Partner Program Coordinator

ProAct • Town of Gouverneur, NY

40d • Onsite

About The Position

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.

Requirements

• 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
• Successful completion of a pre-employment and/or random drug screening test
• HIPPA Privacy Course and CE Mastery Exam
• HIPPA Security Course and CE Mastery Exam

Nice To Haves

• 2 Years experience with Health Care, Insurance and/or Project Management

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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed