Job Description
What Individualized Care contributes to Cardinal Health
Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.
Individualized Care provides care that is planned to meet the particular needs of an individual patient.
Qualifications
3-6 years of experience preferred
High School Diploma, GED or technical certification in related field or equivalent experience preferred
What is expected of you and others at this level
Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
In-depth knowledge in technical or specialty area
Applies advanced skills to resolve complex problems independently
May modify process to resolve situations
Works independently within established procedures; may receive general guidance on new assignments
May provide general guidance or technical assistance to less experienced team members
Responsibilities
Handle customer escalated cases through investigation and case review
Contact customers to confirm approval/denials of coverage, co-pays, patient assistance programs, and verification of specialty pharmacy that will dispense their medication
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Answer requests from doctors and/or patients checking on the status of the case
Maintain quality while providing an empathetic and supportive experience to the patients, doctors, and physician offices
Support manufacturer field team members as required on case updates
Works internally with team members regarding patients? cases
Ability to identify, document, and submit Adverse Events during customer contact or via received documentation
Conduct research associated with alternative funding or foundations to ensure the patient has the required information to receive product
Responsible for handling escalated cases and reporting to field-based representatives as needed
Conduct research as needed that is associated with escalations regarding patients, Physician?s offices, and pharmacy to resolve matters quickly
All associated responsibilities of the Benefit Verification Specialist role as needed
Support team with work overflow when needed
TRAINING AND WORK SCHEDULES : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (40 hours/week).
Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
Download speed of 15Mbps (megabyte per second)
Upload speed of 5Mbps (megabyte per second)
Ping Rate Maximum of 30ms (milliseconds)
Hardwired to the router
Surge protector with Network Line Protection for CAH issued equipment
Anticipated hourly range:
$21.50 per hour - $30.65 per hour
Bonus eligible:
No
Benefits:
Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close:
04/18/2025 if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate?s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal
Opportunity/Affirmative
Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)
Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.
Individualized Care provides care that is planned to meet the particular needs of an individual patient.
Qualifications
3-6 years of experience preferred
High School Diploma, GED or technical certification in related field or equivalent experience preferred
What is expected of you and others at this level
Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
In-depth knowledge in technical or specialty area
Applies advanced skills to resolve complex problems independently
May modify process to resolve situations
Works independently within established procedures; may receive general guidance on new assignments
May provide general guidance or technical assistance to less experienced team members
Responsibilities
Handle customer escalated cases through investigation and case review
Contact customers to confirm approval/denials of coverage, co-pays, patient assistance programs, and verification of specialty pharmacy that will dispense their medication
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Answer requests from doctors and/or patients checking on the status of the case
Maintain quality while providing an empathetic and supportive experience to the patients, doctors, and physician offices
Support manufacturer field team members as required on case updates
Works internally with team members regarding patients? cases
Ability to identify, document, and submit Adverse Events during customer contact or via received documentation
Conduct research associated with alternative funding or foundations to ensure the patient has the required information to receive product
Responsible for handling escalated cases and reporting to field-based representatives as needed
Conduct research as needed that is associated with escalations regarding patients, Physician?s offices, and pharmacy to resolve matters quickly
All associated responsibilities of the Benefit Verification Specialist role as needed
Support team with work overflow when needed
TRAINING AND WORK SCHEDULES : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (40 hours/week).
Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
Download speed of 15Mbps (megabyte per second)
Upload speed of 5Mbps (megabyte per second)
Ping Rate Maximum of 30ms (milliseconds)
Hardwired to the router
Surge protector with Network Line Protection for CAH issued equipment
Anticipated hourly range:
$21.50 per hour - $30.65 per hour
Bonus eligible:
No
Benefits:
Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close:
04/18/2025 if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate?s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal
Opportunity/Affirmative
Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)
Key skill Required
- Accounts
- Clinical Operations
- Consulting
- Customer Contact
- Documentation
- Guidance
- Inclusive
- Internet
- Investigation
- Medication
- Orientation
- Pay Equity
- Pharmacy
- Policies and Procedures
- Reporting
- Research
- Specialty Pharmacy
- Supportive
- Technical Assistance
- Training
- Values Diversity
