Clinical Finance Case Management Specialist

The Ohio State University; United States; On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off & holidays

State retirement plan

Job summary

The Ohio State University Medical Center is seeking a Clinical Finance Case Management Specialist to support patient access to medications through PMAPs and grant programs. This on-site role collaborates with financial counselors and clinical staff to collect financial data and determine eligibility for pharmaceutical assistance.

This Regular, 40-hour-per-week position located at University Hospital – Doan Hall emphasizes knowledge of PMAPs, insurance coordination, and comprehensive patient

Qualifications

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

Responsibilities

• Coordinate access to medications for patients regardless of ability to pay.
• Work with patients and prescribers to obtain free/discounted pharmaceuticals and grants for PMAPs and related assistance.
• Provide up-to-date information on PMAPs, insurance eligibility, and related subsidies to patients and clinicians.

Education

Bachelor's degree or equivalent experience

Job description

Clinical Finance Case Management Specialist

Department: James | Pharmacy Administration

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.

Equal Opportunity Statement

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

Benefits

Ohio State benefits give you options to take care of what matters most to you — and opportunities to make adjustments as your life and needs change, including:

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

About Ohio State

As Buckeyes, we accomplish more together. No matter your role, you’ll be part of creating what people need now: pathways to education, research and health care. Working at Ohio State means you’re part of a team with a strong sense of community and an unwavering commitment to excellence — and, of course, incomparable Buckeye spirit. We bring out the best in people, help each other succeed and learn together. By joining Ohio State, you become part of a top-20 public university with one of America’s leading academic health centers. We’re a team of dedicated colleagues with access to boundless resources that support you.

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