Coordinator Manufacturer Special Programs

at  Walgreens

JOB SUMMARY:

Provides individualized service to new and existing Manufacturers/HUBs/patients in relation to their prescriptions, clinical services and program inquiries. This position is responsible for processing referrals from initial approval, through verification and shipment in compliance with contractual requirements and will understand manufacturer established eligibility criteria, including but not limited to calculating household income and applicable% of Federal Poverty Guidelines (FPL).

Job Responsibilities:

• Serves as the single point of contact for manufacturers and HUBs relating to any patient, prescription, program or data query, while ensuring policies and procedures are followed; coordinates patient care by scheduling referrals communicating shipment information, assessing supply needs, verifying patient information, and triaging patients to a pharmacist, as appropriate.
• Creates and processes through all assigned referral and order stages including re-orders received by electronic data feed, fax, mail and telephone; partner closely with manufacturer/HUB Case Managers to ensure streamlined communication and minimize service interruptions.
• Creates and distributes daily Bridge Report and Quick Start reports for review of patient eligibility for department Bridge and Quick Start programs, as well as processing through all referral and order stages all Bridge and Quick Start referrals and re-order referrals.
• Processes NMDP referrals from intake through order stages, including sending delivery tickets to NMDP to ensure protocols for program are followed; participates on standard cadence calls with the manufacturer to discuss referrals in process, issues and queries related to the program.
• Completes monthly benefit investigation to determine patient’s eligibility for patient assistance programs (PAP), including review of patient financial documents.
• Consults with the pharmacists to make them aware of any changes in a patient’s condition, compliance issues or side effects and transfer patients directly to a pharmacist for counseling, as needed.
• Assists with patient activities, including follow-up calls for patient’s next order/refill, initiate the discharge of patient from services, contact a patient’s doctor’s office to schedule delivery of an order, request a letter be sent to the patient if unable to make contact and any other reminders necessary related to the patient’s care.
• Other responsibilities as judgment or necessity dictate.

BASIC QUALIFICATIONS

• High school diploma from an accredited school or equivalent GED
• Experience providing excellent customer service
• Excellent written and verbal communication abilities
• Ability to prioritize and manage multiple responsibilities
• Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary

PREFERRED QUALIFICATIONS

• Experience in calculating benefit usage balances, co-pays, days of supply, and other health insurance mathematical calculations
• Must have an active pharmacy technician license or certification as required by state Board of Pharmacy.
• At least 1 year of experience in patient care, healthcare, retail, or customer service oriented role
• Strong attention to detail
  We will consider employment of qualified applicants with arrest and conviction records

• Serves as the single point of contact for manufacturers and HUBs relating to any patient, prescription, program or data query, while ensuring policies and procedures are followed; coordinates patient care by scheduling referrals communicating shipment information, assessing supply needs, verifying patient information, and triaging patients to a pharmacist, as appropriate.
• Creates and processes through all assigned referral and order stages including re-orders received by electronic data feed, fax, mail and telephone; partner closely with manufacturer/HUB Case Managers to ensure streamlined communication and minimize service interruptions.
• Creates and distributes daily Bridge Report and Quick Start reports for review of patient eligibility for department Bridge and Quick Start programs, as well as processing through all referral and order stages all Bridge and Quick Start referrals and re-order referrals.
• Processes NMDP referrals from intake through order stages, including sending delivery tickets to NMDP to ensure protocols for program are followed; participates on standard cadence calls with the manufacturer to discuss referrals in process, issues and queries related to the program.
• Completes monthly benefit investigation to determine patient’s eligibility for patient assistance programs (PAP), including review of patient financial documents.
• Consults with the pharmacists to make them aware of any changes in a patient’s condition, compliance issues or side effects and transfer patients directly to a pharmacist for counseling, as needed.
• Assists with patient activities, including follow-up calls for patient’s next order/refill, initiate the discharge of patient from services, contact a patient’s doctor’s office to schedule delivery of an order, request a letter be sent to the patient if unable to make contact and any other reminders necessary related to the patient’s care.
• Other responsibilities as judgment or necessity dictate