Option Care Health

Accounts Receivable

• Submits timely, accurate invoices to payer for products and services provided.
• Understands the terms and fee schedule for all contracts for which invoices are submitted.
• Correctly determines quantities and prices for drugs billed.
• Verifies that the services and products are correctly authorized and that required documentation is on file.
• Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
• Evaluates payments received for correctness and applies payments accurately to the system.
• Verifies that payments received are correct according to the fee schedule.
• Applies the payment correctly to the patient account.
• Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment.
• Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service.
• Transfers payments belonging to other offices within 48 hours of receipt.
• Follows up on invoices submitted to ensure prompt and timely payment.
• Calls to verify that claims submitted were received and are in processing.
• Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame.
• Generates and mails statements and collections letters.
• Follows-up on all denials within 48 hours of receipt.
• Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule.
• Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.

Revenue Cycle Specialist – AR Specialist – Medical Biller

Pharmacist

• Determines the suitability of individual patients for home care.
• Collects and organizes all patient-specific information needed to determine the suitability of patients for home care.
• Assesses patients' suitability for home care in accordance with Option Care policies.
• Medical condition and prescribed medication therapy suitable for home care services and prognosis with clearly defined outcome goals.
• Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients.
• When appropriate, makes suitable recommendations for modifications in the prescribed medication therapy or monitoring parameters for a home care patient.
• Collects and organizes patient-specific information needed to prevent, detect, and resolve medication-related problems and to make appropriate medication therapy recommendations.
• Appropriate monitoring parameters are identified for each patient.
• Completes nutritional assessment of patients and makes appropriate recommendation.
• Modifies the pharmacy care plans for home care patients based on evaluation of monitoring data and other pertinent patient-specific information.

Clinical Pharmacist

• Determines the suitability of individual patients for home care
• Collects and organizes all patient-specific information needed to determine the suitability of patients for home care
• Assesses patients' suitability for home care in accordance with Option Care policies
• Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients
• Provides medication-use education to Option Care staff, other professionals, home care patients and/or their caregivers
• Participates in the process for assessing, managing, and reporting medication-related incidents and equipment error and/or failures
• Maintains confidentiality of patient and proprietary information

Outside Sales

• Drives sales with their assigned team by partnering with operations counterparts to build market growth plans.
• Drives sales by working across business units, leadership, and sales teams to set goals and develop sales forecasts for each assigned territory.
• Ensures alignment with national business unit and specialty enterprise objectives.
• Within their assigned team, partners with operations and payer counterparts to build regional strategic market plans to increase market penetration.
• Assists in development and implementation of all promotional activities.
• Engages cross-functionally to ensure awareness and alignment of sales efforts with branches in their area, sales personnel, and branch personnel.
• Develop Account Executive’s to create and deliver sales presentations and lead consultative sales discussions.
• Lead by example by demonstrating success in creating new business within their assigned area.
• Develop a highly productive account team of Account Executives by actively engaging in selling opportunities to coach and provide developmental feedback.
• Maintain strong relationships with branch management to ensure sales efforts are supported by branch service and sales efforts are aligned with branch capabilities.
• Partner with operations to resolve issues in the best manner for Option Care customers.

Territory Sales Manager

• Under the supervision of a licensed Pharmacist, assists with ensuring smooth and accurate pharmacy operations in accordance with Option Care Health policies & procedures, and the state's professional standards & regulations.
• Review/validate basic prescription drug refill requests and process according to OCH policies and procedures.
• Assists with preparing and dispensing medications & supplies.
• Assist with maintaining equipment through calibration, inspection, cleaning, testing, and informing supervisor of any defects.
• Collect & maintain basic patient information required to ensure accurate planning of needed materials/supplies, equipment, and prescriptions.
• Help ensure a positive patient experience through answering basic patient questions and responding to basic patient requests.
• Receives & verifies quantities of incoming supplies & materials.
• Stocks & stores new supplies & materials.
• Review expiration dates - Identifying shortages - Pick and pack materials & supplies.
• Create tickets - Tracking of inventory through accurate data entry into applicable system(s).
• Schedule routine patient deliveries.
• Clean & sanitize surfaces and laminar hood flows.
• Clean & organize supplies.

Clinical Pharmacy Technician II

Business Development Rep

• Cultivate relationships with Pharmaceutical manufacturers in the Rare & Orphan space, ensuring Option Care Health is the #1 choice for their needs.
• Develop strategies, value propositions, and processes to propel the organization to excel in Rare & Orphan wins.
• Lead a cross-functional team to design and execute programs that meet the needs of all stakeholders along the patient journey in the Rare & Orphan space.
• Provides leadership for regularly scheduled business reviews, accumulating evidence that demonstrates OPCH’s position as the partner of choice and providing insights for the partner that they otherwise would not have access.
• Leads in the identification and execution of plans to improve the enhanced service profile for all assigned therapies.
• Lead negotiations for contract changes in discount or services.
• Collaborates and communicates effectively with internal teams (including but not limited to implementation, operations, and revenue cycle management (RCM)) to design and implement processes and structure of the manufacturer’s program and assure proper functioning of the program.
• Directs the continuous review of manufacturer programs intended to identify potential issues before they rise to a critical level and communicate them internally for corrective action and with the partner to assure satisfaction.

VP, Business Development – Rare & Orphan

• Assists pharmacist with the preparation and dispensing of medications and supplies
• Prepares medications so they are accurately compounded
• Performs basic pharmaceutical calculations
• Accurately labels and packages medications
• Ensures pharmacy surfaces and laminar flow hoods are cleaned and sanitized
• Inspects equipment and documents any equipment failures or defects
• Assists with recording and maintaining pharmacy temperature & cleaning logs

Compounding Pharmacy Technician I

Sales

• Achieves all sales performance and activity goals by therapy for geographical responsibility.
• Trains, coaches, develops, and supervises chronic therapies sales team.
• Develops and directs the implementation of the chronic therapies sales plan.
• Plans, forecasts, and implements the Area resources appropriately, including staffing, budget, and key initiatives.
• Serves as an active member of the chronic business sales leadership team and other cross-functional teams to provide a field perspective.
• Recruits, interviews, hires, and on-boards the chronic therapies sales team in geographic area of responsibility.
• Maintains high visibility with the chronic therapies sales team within the Area through field days and attendance at regional meetings/conferences.
• Develops and maintains team spirit and enthusiasm to achieve the greatest impact on chronic sales through verbal and written communication.
• Develop and improve the sales presentations of the chronic therapies sales team and lead by example by demonstrating success in creating new business.
• Collaborates with Market Access team to identify and implement Area pull-through opportunities.
• Partners with Operations to build strong relationships with branch management to ensure sales efforts are supported by branch services and sales efforts are aligned with branch capabilities.
• Collaborates with the acute therapies sales leaders to ensure a synergistic approach to customers.
• Identifies Key Opinion Leaders within the Area and develops business relationships to strategically leverage these influential thought leaders.
• Identifies and creates partnership opportunities with targeted physician group practices.
• Leads the recruitment and management of Advisory Board Members within the Area.
• Works cross-functionally to develop and implement the Ambulatory Infusion Suite strategy within the Area.
• Establish and develop relationships with the Professional Medical Societies within the Area and create strategies to drive business results.
• Identifies opportunities and develops relationships with targeted Patient Advocacy groups to increase business results.
• Monitors Area trends including industry, market, competitor, and sales to develop appropriate sales plans to maximize market opportunities and/or address market issues.
• Must be an expert in the individual market dynamics within the Area as well as in the complex disease states that Option Care Health services.
• Provides input into the chronic therapies field sales team compensation plan.
• Monitors and manages sales team activity to ensure appropriate focus and effort on targeted priority offices and accounts.
• Ensure that all employees in the Area are compliant with all Option Care Health policies, procedures, and guidelines.

Area Sales Director, Chronic Therapies

Area Sales Director – Chronic Therapies

• Determines the suitability of individual patients for home care.
• Collects and organizes all patient-specific information needed to determine the suitability of patients for home care.
• Assesses patients' suitability for home care in accordance with Option Care policies.
• Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients.
• When appropriate, makes suitable recommendations for modifications in the prescribed medication therapy or monitoring parameters for a home care patient.
• Provides medication-use education to Option Care staff, other professionals, home care patients and/or their caregivers.
• Ensures continuity of pharmaceutical care to and from the home and other patient-care settings.
• Prepares and dispenses medications using appropriate techniques and following Option Care policies and procedures.
• Adheres to appropriate safety and quality assurance practices.
• Maintains confidentiality of patient and proprietary information.

• Under the direction of a licensed Pharmacist, works in a clean room compounding medication at least 50% of the time
• Assists pharmacist with the preparation and dispensing of medications and supplies
• Prepares medications so they are accurately compounded
• Performs basic pharmaceutical calculations
• Accurately labels and packages medications
• Participates in the process for assessing, managing, and reporting medication related incidents
• Ensures pharmacy surfaces and laminar flow hoods are cleaned and sanitized
• Inspects equipment and documents any equipment failures or defects
• Assists with recording and maintaining pharmacy temperature & cleaning logs

• Responsible for performing various warehouse functions including assembling and packaging deliveries, rotation of inventory, and data entry of patient information
• Manage efficient and timely delivery of medication and supplies to patient homes, ambulatory infusion suite or other site of service
• Assists with ordering, receiving and stocking incoming shipments
• Develops positive working rapport with courier service
• Maintains assigned vehicle in a clean and orderly condition
• Develops alternate delivery plan in the event of emergency breakdowns
• Compounds sterile preparations as needed
• Conducts inventory control on products
• Assures most cost effective method of delivery is utilized

Warehouse Pharmacy Technician

Account Executive

• Researches, develops and implements sales strategies for assigned territory.
• Present partnership opportunities to health system leaders, decision makers and referral sources to drive new business growth for Option Care.
• Quantify value of partnership and financial/economic terms to decision makers.
• Prioritizes accounts based on total potential, current referrals, likely profitability, service needs, and probability of success.
• Uses available information, including internal information and third party data, to understand customer needs and identify opportunities.
• Creates and updates short-and long-term account plans and objectives; utilizes to guide actions.
• Tracks activity and process toward objectives.
• Communicates sales strategies to key internal partners, i.e. Clinical Liaison and Branch staff, including soliciting input and feedback on proposed strategies.
• Manage multiple internal (CL, Intake, Branch Staff) and External (case manager, hospital administration) relationships and process to ensure customers are set up to succeed.
• Frequently initiate communication with Clinical Liaison to identify new opportunities and check on progress toward defined goals.
• Identifies key customer decision makers and builds relationships to gain access to all decision makers.
• Assesses and documents the competitive landscape within the account (e.g. pre-existing competitor relationships, presence of clinical liaison, etc.).
• Partner with internal team members (Specialty Sales, Clinical Liaison, RSD, Nursing) who provide specialized knowledge and experience to grow relationships and sales with health system leaders.
• Conveys and reinforces elements of the value proposition appropriate for each account and decision maker.
• Adjusts messaging based on customer relationship life-cycle (e.g. potential new account vs. long-standing, loyal referral source).
• Obtains a complete understanding of customer needs before offering a solution.
• Leverages resources within including GMs, first line managers, Clinical staff, specialty sales, nursing and other sales roles—to assist in addressing customer issues.
• Manage time and schedule to prioritize business growth, and partner with other Option Care partners to focus on service excellence.
• Successfully organize multiple, on-going work streams, internal partnerships and growth opportunities.

Account Executive – Acute Therapies

Collections

• Responsible for the timely, accurate submission of invoices to responsible payer
• Evaluates payments received and application to the patient account
• Follows-up with responsible parties to ensure the receipt of timely, accurate payments
• Assists with Billing and Collection Training
• Completes "second level" appeals to payers

Revenue Cycle Specialist – AR Specialist – Medical Biller

Clinical Pharmacist

Clinical Pharmacist

Territory Sales Manager

Clinical Pharmacy Technician II

VP, Business Development – Rare & Orphan

Compounding Pharmacy Technician I

Revenue Cycle Specialist – AR Specialist – Medical Biller

Area Sales Director, Chronic Therapies

Area Sales Director – Chronic Therapies

Clinical Pharmacist

Compounding Pharmacy Technician I

Warehouse Pharmacy Technician

Account Executive – Acute Therapies

Collections Specialist, Medical Biller