Senior Coordinator, Individualized Care (Case Manager)

Cardinal Health; Town of Texas (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Senior Coordinator for Individualized Care to enhance patient access to therapies. This role involves guiding patients through their healthcare journey, ensuring they receive the necessary support and resources. You'll be the first point of contact for patients, resolving inquiries and facilitating their access to therapies with a focus on exceptional customer service. Join a dynamic team dedicated to improving patient outcomes and making a difference in the lives of those who need it most. If you thrive in a fast-paced environment and are passionate about patient care, this opportunity is perfect for you.

Benefits

Medical Coverage

Dental Coverage

Vision Coverage

Paid Time Off

401k Savings Plan

Health Savings Account

Qualifications

• 3-6 years of experience in a relevant field preferred.
• High School Diploma or equivalent experience preferred.

Responsibilities

• Support patient access to therapy and handle inbound calls.
• Investigate patient inquiries and provide timely resolutions.
• Collaborate with teams to resolve complex issues.

Skills

Customer Support

Problem Solving

Communication

Reimbursement Support

Insurance Benefits Investigation

Education

High School Diploma

GED

Technical Certification

Tools

CRM Tool

Job description

Senior Coordinator, Individualized Care (Case Manager)

Senior Coordinator, Individualized Care (Case Manager)

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence.

Together, we can get life-changing therapies to patients who need them—faster.

Responsibilities

• Support patient access to therapy through Reimbursement Support Services in accordance with program business rules and HIPAA regulations.
• Guide patients through the various process steps of their patient journey to therapy, including patient referral intake and investigating patient health insurance benefits.
• Handle inbound calls as the first point of contact, determining needs and providing one call resolution.
• Process enrollments via inbound fax, phone, and electronically.
• Provide world-class service and receive inbound calls from patients and healthcare provider offices.
• Mediate effective resolution for complex payer/pharmacy issues.
• Meet daily task and benefit investigation goals associated with high enrollment volume.
• Investigate and resolve patient/physician inquiries and concerns in a timely manner.
• Proactively follow up with various contacts to ensure patient access to therapy.
• Demonstrate superior customer support talents and communicate clearly and effectively.
• Maintain accurate and detailed notations for every interaction using the appropriate database.
• Make outbound calls to patients and/or providers to discuss any missing information.
• Assess patients’ financial ability to afford therapy and provide guidance to appropriate financial assistance.
• Track payer/plan issues and report changes to management.
• Handle escalations and ensure proper communication of resolutions.
• Concurrently handle multiple outstanding issues and ensure timely resolution.
• Collaborate with both internal and external teams to focus on problem-solving and teamwork.
• Cultivate innovation by monitoring systems, processes, and potential care gaps.
• Document and share reimbursement knowledge with team members.
• Gain proficiency in the manufacturer’s CRM tool to document work and patient journeys.
• Provide caseload coverage outside of assigned duties as needed.
• Ensure compliance with company and manufacturer policies.

Qualifications

• 3-6 years of experience, preferred.
• High School Diploma, GED, or technical certification in a related field or equivalent experience, preferred.

What is expected of you and others at this level

• Effectively applies knowledge of job and company policies to complete assignments.
• In-depth knowledge in technical or specialty area.
• Applies advanced skills to resolve complex problems independently.
• Works independently within established procedures.
• May provide guidance or technical assistance to less experienced team members.

TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.

REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction-free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to perform your job. You will be responsible for providing high-speed internet. Internet requirements include:

• Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber).
• Download speed of 15Mbps.
• Upload speed of 5Mbps.
• Ping Rate Maximum of 30ms.
• Hardwired to the router.

Anticipated hourly range: $21.50 per hour - $30.70 per hour.

Bonus eligible: No.

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being, including medical, dental, and vision coverage, paid time off, health savings account, 401k savings plan, and more.

Application window anticipated to close: 05/10/2025. If interested in this opportunity, please submit your application as soon as possible.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity.