans * Benefits vary by region and country Ultragenyx Pharmaceutical is an equal opportunity employer and prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital and veteran status, and any other status or classification protected by applicable federal, state, and/or local laws. Reasonable accommodation will be provided for all protected statuses or classifications protected by applicable law, including individuals with disabilities, disabled veterans, for pregnancy, childbirth, and related medical conditions, and based on sincerely held religious beliefs. Applicants can request an accommodation prior to accepting a job offer. If you require reasonable accommodation in completing this application, or in any part of the recruitment process, you may contact Talent Acquisition by emailing us at ********************************. See our CCPA Employee and Applicant Privacy Notice . See our Privacy Policy . It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Note to External Recruiters: All candidate activity and open positions are managed strictly through our Human Resources Department. Our Human Resources Department kindly requests that recruiters not contact employees/hiring managers directly in an attempt to solicit business and present candidates. Please note that failure to comply with this request will be a factor in determining a professional relationship with our organization. Submission of unsolicited resumes prior to an agreement set in place between the Human Resources Department and the recruiting agency will not create any implied obligation. Inquiries on developing a recruiting relationship with us, may be directed to : ******************************** .
    $55k-101k yearly est. Auto-Apply 9d ago
  • Patient Access Coordinator Full Time

    Envera Health 4.2company rating

    Remote job

    Envera Health has been repeatedly ranked as a top place to work. If you are passionate about helping people and looking for a career with a positive impact, then you are in the right place! We offer a high-reward bonus program, comprehensive benefits, multiple opportunities for growth, a supportive work environment, and a vibrant culture. We are seeking dependable candidates who are able to handle back-to-back calls with limited breaks throughout the day, as this is a high-volume inbound call position. Envera Health's Patient Access Coordinators work collaboratively with several health organizations & clinics to schedule patient appointments and provide patient support over the phone. Benefits (Full-Time): 14 Paid Days Off (4 personal days & 10 PTO days that accrue as you work) Paid Federal Holidays NEW Employee Bonus ($500*) Bonus Program (up to $400/month) Life Insurance and Long term disability insurance are provided at no cost A few different Health Insurance plan options 401k plan matching (5%) Patient Access Coordinator Responsibilities: Answer a high volume of calls a day using a multi-line phone. (75+ calls/shift - Non-stop Calls) Schedule appointments for multiple clinical sites according to client-specific protocols. Gather & input patient demographic and insurance information into the practice management system. Report complex clinical issues to the appropriate supervisor/client partner. Document call activity, outcomes, and other notes as needed in the client system. Work collaboratively with colleagues to meet the goals and objectives of the department. Assist callers and navigate them to the appropriate resources. Must meet attendance and performance standards. The starting wage for this entry-level position is: $16.00/per hour (non-negotiable), with the ability to obtain additional Monthly Bonuses based on attendance & performance. NEW EMPLOYEES: You will be eligible for a retention bonus of up to $500, subject to taxes and other applicable deductions, after 90 and 180 days of employment. Details and stipulations will be shared with you during Orientation. Required Qualifications: Customer/patient service skills Experience handling a high volume of inbound calls Excellent communication skills over the phone Strong Internet Speed & access to router via Ethernet Cord (Minimum speed: 20mbps Download & 6mbps Upload) Preferred Qualifications: 1+ Year(s) of experience with HIPAA and patient privacy requirements. 2+ Years of experience with medical terminology, EHR systems, and insurance processes. 2+ Years of experience in healthcare customer service or clinical support environments. 2+ Years of experience working in a call center EPIC System Ability to multi-task in a fast-paced environment with a high degree of attention to detail This is a work from home position. See application questions for the list of states we employ in. About Us: Envera Health is an engagement services partner committed to making healthcare better. Through our people, managed services, data and technology, Envera delivers an ecosystem of connectivity to strengthen health systems, drive growth, and deliver better, more connected and coordinated care. Our complete continuum of customized solutions support today's consumer demands by engaging and retaining patients to build relationships that last. Our people are authentic, courageous, innovative, principled, empathetic and entrepreneurial. Our Values: Truth, Collaboration, Joy, Humanity, Performance, Accountability Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The following physical demands are representative of those that must be met by an associate to successfully perform the essential functions of this job: Ability to sit, use hands and fingers, reach with hands and arms, and talk or hear Close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus Ability to stand, walk, climb or balance; stoop, kneel, crouch, or crawl; and lift up to 10 pounds (occasionally)
    $16 hourly Auto-Apply 60d+ ago
  • Marketing and Fundraising Intern (Remote)

    Susan G. Komen 4.4company rating

    Remote job

    For full consideration your degree program must require an Internship as part of completion for graduation. You must also be prepared to complete a minimum of 120 hours for the semester, or what is required by your university's program guidelines. About Susan G. Komen Susan G. Komen is the only organization that addresses breast cancer on multiple fronts including research, community health & public policy initiatives to make the biggest impact against this disease. Students will have direct supervision from their intern supervisor within the area they are assigned to. We are actively recruiting 1 Intern for our Spring 2026 semester for our Brand Marketing team. Perks Of The Program Include A structured and supervised remote learning environment Explore the nonprofit industry Build our resume with hands-on projects Gain networking opportunities Collaborate with SME's in your area of interest Earn college credit Join our Intern Alumni Association upon completion of the program Receive a employment reference Students must meet the following requirements to be eligible for the program: Authorized to perform duties in the U.S Your degree program must require an Internship for graduation Actively enrolled in a 4 year or graduate degree program and must be enrolled in a class to receive academic credit Minimum G.P.A of 3.0 Have reliable internet access since this Internship is 100% remote Acknowledge this is an unpaid internship Internship availability from late January to early May, during Komen's hours of operation (Monday - Friday from 7am - 6pm CDT) Available with at minimum 2 four hour blocks of time or 3 three hour blocks of time during the business week Komen's internship program provides students with hands-on nonprofit experience in a remote work environment along with academic education and professional job preparation. Students may have the opportunity to explore one of Komen's many departments: Human Resources, Legal, Finance, IT, Patient Services, Community Health, Government Affairs, Mission Operations, Scientific Programs & Data, Major Gifts, Corporate Partnerships, Communications, Marketing, Community Engagement, Community Development, Development Strategy and Operations, etc. We appreciate the value and work interns bring and hope to provide them with professional and personal development in return!
    $27k-34k yearly est. Auto-Apply 34d ago
  • Registration Lead - Registration - FT - Days

    Stormont Vail Health 4.6company rating

    Remote job

    Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt The individual in this role is a key member of the Registration management team responsible for assisting the Registration Supervisor in supervising day-to-day Registration activities during assigned hours and assisting in the communication of registration information to decentralized registration areas. The incumbent is a resource person providing education, guidance and direction to registration staff during assigned shift while also responsible for scheduling patients and completing registration functions including collecting/validating/updating the patient's comprehensive data set and documenting the registration system, completing electronic verification, identifying managed care issues and referring as appropriate for resolution, obtaining appropriate signatures to satisfy legal or health system requirements and completion of require forms including Medicare MSP, if required, completing financial education and finalization of financial resolution with patients, completing additional registration admission, discharge, transfer functions and resolving edit failures following established policies and procedures. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct. Education Qualifications High School Diploma / GED Required Experience Qualifications 2 years Experience in a clinical healthcare setting such as physician's office or hospital relating to patient financial services, patient registration, patient scheduling or related healthcare experience . Required Skills and Abilities Working knowledge of basic medical terminology. (Required proficiency) Detailed knowledge of major third-party billing and contract. (Required proficiency) Keyboarding skill or typing skill of at least 30 wpm. (Preferred proficiency) Excellent interpersonal and Communication skills and the ability to exhibit patience. Sophisticated customer service skills. (Preferred proficiency) Analytical skills necessary for effective problem solving. (Preferred proficiency) Ability to handle multiple tasks and make independent decisions regarding work prioritization and coordination. (Preferred proficiency) What you will do Detailed understanding of all technical primary and secondary billing rules and policies and procedures for assigned third party payors and contracts. Understands the Medical and Clinical services provided by the organization. Screen registrations for sensitive diagnosis and obtain special release according to established hospital policy. Determine estimate of charges when appropriate and calculate patient liability for scheduled service. Identify insurance sources, collect and document detailed and accurate insurance information in a timely manner. Identify and complete Medicaid and charity screening, when applicable. Copy patient insurance cards and explain insurance benefits as appropriate. Complete electronic insurance verification for all participating payers using an electronic eligibility system. Collate all information and paperwork required for service department use. (Examples consist of armbands, consents, face sheets/data sheets, etc.). Explain patient information and obtain proper signatures as appropriate (i.e., advanced directives, patients rights, authorization for treatments). Collect, receipt, and document patient payments according to established procedures. Welcome all customers in a friendly manner and offer assistance by giving directions or escorting patients to service areas. Collect and verify the accuracy of patient demographic information with patient or family members at the time of registration. Collect and update the comprehensive data set and validate information with patient prior to patient arrival for services. Using information available, correctly identify patient's point of access, welcome patient and ensure patient is directed to the appropriate location in a timely manner. Negotiate financial resolution through proper sequencing of resolution options and patient's ability/willingness to pay. Following established guidelines, obtain appropriate signatures to satisfy legal or health system requirements and complete required forms including MSP screening. Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested. Consistently and accurately documents accounts with activities as needed in a timely manner. Obtain physician orders/instructions and contact physician office and/or other hospital department to resolve access issues as necessary. Identify managed care provisions and follows up with appropriate parties to resolve outstanding issues. Effectively functions as liaison between team, other team leaders, PFS management, physicians or other departments within the organization. Answers questions from other staff or clinic offices by phone or e-mail in a timely manner. Informs management of any known or suspected violations by other employees or suppliers. Complete scheduling of clinic appointments as applicable. Assists Supervisor in ensuring that staff establishes priorities to complete timely, appropriate and accurate patient registration during assigned times. Assists Supervisor in reviewing and maintaining appropriate policies and procedures. Effectively coordinates team input to department management related to the development, analysis and maintenance of departmental budget. Effectively coordinates team input to department management related to statistical analysis (work performance issues, quality improvement projects, etc. •Effectively assists individual team members with correct prioritization of work. Performs effectively under stressful conditions. Prepares, analyzes, and reports daily team activities. Assists team with problem solving. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Capability On-Site; No Remote Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Rarely less than 1 hour Climbing (Stairs): Rarely less than 1 hour Crawling: Rarely less than 1 hour Crouching: Rarely less than 1 hour Driving (Automatic): Rarely less than 1 hour Driving (Standard): Rarely less than 1 hour Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Occasionally 1-3 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Frequently 3-5 Hours Kneeling: Occasionally 1-3 Hours Lifting: Occasionally 1-3 Hours up to 20 lbs Operate Foot Controls: Rarely less than 1 hour Pulling: Occasionally 1-3 Hours up to 20 lbs Pushing: Occasionally 1-3 Hours up to 20 lbs Reaching (Forward): Occasionally 1-3 Hours up to 20 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 20 lbs Repetitive Motions: Frequently 3-5 Hours Sitting: Frequently 3-5 Hours Standing: Occasionally 1-3 Hours Stooping: Occasionally 1-3 Hours Talking: Occasionally 1-3 Hours Walking: Occasionally 1-3 Hours Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Occasionally 1-3 Hours Mechanical: Rarely less than 1 hour Needle Stick: Rarely less than 1 hour Noise/Sounds: Occasionally 1-3 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
    $108k-169k yearly est. Auto-Apply 44d ago
  • Director, Hub Operations

    Dyne Therapeutics

    Remote job

    Dyne Therapeutics is focused on delivering functional improvement for people living with genetically driven neuromuscular diseases. We are developing therapeutics that target muscle and the central nervous system (CNS) to address the root cause of disease. The company is advancing clinical programs for myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD), and preclinical programs for facioscapulohumeral muscular dystrophy (FSHD) and Pompe disease. At Dyne, we are on a mission to deliver functional improvement for individuals, families and communities. Learn more ************************* and follow us on X, LinkedIn and Facebook. Role Summary: The Director, Hub Operations, is responsible for providing strategic and tactical oversight in the development, implementation and management of patient service programs in alignment with market needs and the patients we serve. The Director will work closely with Market Access, Marketing, Legal & Compliance stakeholders to build and oversee the Hub and patient assistance programs. The Director is accountable for understanding and aligning to the brand strategy and to identify and recommend solutions for addressing barriers to patient access. This is a field-based role. Primary Responsibilities Include: Provide the strategic framework and guidance in the development and deployment of the patient access and support Hub Build and manage relationships with Hub partner who will perform benefits investigations and other related support to help ensure patients and health care providers understand coverage Manage day-to-day operations of Hub program Monitor Key Performance Indicators (KPIs) and Service Level Agreements (SLAs) to ensure Hub partner is meeting contractual obligations Exhibit ownership and accountability for all projects and internal assignments Proactively identify potential enhancements to the patient services programs while maintaining compliance Facilitate routine operational meetings to address potential barriers in access to therapy Maintain open communication throughout the organization Exercise sound judgment and oversight to ensure integrity and compliance with company policies in all activities and communications Monitors industry trends such as copay accumulators and maximizers, Alternative Funding Programs and incorporate into program design and execution Works closely with internal teams to ensure continuous feedback loop on program utilization and improvements Partner with Marketing on development of patient support program materials Facilitate business reviews with Hub partner Attend/staff/participate in meetings and/or conferences as requested by management Develop annual strategies and tactics plan in collaboration with leadership Education and Skills Requirements: Bachelor's degree required 10+ years in healthcare, biotech, or pharmaceutical industry, including 4+ years in Hub Services, Patient Support Programs, Reimbursement, Access, Marketing, or Sales Proven experience in new product launches and rare disease markets Deep understanding of access and patient cost dynamics (Medicare Part B, Medicaid, commercial insurance) Ability to work independently, exercise sound judgment, and collaborate cross-functionally in dynamic environments Strong planning, organizational, and communication skills (oral and written) Entrepreneurial mindset with a passion for building, learning, and innovation Highly organized, detail-oriented, and committed to delivering quality results Skilled at translating complex concepts for diverse audiences Demonstrated problem-solving, intellectual curiosity, and ability to lead fast-paced projects with urgency Hands-on expertise and proven track record as a team player and collaborator Upholds the highest standards of professionalism, ethics, and integrity Travel up to 50% required #LI-Onsite MA Pay Range$196,000-$240,000 USD The pay range reflects the base pay range Dyne reasonably expects to pay for this role at the time of posting. Individual compensation depends on factors such as education, experience, job-related knowledge, and demonstrated skills. The statements contained herein reflect general details as necessary to describe the principles functions for this job, the level of knowledge and skill typically required, and the scope of responsibility, but should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned, including work in other functional areas to cover absences or relief, to equalize peak work periods or otherwise balance workload. Dyne Therapeutics is an equal opportunity employer and will not discriminate against any employee or applicant on the basis of age, color, disability, gender, national origin, race, religion, sexual orientation, veteran status, or any classification protected by federal, state, or local law.
    $196k-240k yearly Auto-Apply 2d ago
  • HUB Care Navigator (Remote)

    Orsini 4.4company rating

    Remote job

    Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™ OUR MISSION Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™. CORE VALUES At the heart of our company culture, the Orsini LIVE IT Core Values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work. COMPENSATION & LOCATION The salary range for this role is $22.00-$25.00 per hour, compensation will be determined based on a combination of factors, including skills, experience, and qualifications. This is a remote position with occasional travel for team or customer meetings. Candidates located near our Elk Grove, Illinois or Columbus, Ohio offices are preferred. POSITION SUMMARY The HUB Care Navigator serves as a key liaison between patients, healthcare providers (HCPs), and the manufacturer's patient support program (“hub”). This role ensures a seamless experience for patients starting therapy by managing enrollment, verifying documentation, and helping patients understand and access available financial support programs. Acting as the voice of the manufacturer through a dedicated phone line, the Care Navigator provides empathetic, compliant, and high-quality support to patients throughout their treatment journey. REQUIRED KNOWLEDGE, SKILLS & TRAINING High School Diploma and 2+ years of experience in patient services, specialty pharmacy, reimbursement support, or a related healthcare field. Preference to candidates with a pharmacy technician license. Proven ability to explain complex insurance or financial information to patients in an accessible and compassionate way. Excellent verbal and written communication skills with a high degree of empathy and professionalism. Proficient in CRM systems and standard office software (e.g., Microsoft Office Suite). Strong understanding of healthcare reimbursement processes and insurance benefit structures, including prior authorizations, benefits investigations, payer coverage dynamics, copay programs, and patient assistance resources. Detail-oriented with strong organizational and problem-solving skills PREFERRD KNOWLEDGE, SKILLS & TRAINING Demonstrated ability to effectively communicate and collaborate with manufacturer field teams (e.g., Regional Access Managers, reimbursement specialists, or field nurses) to support patient access and therapy initiation. Ability to manage multiple priorities in a fast-paced environment Strong interpersonal and communication skills ESSENTIAL JOB DUTIES Maintain availability to handle inbound patient and provider calls during the program's designated operating hours, ensuring timely, professional, and empathetic support. Conduct outbound and inbound calls to support patient onboarding, answer inquiries, and explain program benefits. Explain the overall therapy initiation process, including coordination with the manufacturer's exclusive specialty pharmacy Receive and process hub enrollment forms from healthcare providers. Review enrollment forms for completeness and ensure appropriate patient PHI consents are in place. Collaborate directly with HCP offices to collect any missing information or consents. Conduct welcome calls with consented patients to explain the benefits of the manufacturer's hub program. Communicate benefits investigation results to patients in a clear and empathetic manner, helping them understand their insurance coverage, out-of-pocket costs, and available financial support options. Provide information to commercially insured patients about the manufacturer's copay support program and facilitate enrollment for eligible patients. Educate patients about alternate funding sources (e.g., state Medicaid programs, healthcare exchanges, third-party charitable foundations) when applicable. Collaborate with manufacturer reimbursement and internal pharmacy teams to ensure patients receive accurate and timely updates about their benefit status and ensure timely initiation of therapy. Utilize established business rules to determine and approve patients for quick-start or bridge shipments when appropriate. Review and apply business rules to assess eligibility for the Patient Assistance Program (PAP). The duties listed above are not exhaustive. Responsibilities may be modified or expanded based on the evolving needs of the business. EMPLOYEE BENEFITS BCBSIL Medical Delta Dental EyeMed Vision 401k Accident & Critical Illness Life Insurance PTO, Holiday Pay, and Floating Holidays Tuition Reimbursement
    $22-25 hourly Auto-Apply 28d ago
  • Vice President, Business Development - HUB Services

    Inizio

    Remote job

    The Vice President of Business Development - HUB Services will play a key role in the expanded Patient Access Hub Services offering by identifying, securing, and nurturing strategic partnerships with pharmaceutical and biotech clients. This individual will focus on expanding Inizio Engage's Patient Access HUB offerings, supporting commercial growth through consultative engagement, and positioning Inizio as a premier partner in patient support services. This key position will be part of the Inizio Engage Growth Team and reports to the Chief Growth Officer. Services. What's in it for you? Competitive compensation Excellent benefits - accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions Recognition programs, contests, and company-wide awards Exceptional, collaborative culture Best Places to Work in BioPharma (2022, 2023, & 2024) Certified Great Place to Work (2022, 2023, 2025) What will you be doing? Lead business development strategy for HUB Services within existing clients, Inizio clients and supporting the overall business expansion by identifying, pursuing, and closing new client engagements Leverage industry relationships and networks to generate qualified leads and build a sustainable pipeline Conduct high-level client meetings and present the Inizio HUB Services value proposition in a consultative, client-centric manner Shape multi-level client relationships, including commercial, patient access, and brand teams Participate in proposal development, pricing strategy, and contract negotiations Track opportunities in CRM and ensure alignment with strategic growth goals Represent Inizio at key conferences, client meetings, and industry events to elevate brand visibility in the HUB marketplace as requested Maintain a strong understanding of the evolving patient access landscape, payer dynamics, and pharmaceutical commercialization trends What do you need for this position? Bachelor's degree or equivalent experience required Minimum 5 years of proven successful business development experience in pharma services, with a focus on patient access, HUB, affordability, and adherence solutions Strong knowledge of pharmaceutical commercialization lifecycle and post-launch support models Demonstrated ability to sell complex, service-based solutions to market access, commercial, and patient services teams within life sciences organizations Experience with Hubspot or similar CRM platforms to manage pipeline and report on activity Excellent interpersonal, presentation, and written communication skills Ability to navigate cross-functional environments and influence without authority Previous experience in a high-growth or contract services environment is a plus About Inizio Engage Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need. We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. To learn more about Inizio Engage, visit us at: ********************** Inizio Engage is proud to be an equal opportunity employer. Individuals seeking employment at Inizio are considered without regards to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related medical conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws. Further, pursuant to applicable local ordinances, Inizio will consider for employment qualified applicants with arrest and conviction records. Inizio Engage is an equal opportunity employer M/F/V/D. We appreciate your interest in our company, however, only qualified candidates will be considered.
    $129k-210k yearly est. Auto-Apply 49d ago
  • Call Center Patient Scheduling

    The Vancouver Clinic P.S 4.1company rating

    Remote job

    Join Vancouver Clinic as a full-time Patient Service Specialist and provide excellent customer service over the telephone in a Call Center environment. Full-Time Schedule (40 hours/week): Monday through Friday, 9:00a-5:30p ( will transition to schedule after successful completion of training scheduled Monday through Friday, 8:00a-5:00p ) :: NO late nights! NO weekends! Hiring rate: generally is between $19.38-$22.20 and placement in the range depends on an evaluation of experience :: Bonus Eligible: opportunity to participate in the Metric Based Incentive Compensation Plan! In this role you will: Schedule appointments for clinicians and ancillary services for all areas within Vancouver Clinic Reschedule appointments required by clinician schedule changes (“bump list”) and schedule appointments for future opened (“wait list”). Perform initial phone call triage per protocols. Verify demographic information and update changes accurately Gather all pertinent patient information prior to scheduled appointment Provide appropriate directions when needed Must have excellent attendance! Consistent, dependable, and predictable attendance is crucial in helping us fulfill our mission of providing high-quality, compassionate care. We require our employees to adhere to our attendance standards, as frequent deviations make it difficult to provide care for our patients and support our coworkers. Requirements: High school diploma or equivalent. Min of two years of experience in either medical office setting or in the health insurance industry strongly preferred. Experience with multi-line phone system preferred. Excellent verbal and written communication skills. Ability to handle pressure situations while maintaining tact and diplomacy. Ability to work independently yet operate as an integral part of a team. Working knowledge of computers and basic software programs. Additional details: Patient Service Specialist has the potential for off-site work after successful completion of training and meeting the requirements for working off-site. This requires, but not limited to, an employee to live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps). Pay Range: $18.24 - $25.54 The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job. We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information. Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.
    $19.4-22.2 hourly Auto-Apply 60d+ ago
  • Sr. Consultant, Change Management

    Cardinal Health 4.4company rating

    Remote job

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Together, we can get life-changing therapies to patients who need them-faster Are you ready to lead change at the forefront of healthcare innovation in patient access and support? Sonexus is undergoing a major transformation-scaling rapidly, reimagining how we deliver patient services, integrating emerging technologies & AI, and collaborating across the specialty pharma ecosystem. We're looking for a Senior Change & Transformation Consultant who's not just experienced but energized by the opportunity to shape the future of patient care and a rapidly growing business division of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible for driving adoption, inspiring stakeholders, and embedding lasting change across complex, regulated environments. Too often, patients forego or can't complete prescribed therapy because of complicated qualification processes, unmanageable costs, or uncertainty about their medications. Cardinal Health Sonexus Access and Patient Support combines best-in-class program and pharmacy operations with smart digital tools to streamline patient onboarding and increase adherence to prescribed care. If you thrive in fast-paced settings and want to make a real difference in the lives of patients, this is your moment. Responsibilities * Design and execute enterprise-level change strategies that support transformation across patient services, pharmacy operations, and digital/AI innovation. * Conduct impact assessments, stakeholder analyses, and readiness evaluations to guide successful implementation. * Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership. * Develop and facilitate dynamic workshops to elevate organizational change capability and leadership transformation IQ to scale a rapidly growing business. * Design communication strategies, plans, and craft visually appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to senior leaders. * Champion AI initiatives includes building use cases, managing barriers to change and adoption, and managing the complex people-side of change for adopting AI (must have prior experience). * Monitor adoption metrics, create surveys, feedback loops, and performance indicators to ensure long-term success. * Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum strong. Leverage data and insights to refine approaches. * Contribute to the evolution of our new Transformation and Change office. Qualifications * Bachelor's degree in Business, Organizational Development, Healthcare Administration, or related field, preferred * Strong consulting, communication, analysis, data gathering and organizational skills. * Microsoft Office 365 (Teams, Copilot) Proficiency preferred * Ability to work in a fast-paced, collaborative environment and deliver quality results within aggressive timeframes. * Willingness to travel up to 25%. * Must be willing to work Central Time Zone business hours. Prefer candidates located in Columbus, OH or Dallas, TX area. * 6+ years of experience in change management with AI, digital business transformation experience, preferred * Prosci certification required; CCMP certification preferred with advanced certifications in digital/AI transformation, coaching, training facilitation, lean six sigma, organizational development (ODCP), etc. * Deep understanding and application of Change Management methodology end-to-end from strategy and planning to change impact analysis, communications plans and messaging, stakeholder analysis and engagement, readiness assessments, training and facilitation, change reporting and metrics, and reinforcement and sustainability. * Must be comfortable and proficient delivering change and transformation workshops and courses. * Proven success managing change for AI-driven solutions, preferred within patient services or pharmacy operations. * Solid understanding of the specialty pharma ecosystem, with highly preferred experience in Payors, PBMs, Specialty Hubs, Patient Services, Patient Assistance Programs, Medicaid, and Pharmacy Operations. * Exceptional communication, executive presence, facilitation, and stakeholder management skills. * Experience with CRM platforms like Salesforce, patient support technologies, or specialty pharmacy systems is a plus. * Can identify the differences between change and transformation, and provide work/project examples, including knowledge of transformation methodologies, models, AI strategy/transformation models, frameworks, building roadmaps. Framework examples include SAP BTM2, USAII, and CXO Transform. * Knowledge of product, agile methodologies a plus. Why Join Us? * Be a catalyst for change in a mission-driven organization transforming patient care. * Work alongside passionate professionals in a collaborative, forward-thinking environment. * Lead initiatives that integrate cutting-edge technologies like AI to improve outcomes and efficiency. * Make a lasting impact on how specialty pharma supports patients across the care continuum. TRAINING AND WORK SCHEDULES: * Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. * This position is full-time (40 hours/week). * Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: * You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to highspeed internet. * We will provide you with the computer, technology and equipment needed to successfully perform your job. * You will be responsible for providing high-speed internet. * Internet requirements include the following: * Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. * Download speed of 15Mbps (megabyte per second) * Upload speed of 5Mbps (megabyte per second) * Ping Rate Maximum of 30ms (milliseconds) * Hardwired to the router * Surge protector with Network Line Protection for CAH issue Anticipated salary range: $105,100-$150,100 Bonus eligible: Yes Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. * Medical, dental and vision coverage * Paid time off plan * Health savings account (HSA) * 401k savings plan * Access to wages before pay day with my FlexPay * Flexible spending accounts (FSAs) * Short- and long-term disability coverage * Work-Life resources * Paid parental leave * Healthy lifestyle programs Application window anticipated to close: 1/13/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Dallas Metro Area Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
    $105.1k-150.1k yearly Auto-Apply 6d ago
  • Admissions Coord / Specialty / Remote

    Brightspring Health Services

    Remote job

    Our Company Amerita The Specialty Admission Coordinator is responsible for managing specialty medication referrals from receipt through insurance clearance to ensure timely and accurate patient access to therapy. This role serves as the key point of contact for benefit investigation, prior authorization, coordination with internal stakeholders (pharmacy and nursing staff) and financial counseling with patients. The coordinator plays a critical role in ensuring referrals meet payer requirements and in facilitating seamless communication between patients, providers, pharmacy staff and the sales team. Schedule: Monday - Friday 8:30am - 5:30pm • Competitive Pay • Health, Dental, Vision & Life Insurance • Company-Paid Short & Long-Term Disability • Flexible Schedules & Paid Time Off • Tuition Reimbursement • Employee Discount Program & DailyPay • 401k • Pet Insurance Responsibilities Owns and manages the specialty referral from initial intake through insurance approval Conducts timely and accurate benefit investigation, verifying both medical and pharmacy benefits Identifies and confirms coverage criteria, co-pays, deductibles and prior authorization requirements Prepares and submits prior authorization requests to appropriate payers Maintains clear, timely communication with pharmacy teams, sales representatives and prescribers regarding the status of each referral and any outstanding information Coordinates and delivers financial counseling to patients, including explanation of out-of-pocket costs, financial assistance options and next steps Ensures all documentation complies with payer and regulatory requirements Updates referral records in real-time within computer system Collaborates with patient services and RCM teams to support a smooth transition to fulfillment Tracks and reports referral statuses, turnaround times and resolution outcomes to support process improvement Supervisory Responsibility: No Qualifications EDUCATION/EXPERIENCE • High school diploma or GED required; Associate's or Bachelor's degree preferred. • Minimum of 2 years of experience in a healthcare, specialty pharmacy, or insurance verification role. • Experience working with specialty medications, including benefit verification and prior authorization processes. • Experience in patient-facing roles is a plus, especially involving financial or benefit discussion. KNOWLEDGE/SKILLS/ABILITIES • Familiarity with payer portals. • Strong understanding of commercial, Medicare, and Medicaid insurance plans. • Proven track record of communicating effectively with internal and external stakeholders. • Desired: Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint. TRAVEL REQUIREMENTS Percentage of Travel: 0-25% **To perform this role will require constant sitting and typing on a keyboard with fingers, and occasional standing, and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs** About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Salary Range USD $24.00 - $28.00 / Hour
    $24-28 hourly Auto-Apply 13d ago
  • Remote Intake Coordinator

    Center for Hope Hospice 4.4company rating

    Remote job

    Title: Remote Intake Coordinator Department: Patient Services Reports to: Director of Patient Services POSITION DEFINITION: Ensures that all inquiries/referrals for inpatient facilities are addressed correctly and efficiently to provide appropriate patient placement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Works with the Billing Manager and Assistant to verify billing information is received accurately and in a timely fashion. Takes referrals for inpatient facilities. Maintains working relationships with hospital and other community resources in regard to proper placement in to inpatient facilities. Responds to all requests, inquiries and referrals directed to the department and logs information in book, explains Hospice criteria, Center for Hope Home Care philosophy and IDT services. Provides Hospice education, including information on Medicare/Medicaid Hospice benefit and private insurance. Provides Hospice MD with Patient Referral and Information Record for determination of medical appropriateness for admission. Notifies nurse manager and family of decision. Completes intake on referrals from hospitals. Records all pertinent information on patient Referral and Information Record including demographics, primary and secondary insurance information, primary care person, name, address, phone number, significant others, referral source and referring physician. Offers reassurance and support to family when calling for Hospice information. Obtains and records all pertinent insurance information. Provides a copy of insurance information to the Billing Coordinator. Distributes copies of referrals to other disciplines; Social Work, Spiritual, Nursing, President and Assistant Medical Director. Provides copy for Managed Care and Home Care Coordinator as needed. Sends initial Hospice Certification to physician. Files in chart when returned from physician and logs in book. Prepares requested information for mailing.
    $31k-36k yearly est. 60d+ ago
  • Remote - PFS Denial Nurse Auditor

    Mosaic Life Care 4.3company rating

    Remote job

    Remote - PFS Denial Nurse Auditor PFS Billing-Follow Up-Denials Full Time Status Day Shift Pay: $60,382.40 - $96,616.00 / year Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The Denials Nurse Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management. This position is employed by Mosaic Life Care. Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts. Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings. Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement. Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes. Other duties as assigned. Bachelor's Degree - Graduate of school of nursing, BSN is required. Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Registered Nurse license by the State of Missouri required. 5 Years of experience in health care as a registered nurse, preferably in revenue cycle is required. Excellent understanding of financial and health care strategies is required.
    $60.4k-96.6k yearly 60d+ ago
  • Associate Supervisor (BCaBA)

    Center for Autism and Related Disorders 4.2company rating

    Remote job

    ORGANIZATION The Center for Autism and Related Disorders is seeking highly motivated professionals to join our team. As a member of our growing, founder-owned organization, you'll have the opportunity to join a well-established, mission-driven industry leader focused on helping people with autism live their best lives. CARD offers a dynamic work environment where your talents and skills will be valued and rewarded. The Center for Autism and Related Disorders (CARD) is among the world's largest and most experienced organizations effectively treating individuals of all ages who are diagnosed with autism spectrum disorder. CARD treats autistic individuals using the principles of applied behavior analysis (ABA), which is empirically proven to be the most effective method addressing the behaviors and deficits commonly associated with autism. With locations throughout the US, CARD's mission is to provide top-quality services that help every patient fulfill their potential and live joyful lives. Through its network of trained behavior technicians, Board Certified Behavior Analysts, and researchers, CARD develops and implements quality, comprehensive, and individualized treatment programs that lead to success. Remote Location - CA Sacramento, California 95834 Salary Range: $55k - $110k Salary is dependent on experience and location POSITION OVERVIEW: The Associate Supervisor will supervise a treatment team of technicians in the process of setting up/maintaining ABA programs. Associate Supervisors supervise the treatment team assigned to each patients' case to help ensure that CARD provides top-quality patient service. The Associate Supervisor will complete patient reports and other supervisory responsibilities as is appropriate and necessary based on the patient service contract. We are hiring for both Remote and On-Site. ESSENTIAL DUTIES AND RESPONSIBILITIES: Represent CARD policy enthusiastically Implement and represent CARD policy enthusiastically Represent CARD professionally and ethically to internal and external stakeholders Lead, supervise, and mentor treatment teams of technicians Manage patient services based on CARD policies & procedures Set and achieve performance goals with patient, patient guardian, and treatment teams Prepare and review quarterly performance evaluations of treatment team, including recommendations as to advancement or other changes in status Hold quarterly coaching sessions for treatment team Handle treatment team complaints and grievances Assist with training of staff Determine techniques to be used in implementation of terms of any treatment contracts CARD has with outside agencies Ensure 100% contract fulfillment for assigned patients Ensure that all supervision hours are at 100% contract fulfillment Maintain a minimum of 16-24 patients Maintain medical updates for each patient while tracking this information in the SKILLS database Conduct program design functions during regularly scheduled patient meetings Learn and help implement CARD treatment models such as the CARD Curriculum© Help complete all patient SKILLS assessments Ensure patient treatment plans are maintained on the SKILLS database Maintain patient behavior intervention plans on SKILLS Oversee and maintain accurate and organized patient notes, data, and reports for internal and external stakeholders Prepare for and attend patient educational meetings (Individual Education Plan meetings, IPPs, IFSP, ARC) and develop treatment recommendations Train patients' guardians and family members on treatment techniques; maintain positive working relationship with patients' family; respond to guardian questions in timely and professional manner Track and report time spent in direct contact with patients and time spent preparing documents, reports, and other materials related to patients Work cooperatively and courteously with internal staff and outside stakeholders including school personnel/administration, outside service providers, regional center personnel, and other agency personnel Respond to all corporate requests in a timely manner or by specified deadline Maintain patient privacy in accordance with CARD policy Minimize cancellations of scheduled sessions Attend required seminars and meetings REQUIREMENTS: Achieve CARD's highest Technician position and demonstrate excellence in patient treatment Minimum of two years of experience providing Applied Behavior Analysis treatment to children with autism Bachelor's degree from an accredited college or university in Psychology, Behavior Analysis, or related field BCBA certification required Completed CARD Technician exams and received passing scores on all related written and field tests KNOWLEDGE, SKILLS, AND ABILITIES: Proficiency with Microsoft office (Word, Excel, PowerPoint) Demonstrated knowledge of ABA treatment techniques and treatment program designs for children of varying skill levels Proven people-management skills Excellent verbal and written communication skills Excellent administrative skills Key Characteristics: Professional, organized, creative, motivating, goal-driven Must abide by BACB guidelines, rules, and regulations English proficiency, both verbal and written, is required Willingness to travel WORK ENVIRONMENT: Includes both a typical office environment, with minimal exposure to excessive noise or adverse environmental issues, and occasional local and/or overnight travel. Mode of transportation for travel typically will include automobile and plane. PHYSICAL REQUIREMENTS: Be able to work with patients who are seated on the floor, in small chairs, or other home, school, community and clinic environments Move frequently throughout the therapeutic setting to gather materials, anticipate, and respond to the movement of a patient, and/or provide instruction in a variety of settings, such as school, playground, clinic, or community locations Constantly position oneself to participate and respond to the movements and behaviors of patients, including but not limited to bending to assist a patient, kneeling/crouching to teach a play skill, hurrying to block an open doorway, or reaching to prevent a patient from entering a traffic congested street Be able to utilize continuous visual tracking to monitor the movement of patients, as well as the items and circumstances in the surrounding environment Occasionally move to evade aggressive behaviors and/or physically block attempts to aggress towards others, including self-injurious behaviors (aggression towards self). Responding to behaviors may occasionally require bearing weight of a patient who is leaning, pushing, etc. Frequently teach patients to use vocal speech. Must be able to articulate sound and model speaking clearly, as well as listen to and shape vocal communication of patients Occasionally use modeling to teach gross motor skills, such as climbing or jumping, and fine motor skills such as clapping or opening a container Work in both indoor and outdoor settings as they relate to the patient's natural environment, which may include being outdoors in a variety of weather conditions (e.g., community skills, recess in a school setting, etc.) Be able to lift up to at least 30 lbs. while assisting patients, as some patients may weigh more and require full physical assistance to ensure their safety and the safety of others in their environment. Click to access EEOC Workplace Poster Click to access IER Right to Work Poster and E-Verify
    $37k-43k yearly est. Auto-Apply 15d ago
  • Medical Assistant (Flint Hills) - RHC Walk-in Clinic - FT - Day

    Stormont-Vail Healthcare 4.6company rating

    Remote job

    Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt Member of the care delivery team will function under the direction of, and be assistive to, a Registered Nurse to provide delegated, direct patient care intervention, including the performance of sterile and non-sterile procedures. Responsible to provide a safe environment for his/her assigned patients; to complete the assigned work; to monitor the patient for changes in condition and to report those changes to the RN; to document the work that he/she completes; and to document and report any pertinent observations as a result of the interventions. This position is an important member of the patient care team who uses acquired, office-based skills to assist providers and nursing personnel in maintaining efficient workflow to ensure safe, quality care with a patient centered approach focusing on continuity of patient care and satisfaction. Making independent clinical decisions is outside of the scope for this position. Refer clinical questions to the provider or nurse. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Education Qualifications Successfully completed first semester in an accredited nursing program. Required or Successfully completed a medical assistant or patient care technician program. Required or A Certified Clinical Medical Assistant, Certified Medical Assistant, Registered Medical Assistant, Certified Nursing Assistant, or Emergency Medical Technician may be substituted for the educational requirement. Required Experience Qualifications Experience in an office or clinic setting. Preferred Skills and Abilities Knowledgeable of and follows proper technique for patient care. (Required proficiency) Communicates pertinent patient information to appropriate staff in a timely manner. (Required proficiency) Functions with an awareness and application of safety issues as identified within the institution. (Required proficiency) Participates actively in educational activities for department. (Required proficiency) Demonstrates competency in selected psychomotor skills. (Required proficiency) Licenses and Certifications Active certification to practice in Kansas as either Certified Clinical Medical Assistant, Certified Medical Assistant, Registered Medical Assistant, Certified Nursing Assistant, or Emergency Medical Technician is required as a substitute for education qualifications. Required What you will do Admit patients to exam rooms for office visits and procedures, following prescribed workflows. Assist providers with examinations and procedures. Retrieve voice mail messages, record, and route to licensed staff. Document medical information using the appropriate electronic applications and/or forms. Prepares and maintains patient's medical record and charges while in the department, ensuring confidentiality of all patient information. Coordinate patient services to include: lab tests, point of care testing, x-rays, diagnostic procedures, consults, home care, and acute care admissions. Schedule patient appointments. Assist with referrals, prior-authorizations, and benefit investigations. Point of care testing and/or phlebotomy as indicated by work area. Maintain cleanliness of equipment, examination, and treatment rooms; restock. Meets the needs of any patient in the department. Applies proper techniques with simple dressing changes. Maintains and follows proper procedure for sterile technique on dressing changes. Prepares and processes requisitions for housekeeping, maintenance and general supply needs and ensures adequate par levels are maintained. Participates in intra- and interdepartmental committee activities. Attend staff meetings and mandatory retreats in compliance with individual department's requirements. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability On-Site; No Remote Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Rarely less than 1 hour Climbing (Stairs): Rarely less than 1 hour Crawling: Rarely less than 1 hour Crouching: Rarely less than 1 hour Driving (Automatic): Rarely less than 1 hour Driving (Standard): Rarely less than 1 hour Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Occasionally 1-3 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Frequently 3-5 Hours Kneeling: Occasionally 1-3 Hours Lifting: Occasionally 1-3 Hours up to 50 lbs Operate Foot Controls: Rarely less than 1 hour Pulling: Occasionally 1-3 Hours up to 25 lbs Pushing: Occasionally 1-3 Hours up to 25 lbs Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs Repetitive Motions: Occasionally 1-3 Hours Sitting: Occasionally 1-3 Hours Standing: Occasionally 1-3 Hours Stooping: Rarely less than 1 hour Talking: Occasionally 1-3 Hours Walking: Occasionally 1-3 Hours Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Frequently 3-5 Hours Mechanical: Rarely less than 1 hour Needle Stick: Occasionally 1-3 Hours Noise/Sounds: Occasionally 1-3 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
    $28k-32k yearly est. Auto-Apply 60d+ ago
  • Referral Coordinator (Remote in Central Texas)

    Central Health 4.4company rating

    Remote job

    In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for coordinating all aspects of the patient referral process in a community healthcare center setting and for adhering to established timelines and departmental procedures. *Remote in Central Texas Only Responsibilities DUTIES AND RESPONSIBILITIES: • Monitors templates for appointment availability • Assists in the expansion of the referral department through the orientation and training of new team members under the direction of the Triage and Referral Nurse Manager • Schedules appointments per clinic guidelines as appropriate • Conducts auditing of records for the referral team as needed • Gathers pertinent information from insurance carriers, financial counselors, or other staff regarding appointments to determine financial responsibility • Obtains referral authorization from insurance carriers for specialty services and relay such authorizations (or denials) to the patient and provider • Resolves pre-authorization, registration, or other referral related issues prior to a patient's appointment • Contacts patients verbally or in writing per current protocol • Maintains updated referral resources • Upholds and completes referrals ensuring that the entire referral process is complete • Ensures referral Standard Operating Procedures are followed for all referrals • Ensures referral requests received from the PCP are addressed in a timely fashion • Ensures that all documentation is completed in EPIC • Ensures referrals are completed in an appropriate timeframe to meet patient needs for access to services • Completes all direct and indirect care documentation in timely manner and ensure patient records are current and complete • Attends team huddles and scheduled meetings • Attends seminars and maintain all licensure and/or certification requirements for continuing education and best practices • Participates in quality strategies to evaluate compliance with evidence-based guidelines/standards and to identify opportunities to improve patient outcomes • Ensures all tasks provided and associated with patient care, patient administrative processes, and related duties comply with all regulatory and accreditation standards including The Joint Commission and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures • Develops and maintain favorable internal relationships, partnerships with co-workers, including clinical managers, clinical support staff, providers, and business office staff • Interacts respectfully and collaboratively with patients and their families, striving to develop favorable relationships with families • Collaborates with all members of the care team in providing patient-centered care • Meet defined productivity standards • Performs other duties as assigned KNOWLEDGE/SKILS/ABILITIES: • Demonstrates a high level of skill at building relationships and providing excellent customer service • Inhibits a strong attention to detail and accuracy • Has the ability to utilize computers for data entry and information retrieval • Shows excellent verbal and written communication skills • Demonstrates knowledge of federal, state, and local insurance regulations • Demonstrates knowledge of the referral process for a variety of insurance plans • Demonstrates success in researching and resolving complex issues • Demonstrates familiarity and proper care of electronic devices common GUIs found within most health care environments (for example, personal computer skills, spreadsheets, word processing, patient record systems, EHR systems, etc…) Qualifications MINIMUM EDUCATION: High School Diploma or equivalent MINIMUM EXPERIENCE: • Three years' experience in the healthcare field including one year experience as a Medical Assistant, Medical Administrative Clerk, Patient Services Representative, or Dental Assistant
    $26k-33k yearly est. Auto-Apply 55d ago
  • Senior Manager, Reimbursement Access - West

    Xeris Pharmaceuticals 4.2company rating

    Remote job

    The Senior Manager, Reimbursement Access will play a critical role in ensuring appropriate patient access to Xeris products by leading the Reimbursement Access team, shaping national access strategies, and supporting operational excellence across the function. The incumbent must have deep experience in reimbursement, patient access, and healthcare provider support services, and leadership experience that includes driving the execution of complex operations while developing a high performing team of Reimbursement Access Managers. Responsibilities Team Leadership & Talent Development Identify, recruit, onboard, and develop a high-performing team of Reimbursement Access Managers (RAMs) across key geographies. Provide coaching, mentorship, and performance management to drive effectiveness and professional growth. Lead field-based access teams to execute patient support strategies that improve access and affordability for patients. Reimbursement Strategy & Execution Collaborate with Patient Access leadership to design and implement innovative reimbursement access strategies that align with product and company goals. Analyze access barriers and develop field-based solutions to improve access to therapies for rare disease patients. Partner with internal teams (Commercial, Medical Affairs, Legal, Compliance) to ensure alignment and seamless execution of access initiatives. Operational Excellence Assist in developing standard operating procedures (SOPs), metrics, and reporting tools to evaluate and optimize the effectiveness of the Reimbursement Access function. Drive continuous improvement initiatives to ensure the highest standards of patient access and compliance. Monitor and assess reimbursement trends, payer coverage, and changes in access environment; provide recommendations to senior leadership. Stakeholder Engagement Serve as a strategic liaison between internal stakeholders and field reimbursement teams to ensure market and patient needs are addressed. Provide insights from the field to inform leadership decisions on payer strategy, patient affordability programs, and other access-related initiatives. Represent the company at relevant industry meetings, conferences, and with key external stakeholders as needed. Qualifications Bachelor's degree in business, healthcare, or related field (advanced degree preferred). Minimum of 7 years of experience in market access, reimbursement, patient services, or related pharmaceutical roles. Prior leadership experience managing field reimbursement teams strongly preferred. In-depth understanding of the reimbursement landscape including buy-and-bill, specialty pharmacy, payer dynamics, copay assistance, and HUB services. Experience in rare diseases or specialty biologics/therapies. Demonstrated ability to lead cross-functional initiatives in a fast-paced, entrepreneurial environment. Willingness to travel (up to 30%) to support field teams and stakeholders. Competencies: Leadership, Presentation skills, Written and Verbal Communications, Analytical skills, Problem Solving, Teamwork & Collaboration, Customer Service focus, Adaptability, Professionalism A valid, US state-issued driver's license is required as occasional driving to client locations is a core requirement of this position. Position may require periodic evening and weekend work, as necessary to fulfill obligations. Periodic overnight travel. Ability to Travel up to 30%. Travel may include air and ground travel to HCP locations, and company meetings The level of the position will be determined based on the selected candidate's qualifications and experience. #LI-REMOTE As an equal employment opportunity and affirmative action employer, Xeris Pharmaceuticals, Inc. does not discriminate on the basis of race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, veteran status, genetics or any other characteristic protected by law. It is our intention that all qualified applications are given equal opportunity and that selection decisions be based on job-related factors. The anticipated base salary range for this position is $130,000 to $220,000. Final determination of base salary offered will depend on several factors relevant to the position, including but not limited to candidate skills, experience, education, market location, and business need. This role will include eligibility for commission and equity. The total compensation package will also include additional elements such as multiple paid time off benefits, various health insurance options, retirement benefits and more. Details about these and other offerings will be provided at the time a conditional offer of employment is made. Candidates are always welcome to inquire about our compensation and benefits package during the interview process. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
    $130k-220k yearly Auto-Apply 12d ago
  • Access and Reimbursement Manager

    Omeros 4.5company rating

    Remote job

    The Access and Reimbursement Manager (ARM) is a field-based position and will report to the Director of Payer Access and Reimbursement. This role focuses on minimizing reimbursement barriers for patients and providers. Key activities include working directly with: Inpatient hospital billing/reimbursement staff. Outpatient office billing/coding support staff. Third-party vendors (HUB, Patient Assistance Programs, etc.). Other stakeholders involved in supporting patient access to Omeros products. This position will work cross-functionally with Sales, Marketing, Market Access, and Commercial Operations to ensure timely insights, challenges and strategies are shared. The ARM is expected to have a deep working knowledge in the reimbursement landscape, payer reimbursement processes, and be proficient in the latest industry reimbursement best practices, trends and news. Good things are happening at Omeros! Come join our Marketing Team! Who is Omeros? Omeros is an innovative biopharmaceutical company committed to discovering, developing, and commercializing first-in-class small-molecule and protein therapeutics for large-market and orphan indications targeting immunologic disorders, including complement-mediated diseases and cancers, as well as addictive and compulsive disorders. Omeros' lead MASP-2 inhibitor narsoplimab targets the lectin pathway of complement and is the subject of a biologics license application under review by FDA and EMA for the treatment of hematopoietic stem cell transplant-associated thrombotic microangiopathy. Omeros' long-acting MASP-2 inhibitor OMS1029 has successfully completed Phase 1 single- and multiple-ascending dose clinical studies. OMS906, Omeros' inhibitor of MASP-3, the key activator of the alternative pathway of complement, is in clinical development for paroxysmal nocturnal hemoglobinuria and complement 3 glomerulopathy. Funded by the National Institute on Drug Abuse, Omeros' lead phosphodiesterase 7 inhibitor OMS527 is in clinical development for the treatment of cocaine use disorder. Omeros also is advancing a broad portfolio of novel cellular and molecular immuno-oncology programs. For more information about Omeros and its programs, visit *************** Commercial Team Culture The successful candidate will be joining a strong Commercial Team that cultivates an energizing culture with a focus on the patient. The Commercial Team culture goals are: Win as a Team, Results & People Matter, We can and WE WILL do this, and We are accountable. What are your job responsibilities? Your responsibilities in this position will include: Educate inpatient and outpatient billing, coding, office managers and other care team members on coding, billing, coverage and reimbursement to optimize access to Omeros therapies. Collaborate with members of the Omeros field team-including Transplant Clinical Account Managers, Market Development Managers, and Sales Business Directors and National Payer Account Managers-to develop and execute overall account strategies, ensuring consistent and aligned education on reimbursement and patient access. Liaise with the entire Market Access department including HUB Services, distribution services, other Omeros staff, and inpatient/outpatient staff to identify and resolve trending issues regarding patient access to Omeros products. Identify and develop short-term & long-term strategic account plans, programs, services focusing on increasing education at the HCP level regarding reimbursement / access methods for patients. Proactively communicate Omeros specific reimbursement programs, coding/billing, policies, procedures, and resources to HCP personnel related to access; the majority of time is spent on customer engagement. Monitor, analyze, and triage situations which may adversely impact patient access to therapy and provide timely feedback to internal/external customers. Collaborate with Patient Services (HUB), Specialty Pharmacy, and other reimbursement entities on individual case management needs related to HCP education on reimbursement issues. Collaborate closely with Field Payer teams on coverage policy developments Establish relationships with key institution/hospital, physician office, specialty pharmacy and other personnel associated with coding, billing, reimbursement and provide reimbursement-related support (Coding, Billing, Payment, Policy). Comply with all federal/state/local laws, regulations and guidelines including but not limited to the PhRMA Code on Interactions with Healthcare Professionals as well as complying with all Omeros standards and policies relating to all job activities. Other duties as assigned. What education and experience do you need? BA/BS Degree with at least 7-10 years of pharmaceutical experience. Preferred minimum of 5 years' experience in reimbursement/payer access. Experience with injectable or infused oncology/hematology or specialty products that are administered “incident to” a physician service (reimbursed as a medical benefit) is required; buy and bill experience required. Product launch experience in the US; experience in oncology/hematology/transplant and/or ultra-rare disease is highly desirable. Experience with drugs with restricted (limited or exclusive) distribution networks, specialty pharmacy, and/or HUB models is preferred. Advanced understanding of healthcare, payers, hospital formulary, coverage, reimbursement issues, specialty pharmacy state laws, and compliance laws and regulations. Must have demonstrated a high level of proficiency in communication skills, critical thinking / decision-making, influence, problem solving, and impact, planning and organization. Clinical knowledge in one or more of the following therapeutic areas preferred: Oncology; Hematology; Blood and Marrow Transplant. Strong background for products on the medical benefit and how that impacts reimbursement by different payer types (Commercial, Medicare, Medicaid). Demonstrated ability to work collaboratively with Sales, Marketing, Market Access, and National Accounts teams to ensure product access. Strong communication and educational skills with both internal and external customers that results in product access. Demonstrates good verbal and written communication skills to provide updates, direction, information, and clarification in a timely manner. Strong Microsoft Office skills (Excel and PowerPoint) Ability to be flexible and manage change within a dynamic growing organization and an evolving health care marketplace as needs dictate. Strong analytical skills What We're Looking for in an Ideal Candidate: Demonstrated ability to build and maintain positive relationships with management and peers. Operate with integrity, trust, and honesty Ability to address and manage conflicts with internal and external customers. Demonstrate positive working relationships through emotional intelligence at various levels of the organization. Other things you'll need to know: This position requires domestic travel, approximately ~80% of the time. Physical Demands Required: Intermittent physical activity including bending, reaching, pushing, pulling, or lifting up to 20 lbs. May encounter prolonged periods of sitting. Compensation and Benefits: Omeros is proud to offer a competitive total compensation package designed to support the lives of our employees and their families. The wage scale for Access and Reimbursement Manager position is ($185,000 - $210,000). Salaries will be determined based on knowledge, skills, education, and experience relevant to the role. Employees are offered medical, dental, vision, life insurance, and a 401(k) plan with a company match. Employees accrue three weeks of vacation and 80 hours of sick time on an annual basis and receive twelve paid holidays throughout the calendar year. This position is eligible for incentive and stock options. To learn more about Omeros, please visit *************** Omeros is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, age, marital status, or any other factor determined to be unlawful by federal, state, or local statutes. It is our policy to provide reasonable accommodation to anyone with a disability who needs assistance completing the job application process. If you need assistance, you can either send an e-mail to ************* or contact Omeros, asking for Human Resources, at **************.
    $108k-143k yearly est. Auto-Apply 60d+ ago
  • UAT Mgr Patient Access - CW

    Inova Health System 4.5company rating

    Remote job

    The Manager of Patient Access is responsible for counseling patients on financial liability by using available financial counseling tools to achieve maximum reimbursement for patient services. Leads a team in planning, implementing and facilitating organizational change while using knowledge of coaching approaches, tools and techniques to improve individual performance and foster development. Utilizes Human Resources and performance management processes/systems to align individual performance with achieving goals. Leads project teams and implementing project plans, in accordance with established goals and measures. Job Responsibilities Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks. Tracks multiple projects and priorities in a master project plan. Facilitates group decision making by using various decision making tools and processes. Assimilates data from multiple sources (e.g. individuals, work groups, teams) to identify trends and patterns. Coaches managers and leaders to reflect on problem resolution outcomes and develop problem solving competence. Develops and documents project mission, objectives and goals needed to define project scope and gain next level approval for resources. Collects and interprets feedback from multiple sources (internal/external customers, peers, superiors and subordinates) to use in the coaching process. Leads process improvement projects/teams to improve the efficiency/effectiveness of financial counseling and achieve maximum reimbursement. Implements monitoring processes to ensure that all team members receive timely performance reviews and have current development plans. May perform additional duties as assigned. Additional Requirements Certification - N/ALicensure - N/AExperience - 3 years of healthcare experience to include 1 year of supervisory/lead experience.Education - High School diploma or equivalent.
    $29k-40k yearly est. Auto-Apply 60d+ ago

Learn more about Patient Service jobs

Jobs that use Patient Service