Patient Access Programs Operations Specialist

TL;DR

Patient Access Programs Operations Specialist: Providing routine operational support for patient access programs with an accent on data accuracy, claims adjudication, and partner communication. Focus on conducting program audits, maintaining program databases, and coordinating resolutions for pharmacy partners.

Location: Remote (US)

Company

hirify.global is a rapidly growing, venture-backed Health-Tech company disrupting the PBM sector with a next-generation drug acquisition platform.

What you will do

• Conduct audits on program builds across adjudication platforms.
• Accurately maintain the program database updated and current based on business needs.
• Assist with aggregating data for Patient Access program billing and invoicing.
• Manage and update program drug lists and spreadsheets.
• Contact pharmacies to reprocess claims for medications as needed.
• Coordinate incoming emails from pharmacy partners and internal teams with expectation of resolution.
• Provide exceptional support in daily operations of the Patient Access Programs.

Requirements

• High School diploma.
• 2+ years of experience in healthcare or health systems operations function.
• Proficiency in MS-Office, G-Suite, Excel, and Google Sheets.
• Excellent verbal and written communication skills.
• Ability to multitask, prioritize, manage time effectively, and work independently.

Nice to have

• Experience using Salesforce Service Cloud or other CRM tool.

Culture & Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance.
• 3 Weeks Paid Time Off and Paid Company Holidays.
• Paid Parental Leave Benefits.
• 401(k) Retirement Savings Program.
• Flexible Spending Benefits, Short-Term and Long-Term Disability, and Wellness Benefits.
• Professional Development and Training Opportunities.
• Mission-driven and collaborative culture.