Job Information
KPH Healthcare Services, Inc. Partner Program Coordinator in Gouverneur, New York
Overview
Scope of Responsibilities: Provide guidance, assistance and expertise regarding specialty assistance programs between ProAct and contract pharmacies to include Noble Health Services and other specialty and/or retail pharmacies. Coordinate with all appropriate parties to secure funding assistance, medication shipment and regularly communicate updates on member-specific cases. Works under direct supervision and follows standard procedures to accomplish assigned tasks.
Job Summary: Responsible for coordinating functions related to specialty assistance programs to include, but not limited to ProActPLUS and other external copay sourcing program related operations on a day-to-day basis. Act as the liaison between ProAct, and Noble Health Services (or other network pharmacies) to support these programs and its components.
Responsibilities
Support ProAct clients and members regarding functions related to specialty assistance programs.
Partner with Noble Health Services and other network pharmacies on the administration of ProAct-owned programs such as ProActPLUS as well as third party solutions and other utilization management programs.
Perform outreach to physician offices and members to request prescriptions, confirm assistance components, etc.
Process overrides in ProAct’s processing database to ensure claims are processing as intended after funding is secured.
Assist Noble and other network pharmacies with various other ProAct-related inquiries or overrides that need to be entered for successful claim processing.
Complete all mandatory KPH, state, and federal training programs.
Perform other duties as assigned.
Qualifications
Experience Preferred:
- Preferred: 2 Years experience with Health Care, Insurance and/or Project Management
Special Conditions of Employment:
Drug test
Initial and continuous exclusion and sanction/disciplinary monitoring
Any and all additional eligibility requirements based on the specific position
Compensation:
$17.00 -20.72 an hour
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.
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Job Locations US-NY-Gouverneur | US-NY-East Syracuse, NY
Posted Date 3 weeks ago (4/3/2024 1:56 PM)
Requisition ID 2024-12364
# of Openings 1
Category Healthcare
Location : Location US-NY-Gouverneur