Care Coordinator

Cardinal Health; Cheyenne (WY); Remote; USD 51,864,000 - 73,928,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

HSA

401k

MyFlexPay

FSAs

Disability insurance

Work-Life resources

Parental leave

Wellness programs

Job summary

Cardinal Health is seeking a Coordinator, Individualized Care to support patient access to therapy through Reimbursement Support Services. You will guide patients through intake, verify benefits, and coordinate with payers, pharmacies, and providers to facilitate coverage and timely dispensing of products.

You will also resolve payer/pharmacy issues and ensure a positive patient experience. The role requires 1–3 years of experience preferred, a high school diploma or GED, and availability

Qualifications

• 1-3 years of experience preferred
• High School Diploma, GED or equivalent work experience preferred
• Ability to work Monday-Friday between the hours of 7:00 AM-7:00 PM CST

Responsibilities

• Maintains a current and in-depth understanding of patient therapy’s, prior approval and reimbursement processes and details of health care plans.
• Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
• Meets key performance indicators including service levels, call volumes, adherence and quality standards.
• Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
• Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
• Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.

Skills

Customer service

Communication

Problem solving

Education

High School Diploma or GED

Job description

US‑Nationwide‑FIELD

Full time

20187688

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.

What Individualized Care contributes to Cardinal Health

Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.

Individualized Care provides care that is planned to meet the particular needs of an individual patient.

Job Summary

The Coordinator, Individualized Care supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules. This role is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and dispense of product in a timely manner. The Coordinator, Individualized mediates effective resolution for complex payer/pharmacy issues toward a positive outcome and provides a positive patient experience. This role answers inbound questions and provides customer service and technical expertise to parties.

Responsibilities

• Maintains a current and in-depth understanding of patient therapy’s, prior approval and reimbursement processes and details of health care plans.
• Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
• Meets key performance indicators including service levels, call volumes, adherence and quality standards.
• Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
• Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
• Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.

Qualifications

• 1-3 years of experience preferred
• High School Diploma, GED or equivalent work experience preferred
• Ability to work Monday-Friday between the hours of 7:00 AM-7:00 PM CST

What is expected of you and others at this level

• Applies acquired job skills and company policies and procedures to complete standard tasks
• Works on routine assignments that require basic problem resolution
• Refers to policies and past practices for guidance
• Receives general direction on standard work; receives detailed instruction on new assignments
• Consults with supervisor or senior peers on complex and unusual problems

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, between the hours of 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 high-speed 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 issued equipment

Anticipated hourly range: $18.10 per hour - $25.80 per hour

Bonus eligible: No

Benefits:

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

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.

To read and review this privacy notice click here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)

Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities.

We are a crucial link between the clinical and operational sides of healthcare, delivering end‑to‑end solutions and data‑driving insights that advance healthcare and improve lives every day. With deep partnerships, diverse perspectives and innovative digital solutions, we build connections across the continuum of care.

With more than 50 years of experience, we seize the opportunity to address healthcare's most complicated challenges — now, and in the future.

View Cardinal Health on YouTube (http://youtube.com/user/CardinalHealth)