高级协调员,个性化护理
Sr. Coordinator, Individualized Care
职位描述摘要
Cardinal Health Sonexus™ 药物获取与患者支持帮助专科药品制造商消除护理障碍,使患者能够获得、负担得起并持续接受他们所需的治疗,从而提高生活质量。我们拥有制药、保险商和枢纽服务方面的多样化专业知识,能够提供一流的解决方案——推动品牌和患者的成功指标。我们不断整合先进的和新兴的技术,以简化患者入组、资格审核和依从性流程。我们的非商业专科药房位于德克萨斯州达拉斯郊外的定制设计设施中,使制造商能够重新思考其产品的覆盖范围和影响力。
职位描述
个人护理如何为 Cardinal Health 做出贡献
通过将直接药物配送到护理场所与非商业药房服务、患者获取支持和财务计划完全整合的独家模式,Sonexus Health(Cardinal Health 子公司)帮助专科药品制造商与客户体验建立更紧密的联系,并更好地掌控产品成功。通过灵活的技术平台执行个性化服务和创新解决方案,意味着医护人员在开药时更加自信,患者可以更快地获得并完成治疗,制造商可以比以往任何时候都更直接地获取可操作的洞察。所有服务集中于我们位于德克萨斯州达拉斯郊外的定制设计设施中,Sonexus Health 帮助制造商重新思考其产品能走多远。
您和同级人员在此职位上的期望
- 运用所掌握的岗位技能和公司政策及流程完成标准任务
- 处理需要基本问题解决的常规任务
- 参考政策和以往做法作为指导
- 在标准工作上接受一般性指导;在新任务上接受详细指导
- 参考政策和以往做法作为指导
- 在标准工作上接受一般性指导;在新任务上接受详细指导
- 遇到复杂和特殊问题时咨询主管或资深同事
职责
病例管理员根据项目业务规则和 HIPAA 法规,通过报销支持服务支持患者获取治疗。该职位负责指导医疗保健提供者完成各项流程步骤,以支持他们的患者。
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Job Description Summary
Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
Job Description
What Individualized Care contributes to Cardinal Health
Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, Sonexus Health helps manufacturers rethink how far their products can go.
What is expected of you and others at this level
- Applies acquired job skills and company policies and procedures to complete standard tasks
- Works on routine assignments that require basic problem resolution
- Refers to policies and past practices for guidance
- Receives general direction on standard work; receives detailed instruction on new assignments
- Refers to policies and past practices for guidance
- Receives general direction on standard work; receives detailed instruction on new assignments
- Consults with supervisor or senior peers on complex and unusual problems
Accountabilities
The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient’s journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, and support organizations to facilitate coverage and delivery of product in a timely manner.
- Must demonstrate efficiency and strong organizational skill
- Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
- Proactive follow-up with various contacts to ensure patient access to therapy
- Call interactions are inbound & outbound: Must demonstrate superior customer support talents that remain in compliance with standard call quality expectations.
- Must communicate clearly and effectively in both a written and verbal format
- Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program.
Qualifications
- High School Diploma, GED, or equivalent work experience
- 3-6 years experience in related field preferred
- Experience with major medical Fertility and Travel & Lodging BI experience preferred
- 1-2 years experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred
- Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
- Critical and creative thinking, preferred
- Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
- Knowledge of Medical/Pharmacy billing and coding is preferred
- Important to have a strong attention to detail
TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
Anticipated hourly range: $21.40 per hour - $30.60 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
- Upload speed of 5Mbps (megabyte per second)
- Ping Rate Maximum of 30ms (milliseconds)
- Hardwired to the router
- Surge protector with Network Line Protection for CAH issued equipment
Application window anticipated to close: 11/09/2026 *if interested in opportunity, please submit application as soon as possible. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
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Originally posted on Himalayas