Job Posting Covance is hiring an ITC Program Specialist for our Gaithersburg, MD location.
The Program Specialist is responsible for supporting the operations of InTeleCenter™ programs including, but not limited to, reimbursement hotlines, patient assistance programs, foundations, safety surveillance programs and compliance programs. The focus of the Program Specialist is to help patients or providers access the therapies they need. The Program Specialist responds to requests from customers, who may include, but not limited to, physicians and their staff, hospital staff, pharmacists, patients, family members or friends of patients, distributors, and members of the clients’ sales forces. The Program Specialist also performs reimbursement support functions as project requirements.
Essential Functions Include:
Provide holistic and comprehensive case management services to all customers including:
Proactively identifying and managing next steps for access to medication
Communicating with multiple stakeholders to ensure common understanding of steps being taken
Respond to inbound calls from customers, triage calls as appropriate, document calls in appropriate database, and manage the case throughout its totality.
Conduct insurance verifications to confirm patient benefits, facilitate the prior authorization process on behalf of customers, assist with problem claims, and perform case management to identify insurance and alternative funding sources per program specifications
Screen and process patient assistance applications by determining eligibility and making outbound follow up calls as necessary. Update computer systems on patient enrollment, denials, approvals, payment processing, withdrawals, shipments, and caller requests per program specifications. Respond to inquiries regarding PAP operations and requests, such as status of patient enrollment status, product shipments, and returns. Also work with distributors and manufacturers to request and track product shipment
Covance is one of the world's largest and most comprehensive drug development services companies with more than 10,000 employees in 60 countries. Through its nonclinical, clinical and commercialization services, Covance has helped pharmaceutical and biotech companies develop one-third of all prescription medicines in the market today.
This is an exciting opportunity to join our team! Education/Qualifications The Program Specialist will hold a Bachelors degree in Social Work or a related field or have evidence of continual work toward a degree
Candidates without a degree should have a High school diploma and 4 or more years of Social Work or related field experience.
Knowledge of resources and social work practices with high risk populations.
Experience working with persons in crisis
Good documentation skills
Excellent written and verbal communication skills, ability to establish rapport
Ability to work independently with strong sense of focus, task-oriented
Ability to multi-task and manage Experience Health care reimbursement interest or experience strongly desired
Social Work or case management experience required EEO Employer Covance is committed to diversity in the workplace and is an equal opportunity employer. (M/F/D/V). Your confidentiality and privacy are important to us.
Covance - 2 years ago
Covance Inc. is a drug development services company providing a range of early-stage and late-stage product development services on a...