Partner Program Coordinator
KPH Healthcare Services, Inc.
**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_
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