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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing patient access and coordinating with Specialty Pharmacies and Distributors, while effectively resolving issues and ensuring timely communication. Proficient in data reconciliation and customer service within the healthcare industry.
Highest-signal resume keywords
Patient Access CoordinationCustomer Service ExperienceData ReconciliationSpecialty Pharmacy KnowledgeMicrosoft Excel Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisProblem SolvingIssue ResolutionReconciliationPrior Authorization Management
Soft Skills
CommunicationRelationship BuildingTriage SkillsAdaptabilityTeam Collaboration
Tools & Technologies
Microsoft OfficeSales Portal
Industry Keywords
Specialty PharmacyHealthcare IndustryPBMCall Center EnvironmentEscalation Management
About the role
Key responsibilities & impact- Serve as a single point of contact for program specific Specialty Pharmacies (SPs), Specialty Distributors (SDs) and/or the manufacturer’s Sales Force
- Responsible for reviewing, analyzing, identifying, and solving problematic issues and escalations
- Provide timely and accurate reconciliation of SP and/or SD dispensing/shipping information
- Builds and develops strong SP-HUB relationships
- Support all activities that facilitate patient access
- Conduct teleconferences with each SP
- Provide ongoing communication with the SPP as needed to manage each patient case
- Identify complex cases and triage them appropriately to the next level for support
- Review the exceptions and restatement of SPP records
- Provide support for questions related to the sales portal
- Serve as a point of escalation concerning prior authorization denials and/or appeals
- Coordinate a delivery date for product, pump, and supplies from the appropriate SPP to coincide with the patient's first day of titration or based on HCP/patient need
Requirements
What you’ll need- Associate or Bachelor’s Degree and 2-4 years of experience or 6-8 years relevant working experience
- 2 years experience in a customer service setting, preferably in a call center environment
- Previous experience in the PBM and/or healthcare industry preferred
- Proficient in Microsoft Office applications, specifically Excel
- Ability to handle a fast paced environment
Benefits
Comp & perks- 401K with company match*
- Tuition reimbursement
- Discretionary PTO (Paid Time Off)
- Paid Holidays
- Employee assistance programs
- Medical, Dental, and vision coverage
- HSA/FSA
- Telemedicine (Virtual doctor appointments)
- Wellness program
- Adoption assistance
- Short-term disability
- Long term disability
- Life insurance
- Discount programs