Senior Individualized Coordinator (Case Manager)

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

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments

• In-depth knowledge in technical or specialty area

• Applies advanced skills to resolve complex problems independently

• May modify process to resolve situations

• Works independently within established procedures; may receive general guidance on new assignments

• May provide general guidance or technical assistance to less experienced team members

Qualifications:

• Minimum of HS diploma or equivalent, preferred

• Previous healthcare experience with insurance or in pharmaceutical industry, preferred

• Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred

• Intermediate Microsoft skills with specific experience with Excel 

• Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency

• Exceptional communication skills both verbally and written

• Self-starter with demonstrated initiative, creativity and a willingness to learn

• Prior knowledge of UCB processes and services

Responsibilities:

Case Managers must demonstrate a willingness to assist external and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any missing or new information, handle inbound and outbound correspondence when necessary to support the needs of the patient and/or program, maintain accurate and detailed activity notes. Complete benefit investigations to assess patient’s financial ability to afford therapy and review eligibility criteria to determine what type of assistance patient may be eligible for.  Identify Adverse Events and follow process for timely submission.  Review all requests for appeals and ensure supporting documentation is present.  Support team with call overflow when needed.  Ability to mediate situations in which parties are in disagreement and facilitate a positive outcome.  Effectively be able to multitask daily tasks and workload.

• TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.  This position is full-time (40 hours/week).  Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.

• 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

Anticipated hourly range: $21.50 per hour - $30.65 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 ti