Lead Patient Support-Afford

ConnectiveRx; New Jersey; On-site; USD 30,000 - 40,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

PTO & holidays

Sick time off

Job summary

ConnectiveRx is seeking a Lead, Patient Support to guide a team delivering white glove patient concierge services and access to care for prescription medications. You will supervise ~10 team members, interact with patients, physicians, and pharmacies, and ensure high-quality patient care and timely case management.

Ideal candidates have 5+ years in health care or case management in high-volume settings, and a background in pharmacy benefits or medical billing.

Qualifications

• 5+ years in health care or case management in a high-volume contact center.
• Must meet all quality standards.

Responsibilities

• Provide subject matter guidance to the Patient Support Specialists and Claims Processing team.
• Lead peer coaching and training to improve proficiency with Affordability programs.
• Handle escalated patient calls and coordinate with Program Management, IT, and other centers to resolve issues.
• Collaborate with Quality and Training to improve processes and training.

Skills

Leadership

Healthcare experience

Education

High School or GED

Associate/Bachelor’s Degree (preferred)

Job description

Overview

This is an 11:30am-8pm shift on Medical Claims.

Being on medication is tough enough. We want to make getting it the easy part.Getting prescriptions to patients has become increasingly complex. When things get messy along the prescription journey, pharmaceutical manufacturers rely on us to untangle the process and create a clear path—allowing patients to build trusting relationships with their medication brands.

We7re not only committed to taking the pain out of the prescription process, but we7re also devoted to bringing the brightest minds together under one roof. We bring together diverse voices—engineers, pharmacists, customer service veterans, developers, program strategists and more—all with one vision. Each perspective and experience makes ConnectiveRx better than the sum of its parts.

The Lead, Patient Support provides subject matter expertise, guidance, and instruction to a team of Specialists who provide white glove patient concierge health care services and access to care for prescription medications. The incumbent has daily interactions with ~10 team members and, as needed, will also interact with patients, physicians, and/or pharmacies as it relates to access to care on behalf of our client’s programs. The incumbent is required to possess great communication, leadership, and engagement skills. The incumbent will ensure experience in patient/health care case management.

Responsibilities

• Provides support in monitoring and assisting the PSS and/or Claims Processing team members with daily responsibilities by acting as the subject matter expert. Keeps track of the team\'s progress to help ensure that it completes its daily deliverables and updates the Supervisor as necessary to aid in work rebalancing.
• Engages in peer coaching in accordance with supervisor\'s instructions. Helps and leads training sessions to advance the teams\' technical proficiency in relation to Affordability programs.
• Handles escalated patient calls; refers requests for escalation as needed and engages other internal areas such as Program Management, IT, and other contact center teams to resolve issues. Bring forward to management escalated technical issues, process gaps, or other opportunities.
• Coordinates with the Quality and Training departments as the program\'s subject matter experts and provides feedback and suggestions to improve processes and procedures and team training.
• Performs other projects as assigned

Qualifications

• High School or GED required. Associate/Bachelor’s Degree (preferred)
• 5+ years in health care or case management experience in a high-volume contact center environment
• Must meet all Quality standards
• Experience working in pharmacy benefits, health care insurance, and/or medical billing

Compensation & Benefits: Compensation for this role varies based on factors such as location, relevant skills, experience, and capabilities.

Employees at ConnectiveRx can enroll in comprehensive benefit plans, including medical, dental, vision, life, and disability insurance. The company retains the right to update or modify health, welfare, and other fringe benefit policies. Employees may also participate in the company\'s 401(k) plan.

Time-Off & Holidays: ConnectiveRx provides paid time off (PTO) to non-exempt employees for vacations and personal leave. For sick leave, eligible non-exempt employees receive Sick Time Off (STO) in accordance with company policy. PTO and STO are prorated during the first year of service. Employees also receive eight standard company holidays and three floating holidays annually, with floating holidays prorated in the first year.

The company is committed to maintaining competitive benefits and reserves the right to adjust employee offerings, including PTO, STO, and holiday policies, in compliance with applicable laws and regulations.

Posted Salary Range

USD $21.76 - USD $29.70 /Hr.