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WHO WE ARE: Cardinal Health, Inc. is an American multinational health care services company, and the 14th highest revenue generating company in the United States. Its headquarters are in Dublin, Ohio, and Dublin, Ireland(EMEA). The company specializes in the distribution of pharmaceuticals and medical products, serving more than 100,000 locations. Read more Cardinalhealth salary and more.
Hours: M-F 8:30 am -5:00 pm EST
**Must be able to pass pre-employment items required. Includes drug test (tested back 90 days for illegal drugs) & also a criminal background check.
REMOTE DETAILS: You will work from home, full-time. It will require a quiet, distraction-free environment with access to high-speed internet. Remote work is not a replacement for dependent care. 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.
Primary Duties:
Develop and maintain a highly organized system for credentialing schedules, files, documentation, and tracking mechanisms as well as provide periodic reports to management and respective department(s) on the status of credentialing.
Actively participate in and take a hands-on approach to ensure timely and compliant submission of initial and renewal applications in the credentialing process.
Work closely with pharmacy management to review agreements prior to execution.
Compile and maintain up-to-date records for all pharmacy staff and facilities in credentialing databases and online systems.
Compile and maintain pharmacy staff training records required for government and PBM credentialing.
Reviews analyze, and files pharmacy benefit manager agreements, addenda, and amendments for possible reference, operational or reimbursement changes, and alerts management as necessary.
Collaborates effectively with diverse groups of people and various service departments throughout the organization.
Create and document standard operating procedures where necessary.
Comply with laws and regulations as they pertain to services provided by the Company. This includes supporting and demonstrating compliance with the Company’s Compliance and HIPAA Plans.
Promptly report any information regarding a known or suspected violation of any applicable laws, regulations, standards or company policy.
Represent the culture and values of the Company to other groups, agencies, and the general public, and ensure accuracy of public information materials.
As applicable, attend in-service, continuing education, or seminar programs to stay current with industry and community trends.
Attend all required Compliance, HIPAA, and other scheduled training.
Support and demonstrate the Company’s values.
Qualifications
Bachelor's degree in a related field, or equivalent work experience, preferred
2-4 years work experience
Strong communication skills
Comfortable with cold calling and prospecting new clients
Previous experience working in the pharmaceutical industry a plus
Experience using Salesforce.
Location
Remote, telecommuter
Ability to travel 10%-20%
Accountabilities
Assists the outside sales representatives with following up on leads, including cold calling prospective clients
Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
Works on projects of moderate scope and complexity
Identifies possible solutions to a variety of technical problems and takes actions to resolve
Applies judgment within defined parameters
Receives general guidance may receive more detailed instruction on new projects
Work reviewed for sound reasoning and accuracy
A Covid-19 vaccination is required in order to be employed in this position. This includes either:
2 doses of the Moderna or Pfizer vaccine
1 dose of the Johnson & Johnson vaccine.
Accountabilities
Monitor system accounts for new Patient cases
Conduct customers to confirm approval/denials of coverage, co-pays, patient assistance programs, and verification of specialty pharmacy that will dispense their medication
Obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Assess patients for eligibility for co-pay and financial assistance
Answer requests from doctors and/or patients checking on status of case
Maintain quality while providing an empathetic and supportive experience to the patients, doctors, and physician offices
Resolve patient's questions and concerns regarding status of their request for assistance
Enter detailed information into designated CRM while communicating with doctors or patients via multiple communication channels
Steward patient accounts from initial contact through final approval/denial
Process all patient applications in accordance to set policy, procedures, and PHI compliance
Support manufacturer field team members as required on case updates
Works internally with team members regarding patients’ cases
Ability to identify, document, and submit Adverse Events during customer contact or via received documentation
Conduct research associated with alternative funding or foundations to ensure the patient has the required information to receive product
Qualifications
Minimum of HS diploma; additional education preferred
Previous healthcare experience with insurance or in the pharmaceutical industry preferred
Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred
Previous prior authorization and appeals experience highly desired
Knowledge of ICD coding, 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
Bilingual, preferred
Ultimately, you will be responsible for boosting sales and contributing to our long-term business growth.
Accountabilities
Qualify leads from marketing campaigns as sales opportunities
Contact potential clients through cold calls and emails
Effectively articulate the WaveMark™ value proposition to potential clients
Understand the competitive landscape to effectively position the WaveMark™ solution with prospective clients
Identify client needs and suggest appropriate solutions and/or services
Build trusting relationships with clients
Proactively seek new business opportunities in the market
Coordinate and schedule meetings and phone calls between prospective clients and WaveMark™ Enterprise Sales Executives
Report to the Director of Sales on (weekly/monthly/quarterly) basis to report KPI performance
Stay up to date with industry trends, IDN activity, and executive movement
High level of collaboration with cross-functional teams (sales, marketing, and operations)
Focus on selling into acute/IDN Procedural Areas with high focus on the Cardiac Cath, EP, IR Labs, and Operating Room
Qualifications
Bachelor’s degree in Marketing, Business Administration, or relevant field preferred
A Covid-19 vaccination is required in order to be employed in this position. This includes either:
2 doses of the Moderna or Pfizer vaccine
1 dose of the Johnson & Johnson vaccine
Proven work experience as a Business Development Representative, Sales Account Executive, or similar role
Hands-on experience with multiple sales lead development techniques (including cold calling)
Track record of successfully achieving sales quotas
Experience with CRM software (e.g., Salesforce)
Familiarity with MS Excel (analyzing spreadsheets and charts)
Understanding of procedural area software requirements and fundamentals of supply chain is preferred
Self-sufficient with a strong consultative, solution-oriented selling approach
Understanding of sales performance metrics
Excellent communication and negotiation skills
Ability to deliver engaging presentations.
Customer Service Operations is responsible/a catalyst for providing proactive solutions, inquiry research/resolution, and root cause analysis. Acting as liaisons for both internal and external customers, Customer Service Operations enhances the customer experience by leveraging inbound and outbound channels.
Qualifications
High school diploma
2-4 years experience
Prior computer experience using Microsoft Office systems required
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 a supervisor or senior peers on complex and unusual problems.
qualifications
Bachelor's degree in a related field, or equivalent work experience, preferred
2-4 years work experience
Strong communication skills
Comfortable with cold calling and prospecting new clients
Previous experience working in the pharmaceutical industry a plus
Experience using Salesforce
Location
Remote, telecommuter
Ability to travel 10%-20%
Accountabilities
Assists the outside sales representatives with following up on leads, including cold calling prospective clients
Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
Works on projects of moderate scope and complexity
Identifies possible solutions to a variety of technical problems and takes actions to resolve
Applies judgment within defined parameters
Receives general guidance may receive more detailed instruction on new projects
Work reviewed for sound reasoning and accuracy
A Covid-19 vaccination is required in order to be employed in this position. This includes either:
2 doses of the Moderna or Pfizer vaccine
1 dose of the Johnson & Johnson vaccine
The Colorado Department of Labor requires all employers to provide the following information for all positions that could be performed in the state of Colorado
Anticipated salary range: $48,000-$74,200
Accountabilities in this role
Responsible for efficiently processing inbound faxes and accurately entering data in designated CRM
Responsible for handling all patient and doctors communication channels including both inbound and outbound calls, emails, text, and portal inquiries with ability to determine needs and provide resolution
Responsible for reporting Adverse Events within the required timeframe
Create and complete accurate referrals and applications and keep updated on policy or procedural changes
Investigate and resolve patient/doctors inquiries and concerns in a timely manner
Communicate via patient and/or doctor preferred method of communication for follow ups or confirmations
Demonstrate superior customer support talents
Interact with the patient referral sources to process new applicants
Prioritize multiple, concurrent assignments and work with a sense of urgency
Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes
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 a supervisor or senior peers on complex and unusual problems
Qualifications
High School diploma or equivalent, required
Previous customer service experience, preferred
Previous healthcare experience, preferred
Must have strong attention to details
Good communication skills both verbally and written
Bilingual Preferred
Accountabilities
Responsible for handling inbound calls, with the ability to determine needs and provide one-call resolution
Create and complete accurate referrals and applications and keep updated on policy or procedural changes
Manage workload of inbound faxes in sorting capacities (if applicable)
Investigate and resolve patient/physician inquiries and concerns in a timely manner
Enter detailed information into company proprietary software while conversing via telephone
Place outbound phone calls for patient follow ups, confirmations or to obtain missing information
Mail out appropriate documents to physician offices
Interact with the patient referral sources to process new applicants
Follow up with other internal team members regarding next steps
Communicate with external constituents including physician offices and pharmacies
Ability to identify, document and submit Adverse Events during customer contact or via received documentation
Qualifications
Minimum high school diploma or GED;
Basic computer knowledge, Microsoft systems
Strong communication/customer service skills
Ability to be an independent worker and self-directed
Ability to sit for long periods of time in a cubicle setting
Demonstrate superior customer support talents
Ability to prioritize multiple, concurrent assignments and work with a sense of urgency
Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
Shift: Monday-Friday, 9:00AM - 6:00PM EST
What Customer Order Management contributes to Cardinal Health
Customer Order Management is responsible for expediting orders by acting as a liaison in problem-solving, research, and problem/dispute resolution.
Accountabilities in this role
Assists in the on-boarding and mentoring of new hires
Provides peer to peer coaching and /or supports Peer-Led-Training
Participates in and/or leads special projects as designated by leadership
Supports both front and back-office functions
Takes pro-active approach in preventing customer issues
Takes inbound calls from customers
Makes outbound calls to customers
Runs customer reports as needed
Works closely with Cardinal Health sales representatives to resolve customer issues
Works closely with inventory
Works closely with Field Service Representatives
Works group mailbox
Works workflow
Qualifications
High school diploma/GED or equivalent, preferred
Prior computer experience using Microsoft Office systems preferred
Medical system knowledge preferred
A Covid-19 vaccination is required in order to be employed in this position. This includes either:
2 doses of the Moderna or Pfizer vaccine
1 dose of the Johnson & Johnson vaccine
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 the 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
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