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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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Data AnalysisProblem SolvingIssue ResolutionReconciliationPrior Authorization Management
Soft Skills
CommunicationRelationship BuildingTriage SkillsAdaptabilityTeam Collaboration