Field Access Specialist- Macon, GA/ Pensacola, FL

Cencora, Inc. Macon , GA 31201

Posted 1 week ago

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

What you will be doing

PRIMARY DUTIES AND RESPONSIBILITIES:

Usually works with minimum supervision, conferring with supervisor on unusual matters. Assignments are generally specific.

Manage daily activities that support appropriate patient access to our client's products in various provider sites of service and work as a liaison to other patient assistance and patient services offered by our clients. Scope and approach to the activities are defined by the client's legal and compliance departments and may vary.

Activities may include, but are not limited to:

  • Review patient insurance benefit options

  • Validate prior authorization requirements

  • Identify alternate funding/financial assistance programs

  • Coordinate with our client's patient support services programs representatives

  • Educate physician office staff on the use of our client's patient assistance and patient services, including affordability offerings

  • Deliver interactive educational presentations at various provider sites of service

  • Provide information on relevant healthcare topics related to our client's products

  • Communicate and collaborate with client cross-functional teams to include but not limited to sales representatives, account managers and district managers

  • Prioritize activities and abide by processes to maximize effective coverage of accounts and track progress while adhering to policies, procedures, and performance metrics

  • Serve as a peer buddy within the team

  • Leverage access knowledge and utilize resources to aid account and effectively build customer partnerships

Performs other related duties as assigned.

What your background should look like

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

Minimum of three years directly related and progressively responsible experience in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support. Experience within healthcare provider support such as a physician practice, patient assistance program, or similar pharmaceutical/biological support program preferred.

Professional experience

  • Bachelor's degree preferred

  • Minimum of 3 years access experience required

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

  • Knowledge of private payer, Medicare and Medicaid structure, systems, and specialty pharmacy and retail pharmacy process

  • Understanding of benefit verifications and prior authorization requirements

  • Knowledge of operational processes within the physician office, specifically related to prior authorizations

  • Ability to effectively interact with provider office staff

  • Ability to communicate reimbursement and access topics concisely and clearly to provider staff

  • Ability to coordinate issue resolution with provider sites of service and client support resources

  • Public speaking and presentation experience preferred

  • Above average communication skills

  • Project management skills

  • Demonstrated teamwork abilities

  • Understanding and comfortable with escalating issues to direct Manager in a timely manner

  • Ability to work independently

  • Ability to manage expenses within allocated budgets

  • Average computer skills: MS PowerPoint, MS Excel, MS Word, and MS Outlook

Specific knowledge of local payer policies related to a specific client product will be acquired during training sessions.

All interactions with allied health professionals require detailed attention to customer needs and satisfaction.  In addition, and most importantly, all access activities are required to be conducted and managed within all appropriate legal and regulatory guidelines and require continuous monitoring of compliance with such guidelines and laws.

This position may require credentialing for specific facilities. This process includes passing limited medical examinations and may include some vaccinations and documentation review.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The team member will work remotely and maintain a home office. The team member will travel across the defined territory of Macon, GA and Pensacola, FL.  Travel may be three to four days per week and include overnight stays. Communication will include weekly participation on team and client conference calls and maintaining email.

PHYSICAL AND MENTAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions:

Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking, and hearing.

Visual requirements are for close vision, distance vision, peripheral vision, and ability to adjust focus.

75% or more time is spent looking directly at a computer.

Team member is frequently required to stand, walk (or otherwise be mobile).

Up to 80% overnight travel required.

Valid driver's license is required.

Ability to deal with stressful situations as they arise.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.

To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

For details, visit https://www.virtualfairhub.com/cencora

Schedule

Full time

Affiliated Companies

Affiliated Companies: Xcenda, LLC

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned


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