Case Manager

VytlOne; United States; Remote; USD 42,000 - 68,000; Full time

Benefits offered by this job

Health benefits

Employer-matched 401k

PTO (paid time off)

Disability insurance

Job summary

VytlOne is seeking a dedicated Case Manager with pharmacy technician experience to support patient care in a growing Specialty Pharmacy. You will manage demographics, co-pay support, and delivery coordination while collaborating with pharmacists and the sales team.

Responsibilities include patient intake assessments, clinical documentation, and proactive outreach for new prescriptions. A focus on accuracy, communication, and problem solving is essential in a dynamic work-from-home environment.

Qualifications

• High School diploma or equivalency.
• Registered/Certified Pharmacy Technician as required by SBOP.
• One to two years of relevant experience in a pharmacy/retail setting.
• Ability to use pharmacy software and maintain patient data accurately.
• Strong communication and organizational abilities.

Responsibilities

• Obtain copy of prescription drug card and file in electronic chart.
• Ensure patient demographic information is accurate in the pharmacy system.
• Set up patient copay assistance and foundation support when necessary.
• Manage daily work orders and communicate any issues to patients, prescribers, and sales teams.
• Contact patients to schedule initial shipments and educate on device maintenance when applicable.
• Conduct Case Management Assessment for new referrals and create initial/ongoing clinical assessments.
• Prepare delivery tickets and ensure correct shipment addresses and supplies.
• Collect payment information and log it for future use in CPR+.
• Prepare shipment status updates for prescribers as needed.
• Handle incoming calls and manage assigned queues in SPRX.
• Support claims adjudication and benefits verification for new Rx.

Skills

MS Office / Outlook

Data entry accuracy

Prioritize & meet deadlines

Multi-tasking

Problem solving

Strong communication

Education

High School diploma or equivalent

Registered/Certified Pharmacy Technician per SBOP

Tools

CPR+ system

Job description

Overview

Continued growth at VytlOne (formerly Maxor) has created an opportunity for a Case Managerto join our growing Specialty Pharmacy.This is an excellent opportunity for a Pharmacy Technician with retail pharmacy experience to make a positive impact in the lives of the patients we care for, working with a devoted pharmacy operations team.

Our Company

We're VytlOne and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it.

Responsibilities

ESSENTIAL FUNCTIONS APPLICABLE TO ALL ROLES/DUTIES:

(This document in no way states or implies that these are the only duties to be performed by the employee occupying this position)

• Obtains copy of prescription drug card to be filed in the electronic chart
• Ensures the accuracy of all patient demographic information in the pharmacy system.
• Sets up patient copay assistance and foundation support when necessary.
• Works orders daily to ensure the most efficient turnaround time; keeps patients, prescribers and sales team (if needed) abreast of any issues or delays in treatment.
• Contacts patients to schedule initial shipments.
• Educates patients on device maintenance, if applicable under the direction of the pharmacists.
• Completes Case Management Assessment on all new patient referrals.
• Creates initial and ongoing clinical assessments to be completed by the pharmacists.
• Creates delivery tickets, ensures correct shipment address and adds appropriate medication administration supplies (if needed) to each shipment.
• Obtains method of payment from each patient for any financial obligation owed by the patient and loads the information into CPR+ for future use.
• Completes accurate dates on each delivery ticket and makes the shipment 'Ready to Fill'.
• Sends status update word merge documents to prescriber as needed.
• Answer incoming calls as assigned and as transferred
• Responsible for managing the following Ques in the SPRX list:
  • - Claims to Adjudicate - New Rx's
  • - Benefits Verification - New Rx's
    • Patients to Contact - New Rx's
    • Patients to Contact - New Rx's

• WORK SCHEDULE:

  • Monday through Friday, 8 hour shifts during regular pharmacy hours
  • Additional hours as required
  • Rotating on call responsibilities may be required

Qualifications

Education

• High School diploma or equivalency
• Registered/Certified Pharmacy Technician as required by applicable SBOP

Experience

• One - two year's relevant experience.
• Any combination of the necessary knowledge, skills, and abilities.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Working knowledge of computer software, specifically Microsoft Office and Outlook
• Ability to accurately enter data into a computer system
• Ability to prioritize work to meet deadlines
• Ability to multi-task and work accurately under pressure
• Ability to work through and solve problems independently
• Positive attitude, innovative, self-starter
• Excellent organizational and communication skills, both written and verbal

WHY VytlOne

Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join VytlOne and make a direct impact on patients' lives. Improve your own wellbeing with our robust benefits and flexible work environment. At VytlOne, you have a career with limitless possibilities and the charge to make a difference. A company of 1,500 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care.

WE OFFER: A diverse, progressive culture that supports a work from home model, a "dress for your day" attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
• Company paid basic life/AD&D, Short-term and Long-term disability insurance
• Rx, dental, vision, short-term disability, and FSA
• Employer-matched 401k Plan
• Industry leading PTO plan
• And MORE!

Maxor is an EOE, including disability/vets