Lead, Patient Access

Job Description:

• Provides support to supervisors and management through daily workload management
• Creating daily staffing strategies and providing case escalation support
• Ensure that all day to day activities of the team operate smoothly and seamlessly as per established KPIs
• Assuring the PAS Team provides high level customer services to patients and HCPs
• Subject matter expert for team documents and process updates
• Monitors and assigns work, adjusting workload and staffing requirements to ensure all cases are addressed in a timely manner
• Provides activity metrics, status updates and program intelligence to management as needed
• Responds, investigates and resolves escalated patient cases
• Works collaboratively and proactively with direct staff

Requirements:

• High school diploma or equivalent required
• College or a 2-year Associate Degree is preferred
• A minimum of 3-5 years’ experience within a healthcare provider, PBM, Specialty Pharmacy or Retail/Mail Order Pharmacy setting
• Strong core insurance (Medical and Pharmacy Benefit) knowledge
• Knowledge of online verification systems or similar experience required
• Previous leadership in a call center, integrated health care provider, managed care, or healthcare insurance setting desired
• Strong understanding of health care reimbursement channels

Benefits:

• paid time off (vacation, holidays, sick)
• medical/dental/vision insurance
• 401(k) to eligible employees
• short-term incentive programs