central patient engagement specialist - Columbus, OH , USA, United States - AndHealth

Description

Central Patient Engagement Specialist

Full Time

Columbus, OH

AndHealth is a healthcare technology company created to help people reverse chronic disease. We are driven by the goal of making world-class specialty care accessible and affordable to all.

We partner with health systems, community health centers, plans, and employers to remove barriers to care to ensure all people have access to the care they deserve.

We are looking for a Central Patient Engagement Specialist to play an essential role at AndHealth. This position is located at our corporate office in Columbus, OH. We will consider remote options on a case by case basis.


Key Deliverables:

• Ensure superior medication access for patients living with chronic health conditions.
• Eliminate the barrier to patients accessing specialty care and specialty medications.
• Identify and enroll patients in appropriate copay cards, patient assistance programs, or other mechanisms to decrease the cost burden.
• Routinely communicate with patients to ensure improved health outcomes by reducing barriers and improving adherence.
• Identify and implement mechanisms to reduce Social Drivers of Health.

What you'll do in the role:

• Proactively engage with patients living with chronic health conditions to complete benefits verification and assist with identifying appropriate secondary coverage.
• Assist patients with benefits enrollment questions.
• Complete medical and pharmacy insurance verification and coverage determinations for medications, imaging, and procedures.
• Work with providers to address formulary restrictions.
• Assist with completing prior authorizations or appeals necessary to ensure patient medication access.
• Regularly contact or communicate with patients regarding current medication utilizations and ongoing needs, as well as with pharmacies.
• Consult with pharmacists or providers regarding all clinical needs of patients, routing all clinical interventions or counseling to an appropriate licensed clinician.
• Assist patients with scheduling prescriptions, fills, or deliveries with various pharmacy locations.
• Document all patient communication.
• Generate reports routinely to identify new patients, upcoming medication needs, and adherence-related data.
• Patient adherence monitoring, including filling verification with patients and pharmacies.
• Complete documentation audits.
• Complete health questionnaires with patients when needed.
• Assist patients with installing and logging into the AndHealth app on their mobile device.
• Manage patient medical referrals for specialty care.
• Other responsibilities as needed.

Education & Licensure Requirements:

• Bachelor's degree is preferred.
• Certified Pharmacy Technician (PTCB or ExCPT) is preferred.
• Must be willing to obtain and maintain licenses or certifications in multiple states.

Other Skills or Qualifications:

• 3+ years of pharmacy or nurse navigation experience is preferred.
• Excellent written and oral communication skills.
• Strong attention to detail and ability to handle multiple things simultaneously.
• Comfortable with technology and ability to adapt to new systems.
• The position may require some travel. Must be willing to travel and have reliable transportation.
• Must be organized and able to work independently.
• COVID-19 vaccination is required.

Here's what we'd like to offer you:

• Equal investment and support for our people and patients.
• A fun and ambitious start-up environment with a culture that takes on big things, takes risks, and learns quickly.
• The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
• A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
• We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
• Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Company, and Paid time off, Short- and Long-Term Disability, and more.

We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees.

Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.