Who we Are:
Crumdale Specialty is a diversified insurance firm providing custom, self-funded healthcare solutions to a limited distribution network of brokers, consultants, and agents nationwide. Ranked on the Inc. 5000 Fastest Growing Companies and Best Workplaces, we leverage industry expertise, superior talent, data analytics, and a disruptive mindset to manufacture, underwrite, and administer agile, transparent, and cost-saving solutions. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees.
At Crumdale, people come first. We strive to make a positive impact on the people we serve. We believe this starts with the passion and purpose of our team. Our company culture is rooted in alignment, innovation, and integrity.
Position Summary:
We are looking for a Pharmacy Care Coordinator . The Pharmacy Care Coordinator will oversee ongoing specialty sourcing solutions to support patients/employees/ groups. This position will help members access medications through multiple programs (specialty pharmacies, manufacturer assistance programs, grants, foundations, etc.). The Pharmacy Care Coordinator will handhold the members throughout the process and will contact pharmacies, PBMs, health care providers, and/or financial assistance programs on the members\' behalf to gather information.
About the Job:
Responsible for managing ongoing sourcing solutions
Serve as an advocate for patients to ensure continued access to medication
Act as members main point of contact for all patient assistance programs
Ensure appropriate and effective communication between patients, pharmacists, employers, PBMs, and health care providers
Thorough documentation of all interactions and progress through programs
Researching various financial assistance programs
Assisting in obtaining prior authorizations for specialty medications
Billing third party insurance on behalf of patients
Researching various financial assistance programs
Other related tasks and duties as may be assigned
Pharmacy Technician Certification or willingness to obtain in the next 3 months
Bachelor's degree or equivalent experience is a plus
2+ years of patient advocacy experience
Previous patient assistance program experience is preferred
Patient service oriented
Effectively build trust and establish meaningful relationships with patients
Knowledge of the PBM industry and drug adjudication
Understanding of medical and health insurance terminology
Attentive to detail and strong clinical documentation skills
Solid understanding of health and welfare benefits
Well spoken
Proficient in MS Excel and Outlook
Want to go the extra mile to help others / clients
Ability to self-start and work independently
Ability to work within a collaborative team
Ability to prioritize effectively and to work efficiently
Reputation of ethical and professional character
Critical thinking and solution seeking
Effective and efficient communicator
Bilingual is a plus but is not necessary
Benefits:
Medical
Telemedicine
Dental
Vision
Life, AD&D, Disability
401(k)
Flexible Time-off
Please note: Crumdale Specialty is not engaging with external recruitment agencies; please refrain from contacting us regarding this position.
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