- Deliver and Execute (75%)- As a clinical coordinator for Expion Health's Clinical team, you will work on behalf of our client's members and their unique medication needs, to provide cost savings solutions, as provided by Expion Health. The clinical coordinator will be a designated advocate role for members, in order to ensure they are receiving top notch level of care and commitment from our pharmacy partners, as well as receiving a benchmark level of care and commitment from you, as Expion's clinical coordinator. The clinical coordinator role will require one to build relationships with members where members have a sense of trust in the clinical coordinator and sense empathy for the member. Aside from assisting members with cost savings solutions and coordination of care through our pharmacy partners, the clinical coordinator will also be a guide to the member in providing local and national resources that a member may use, to help manage a condition they may have.
- Learn and Grow (20%) - Learns through successful and failed experimentation when tackling new problems; Actively seeks ways to grow and be challenged; Stays up to date on new drugs released into the market, in collaboration with a pharmacist or delegated clinical team member. The clinical coordinator will be trained on motivational interviewing, in order to best address the needs of members.
- Plan and Align (5%) - Builds partnerships with clients and works collaboratively with others to meet shared objectives; Works across functions and supports member-first mindset; Relates openly and comfortably within diverse groups of people.
- Active Pharmacy Technician License
- Have worked in a pharmacy or PBM in a customer service role, for at least 5 years
- Intermediate to Proficient use of Microsoft tools (Excel, Powerpoint, etc.)
- Innovative mindset
- Ability to support new pharmacy products and/or programs
- Independent leader
- People person with a welcoming demeanor
- Active Listener
- Task Oriented
- Growth mindset
- Work cohesively with Expion Health team members
- Assist members with enrolling with our International Pharmacy Solution
- Communicate with members via different modes of communication (phone, email, chat, videoconferencing, etc.)
- Ensure member PHI is protected
- Exude empathy and compassion to members when necessary
- Ensure member satisfaction after each interaction
- Work with Expion leaders on program process improvements
- Work with our external pharmacy partners on behalf of our members and their cost saving solution needs
- Contact prescribers for any member medication refill needs as pertinent for an Expion Health pharmacy product or program
- Research local and national support programs for members, based off medication healthcare needs that are shared (Ex: Member has recently been diagnosed with cystic fibrosis and providing them with renown support sites of CF local chapters)
- Have a designated area at workplace, to ensure member PHI is protected
- Be available to work from 8:30 am to 5 pm Monday through Friday but hours may vary
- Associate or Bachelor's degree
- 5+ years' experience working in a pharmacy or at a PBM in a customer service role
- Active Pharmacy Technician License
- Passion for serving others through work and/or extracurricular activities
- Working knowledge of claim adjudication process, including but not limited to modifiers, CPT/Procedure codes, revenue codes, diagnosis codes, and interpreting managed care contracts
- Ability to work independently and as part of a team
- Flexibility and adaptability to change
- Outgoing personality with strong interpersonal and social abilities
- Goal-oriented, self-starting and able to work without constant supervision
- Resourceful and self-motivated in a remote work environment
- Demonstrated problem solving and critical thinking skills
- Strong writing and copy-editing abilities
- Ability to interpret complex data sets and draw meaningful insights
- Capacity to think critically and make informed decisions based on data analysis
- Strong ability to communicate complex findings in a clear and understandable manner
- Experience in managing and prioritizing multiple projects simultaneously
- Ability to meet tight deadlines and deliver high-quality results
- Medical, dental, and vision insurance
- Short term disability and long term disability
- Life insurance and AD&D
- Supplemental life insurance (Employee/Spouse/Child)
- Healthcare and dependent care Flexible Spending Accounts
- Healthcare Savings Account
- 401(k) Savings and Investment Plan with company match
- Paid time off
-
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Clinical Coordinator - Myrtle Point, United States - Expion Health
1 month ago
Description
Job Description
Job DescriptionClinical Coordinator Job Description
Join us in powering the future of healthcare cost containment.
Expion Health has an exciting opportunity for a Clinical Coordinator. Our team of brilliant professionals are continuously expanding the boundaries of the healthcare industry through innovations that intersect data and technology and amplifies human intelligence to result in better outcomes. We need people like you to join in our commitment to drive pure exponential value for our clients and partners.
Are you up for the challenge?
You'll work with highly collaborative and innovative, clinical and client management leaders, in increasing our brand in the marketplace. The role consists of providing concierge clinical support services to our clients' members, in support of Expion Health clinical products and programs. We are looking for someone who has excellent communication skills, a strong work ethic, and a passion for advocating on behalf of one's medication needs. If you are a self-motivated individual with an active pharmacy technician certification and a desire to serve others wholeheartedly, we encourage you to apply.
In this role you will:
This role may require travel (up to 10%).
What you bring
To be successful in this role you'll need:
Responsibilities
Desired Qualifications
Preferred Skills
What it's like to work with us
Expion Health has been challenging the industry status quo for over 30 years, leading with ground-breaking innovation in a wide variety of healthcare cost-management solutions. Embracing the latest opportunities that technology can offer within a rapidly evolving industry, we provide exceptional service, technology, and product innovation to meet greater challenges in healthcare cost management.
We have a distributed workforce so you can work from anywhere in the continental United States. Because of our distributed nature we have cultivated a connected culture that includes town halls, one-on-ones with executive leadership, educational forums, and even social clubs.
We offer a comprehensive benefits package which includes the following:
