Specialty Pharmacy Liaison

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CareMetx, LLC

501 - 1000 employees

⚕️ Healthcare Insurance

Healthcare Insurance

CareMetx, LLC is a company that specializes in transforming patient access to specialty therapeutics by reducing the time to therapy. They offer a digital Hub service that addresses emotional, financial, and clinical barriers for patients, aiming to improve treatment timelines and ongoing therapy use. CareMetx provides high-touch support and utilizes advanced technology to offer solutions for access, affordability, and adherence, benefiting both patients and healthcare providers. They partner with specialty pharmaceutical brands, healthcare providers, and hospital systems to enhance patient outcomes.

📋 Description

• Collects and reviews all data to the degree authorized by the SOP of the program. • Coordinates services with the specialty pharmacy and national account manager. • Maintains frequent phone contact with pharmacy staff and manufacturer client. • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. • Provides training and support to inter-departmental associates. • Verifies transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate. • Independently and effectively resolves complex accounts with minimal supervision. • Demonstrates an understanding of complicated data issues. • Handles complex issues where analysis of situations or data requires an in-depth evaluation of variable factors. • Exercises judgment in selecting methods, techniques and evaluation criteria for obtaining results of pending shipments and incomplete data sets. • Networks with key contacts outside own area of expertise. • Acts independently to determine methods and procedures on new or special assignments. • Performs related duties and special projects as assigned. • Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled. • Performs other related duties as assigned.

🎯 Requirements

• Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub experience, physician’s office, healthcare setting, and/or insurance background preferred • Bachelor’s Degree Preferred • Ability to communicate effectively both orally and in writing • Ability to build productive internal/external working relationships • Strong interpersonal skills • Strong negotiating skills • Strong analytical skills • Strong organizational skills; attention to detail • General knowledge of pharmacy benefits, and medical benefits • Ability to proficiently use Microsoft Excel, Outlook and Word • Ability and initiative to work independently or as a team member • Ability to problem solve • Strong time management skills • Customer satisfaction focused

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development opportunities

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