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Partner Program Coordinator

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OtherPartner Program Coordinator

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Quick Summary

Overview

Overview Scope of 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.

Key Responsibilities

Job Duties: 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…

Requirements Summary

Experience Preferred: Preferred: 2 Years experience with Health Care, Insurance and/or Project Management Special Conditions of Employment: Drug test Initial and continuous exclusion and sanction/disciplinary monitoring Any and all additional…

Technical Tools

project-management

Responsibilities

~1 min read

Responsibilities

~1 min read

→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.

Requirements

~1 min read

Nice to Have

~1 min read

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

Drug test
Initial and continuous exclusion and sanction/disciplinary monitoring
Any and all additional eligibility requirements based on the specific position

HIPPA Privacy Course and CE Mastery Exam
HIPPA Security Course and CE Mastery Exam

Requirements

~1 min read

Successful completion of a pre-employment and/or random drug screening test

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

Customer Service: Must provide timely and accurate responses to all business associates and customers
Organization: Must organize work in a systematic way, establish clear lines of responsibility, and delegate effectively
Communication: Must write and speak clearly and effectively at all levels, listen and be attentive to others
Technology: Must use technology to its fullest potential to achieve department and corporate goals
Flexibility: Ability to adapt to changing business needs. To balance multiple priorities and deliver under pressure