East Syracuse, NY, NY, USA
13 days ago
Partner Program Coordinator
**Overview** **Scope of Responsibilities:** Provide guidance, assistance and expertise regarding specialty assistance programs between ProAct and contract pharmacies to include Noble Health Services and other specialty and/or retail pharmacies. Coordinate with all appropriate parties to secure funding assistance, medication shipment and regularly communicate updates on member-specific cases. Works under direct supervision and follows standard procedures to accomplish assigned tasks. **Job Summary:** Responsible for coordinating functions related to specialty assistance programs to include, but not limited to ProActPLUS and other external copay sourcing program related operations on a day-to-day basis. Act as the liaison between ProAct, and Noble Health Services (or other network pharmacies) to support these programs and its components. **Responsibilities** **Job Duties:** + Support ProAct clients and members regarding functions related to specialty assistance programs. + Partner with Noble Health Services and other network pharmacies on the administration of ProAct-owned programs such as ProActPLUS as well as third party solutions and other utilization management programs. + Perform outreach to physician offices and members to request prescriptions, confirm assistance components, etc. + Process overrides in ProAct’s processing database to ensure claims are processing as intended after funding is secured. + Assist Noble and other network pharmacies with various other ProAct-related inquiries or overrides that need to be entered for successful claim processing. + Complete all mandatory KPH, state, and federal training programs. + Perform other duties as assigned. **Qualifications** **Experience Preferred:** + Preferred: 2 Years experience with Health Care, Insurance and/or Project Management **Special Conditions of Employment:** + Drug test + Initial and continuous exclusion and sanction/disciplinary monitoring + Any and all additional eligibility requirements based on the specific position **Required Training:** + HIPPA Privacy Course and CE Mastery Exam + HIPPA Security Course and CE Mastery Exam **Job Requirements:** + Successful completion of a pre-employment and/or random drug screening test **Job Skills Required:** + Strong Communication Skills, must be able to effectively communicate both on the phone and in email setting + Strong PC Skills, will be using multiple different PC programs + Must be able to work independently **Behavioral Traits Required:** + Customer Service: Must provide timely and accurate responses to all business associates and customers + Organization: Must organize work in a systematic way, establish clear lines of responsibility, and delegate effectively + Communication: Must write and speak clearly and effectively at all levels, listen and be attentive to others + Technology: Must use technology to its fullest potential to achieve department and corporate goals + Flexibility: Ability to adapt to changing business needs. To balance multiple priorities and deliver under pressure Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12753/partner-program-coordinator/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East Syracuse, NY_ **Posted Date** _2 weeks ago_ _(6/17/2024 4:07 PM)_ **_Requisition ID_** _2024-12753_ **_\# of Openings_** _1_ **_Category_** _Administrative/Clerical_ **_Location : Location_** _US-NY-East Syracuse, NY_
Confirm your E-mail: Send Email