Workable
Pharmacy Care Coordinator
Who we Are:
Crumdale Partners is a diversified insurance firm providing custom solutions to businesses nationwide. We leverage industry expertise, superior talent, and a disruptive mindset to provide agile, transparent, and cost-saving solutions to optimize self-funded health plans. Founded in 2014, we are the fastest-growing purveyor of integrated insurance solutions, with deep-rooted experience in program management, TPA administration, PBM consulting, stop-loss coverage, compliance, risk management, underwriting, and analytics.
At Crumdale, people come first. Our clients, colleagues, trading partners, and communities are our strength. Our company culture is rooted in alignment, innovation, and integrity. We are proud to be named a Inc. Magazine Best Places to Work in multiple years.
Position Summary:
We are looking for the Pharmacy Care Coordinator. The Pharmacy Care Coordinator will oversee ongoing specialty sourcing solution to support patients/employees/ groups. This position will help members access medications through multiple programs (specialty pharmacies, manufacturer assistance programs, grants, foundations, etc.). The Pharmacy Care Coordinatorwill handhold the members throughout the process and will contact pharmacies, PBMs, health care providers, and/or financial assistance programs on the members behalf to gather information.
About the Job:
Responsible for managing ongoing sourcing solutions
Serve as an advocate for patients to ensure continued access to medication
Act as members main point of contact for all patient assistance programs
Ensure appropriate and effective communication between patients, pharmacists, employers, PBMs, and health care providers
Thorough documentation of all interactions and progress through programs
Researching various financial assistance programs
Assisting in obtaining prior authorizations for specialty medications
Billing third party insurance on behalf of patients
Researching various financial assistance programs
Other related tasks and duties as may be assigned
Requirements
Qualifications & Skills:
Pharmacy Technician Certification or willingness to obtain in the next 3 months
Bachelor's degree or equivalent experience is a plus
2+ years of patient advocacy experience
Previous patient assistance program experience is preferred
Patient/Customer service oriented
Effectively build trust and establish meaningful relationships with patients
Knowledge of the PBM industry and drug adjudication
Understanding of medical and health insurance terminology
Attentive to detail and strong clinical documentation skills
Solid understanding of health and welfare benefits
Proficient in MS Excel and Outlook
Want to go the extra mile to help others / clients
Ability to self-start and work independently
Ability to work within a collaborative team
Ability to prioritize effectively and to work efficiently
Reputation of ethical and professional character
Critical thinking and solution seeking
Bilingual is a plus but is not necessary
Benefits
Medical, Dental, 401k, Flexible PTO
Please note: Crumdale Specialty will not be engaging with external recruitment agencies. We kindly request that agencies refrain from contacting us regarding this position.

Paoli, PA, USA
Negotiable Salary