Clinical Finance Case Management Specialist

The Ohio State University Wexner Medical Center; Columbus (OH); On-site; USD 42,000 - 52,000; Full time

Job summary

The Ohio State University Wexner Medical Center is seeking a Medication Assistance Program Coordinator (MAPC) to help patients access essential medications, regardless of their ability to pay. You will work with patients and clinicians to gather information and connect them with PMAPs, charity programs, and other subsidies.

Knowledge of PMAPs, insurance rules, and drug terminology is essential. The MAPC collaborates with financial counselors and program staff to ensure timely and accurate

Qualifications

• Knowledge of PMAPs (pharmaceutical, state, local) and funding sources.
• Understanding of insurance eligibility, coverage, and prior authorization.
• Ability to collaborate with financial counselors and clinicians.

Responsibilities

• Coordinate patient access to medications regardless of ability to pay.
• Identify and enroll patients in PMAPs, disease-based assistance and subsidies.
• Maintain accurate PMAP and patient data records.

Skills

PMAP knowledge

Insurance coverage understanding

Pharmaceutical terminology

Interdisciplinary collaboration

Education

Bachelor's degree or equivalent experience

Job description

Current Employees and Students: Please log in to Workday to use the internal job search and application process.

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.

Thank you for your interest in working at Ohio State.

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.