Clinical Finance Case Management Specialist

The Ohio State University; Columbus (OH); On-site; USD 48,000 - 64,000; Full time

Job summary

The Ohio State University Medical Center is seeking a Medication Assistance Program Coordinator (MAPC) to help patients access medications by coordinating PMAPs and subsidies. The MAPC collaborates with patients and prescribers to secure free and discounted pharmaceuticals from manufacturer programs and state/local resources.

The position requires knowledge of PMAPs and insurance coverage, and involves documenting patient information, eligibility, and subsidy enrollments in our system.

Qualifications

• Bachelor's degree or equivalent experience.
• 0 years of relevant experience required.
• 0-2 years of relevant experience preferred.

Responsibilities

• Coordinates patient access to medications necessary for treatment, regardless of ability to pay, for inpatients and outpatients.
• Works with patients and prescribers to obtain free and discounted pharmaceuticals and grant awards from PMAPs, non-profit assistance, and government programs.
• Maintains accurate PMAP information, patient data, and subsidy enrollment details in the database.
• Provides customers (patients and clinicians) with accurate, up-to-date information regarding PMAPs, disease-based assistance, and insurance eligibility.

Skills

PMAP knowledge

Insurance coordination

Clinical information gathering

Education

Bachelor's degree or equivalent experience

Job description

Scope of Position

The Ohio State University Medical Center is committed to improving access and service to customers. The Medication Assistance Program Coordinator (MAPC) functions as an integral member of the health care team to reflect a culture of cooperation, enthusiasm and mutual respect. This position coordinates patient access to medications necessary for their treatment, regardless of their ability to pay for both inpatients and outpatients of the Ohio State University Medical Center and Arthur G James Cancer Hospital. The MAPC works with the patient and prescriber to obtain free and discounted pharmaceuticals and grant awards for patients (uninsured, indigent, etc.) from pharmaceutical manufacturer patient assistance programs (PMAPs), non-profit disease based assistance and state and local agencies.

Position Summary

The MAPC is knowledgeable about PMAPs (pharmaceutical, state, local, etc), insurance coverage (limitations, requirements, eligibility, pharmacy formulary, prior authorization, coordination of benefits etc), available community and national resources, ICD-9 codes, and determinants of financial need. Displays an understanding of pharmaceutical terminology (brand, generic, dose, route, etc). Works closely with financial counselors and clinical staff to obtain appropriate clinical and financial information for accessing PMAPs, disease based assistance and subsidy enrollments. Responsible for providing customers (patients and clinicians) with accurate, up-to-date information regarding PMAPs disease based assistance, insurance eligibility including federal and state subsidies as well as maintaining a database with accurate patient and PMAP information.

MINIMUM REQUIRED QUALIFICATIONS

Bachelor's degree or equivalent experience. 0 years of relevant experience required. 0-2 years of relevant experience preferred.

Additional Information

Location:University Hospital - Doan Hall (0089) Position Type:Regular Scheduled Hours:40 Shift: First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.

Job Title:Clinical Finance Case Management SpecialistDepartment:James | Pharmacy Administration