Partner Program Coordinator

3 weeks ago

Gouverneur, United States Proact Full time

Overview:

Scope of Responsibilities: Provide guidance, assistance and expertise regarding specialty assistance programs between ProAct and contract pharmacies to include Noble Health Services and other specialty and/or retail pharmacies. Coordinate with all appropriate parties to secure funding assistance, medication shipment and regularly communicate updates on member-specific cases. Works under direct supervision and follows standard procedures to accomplish assigned tasks.

Job Summary: Responsible for coordinating functions related to specialty assistance programs to include, but not limited to ProActPLUS and other external copay sourcing program related operations on a day-to-day basis. Act as the liaison between ProAct, and Noble Health Services (or other network pharmacies) to support these programs and its components.

Responsibilities:
  • Support ProAct clients and members regarding functions related to specialty assistance programs.
  • Partner with Noble Health Services and other network pharmacies on the administration of ProAct-owned programs such as ProActPLUS as well as third party solutions and other utilization management programs.
  • Perform outreach to physician offices and members to request prescriptions, confirm assistance components, etc.
  • Process overrides in ProActs processing database to ensure claims are processing as intended after funding is secured.
  • Assist Noble and other network pharmacies with various other ProAct-related inquiries or overrides that need to be entered for successful claim processing.
  • Complete all mandatory KPH, state, and federal training programs.
  • Perform other duties as assigned.


Qualifications:
Experience Preferred:
  • Preferred: 2 Years experience with Health Care, Insurance and/or Project Management

Special Conditions of Employment:

  • Drug test
  • Initial and continuous exclusion and sanction/disciplinary monitoring
  • Any and all additional eligibility requirements based on the specific position

Compensation:

$17.00 -20.72 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

  • Proposal Administrator

    1 month ago

    Gouverneur, United States KPH Healthcare Services Full time

    Overview: Scope of Responsibilities: Works under direct supervision. Partners with Proposal Manager and other departmental leaders to accomplish assigned tasks and goals. Job Summary: Responsible for assisting the proposal department with general tasks as well as maintaining internal systems for ProActs prospective clients. Responsibilities: Organize...

  • St. Lawrence Health

    2 weeks ago

    Gouverneur, United States Rochester Regional Health Full time

    About St. Lawrence HealthSt. Lawrence Health (SLH) was established in December 2013 with the mission to improve health and to expand access through coordination and integration of services.SLH became an affiliate of Rochester Regional Health (RRH) in January 2021. RRH is an internationally recognized integrated health services organization, and its industry...

  • St. Lawrence Health

    2 weeks ago

    Gouverneur, New York, United States Rochester Regional Health Full time

    About St. Lawrence HealthSt. Lawrence Health (SLH) was established in December 2013 with the mission to improve health and to expand access through coordination and integration of services.SLH became an affiliate of Rochester Regional Health (RRH) in January 2021. RRH is an internationally recognized integrated health services organization, and its industry...

  • St. Lawrence Health

    5 days ago

    Gouverneur, New York, United States Rochester Regional Health Full time

    Otolaryngologist (ENT)About St. Lawrence HealthSt. Lawrence Health (SLH) was established in December 2013 with the mission to improve health and to expand access through coordination and integration of services.SLH became an affiliate of Rochester Regional Health (RRH) in January 2021. RRH is an internationally recognized integrated health services...

  • St. Lawrence Health

    2 weeks ago

    Gouverneur, New York, United States Rochester Regional Health Full time

    Emergency Medicine PhysicianAbout St. Lawrence HealthSt. Lawrence Health (SLH) was established in December 2013 with the mission to improve health and to expand access through coordination and integration of services.SLH became an affiliate of Rochester Regional Health (RRH) in January 2021. RRH is an internationally recognized integrated health services...

  • St. Lawrence Health

    4 days ago

    Gouverneur, United States Rochester Regional Health Full time

    Otolaryngologist (ENT)About St. Lawrence HealthSt. Lawrence Health (SLH) was established in December 2013 with the mission to improve health and to expand access through coordination and integration of services.SLH became an affiliate of Rochester Regional Health (RRH) in January 2021. RRH is an internationally recognized integrated health services...

  • St. Lawrence Health

    2 weeks ago

    Gouverneur, United States Rochester Regional Health Full time

    Emergency Medicine PhysicianAbout St. Lawrence HealthSt. Lawrence Health (SLH) was established in December 2013 with the mission to improve health and to expand access through coordination and integration of services.SLH became an affiliate of Rochester Regional Health (RRH) in January 2021. RRH is an internationally recognized integrated health services...

  • Warehouse Clerk-Pharmacy

    2 weeks ago

    Gouverneur, United States KPH Healthcare Services Full time

    Overview: Job Summary: Responsible for security, inventory management and general flow of the inventory associated with the Distribution Center Responsibilities: Job Duties: Process store pharmaceutical and cosmetic orders on a daily basis Process store orders, and receive incoming pharmaceutical and cosmetic freight on a daily basis Follow all legal...

  • Physical Therapist

    6 days ago

    Gouverneur, United States Rochester Regional Health Full time

    Description HOW WE CARE FOR YOU At St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community. Same Day pay through Daily Pay Paid vacation & holiday pay Medical, dental, vision,...

  • CT Technologist

    6 days ago

    Gouverneur, United States Rochester Regional Health Full time

    Description HOW WE CARE FOR YOU At St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community. SUMMARY Performs diagnostic CT exams, Screening CT exams and interventional CT procedures...

  • Data Entry Associate

    1 month ago

    Gouverneur, United States ProAct - PBM Full time

    Overview Scope of Responsibilities: Works under direct supervision. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees Job Summary: Responsible for all aspects related to entering of medication orders. Responsibilities Job Duties: Responsible for accurate data entry of incoming...

  • Full-Time Adult Psychiatrist

    2 months ago

    Gouverneur, NY, United States Rochester Regional Health Full time

    Lawrence Health is looking for full time Psychiatrists to join our team of dedicated providers! The ideal candidate will be BE within 5 years of completing residency or BC in Psychiatry. The physician is responsible to respond to CPH inpatient hospital consults every other week. Coverage needed in Potsdam (Canton-Potsdam Hospital, "CPH") and...

  • Delivery Driver

    6 days ago

    Gouverneur, United States HealthDirect Pharmacy Services Full time

    Overview For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing homes and assisted living facilities, as well as correctional facilities and group homes.”. On a daily basis our team provides prescription medications, over-the-counter...

  • Hospitalist Physician Gouverneur, NY

    2 days ago

    Gouverneur, NY, United States Delphi Healthcare PLLC Full time

    Are you looking for a career in a small community and the opportunity to give back to the community?This role offers a hospital in a rural setting with a lifestyle that you would love. With the work life balance, the outdoor activities, for all seasons - lots of water activities with access to many lakes and rivers (St. Lawerence), hiking, skiing, and...