Pharmacy (PAP) Care Coordinator

Who we Are:

Crumdale Specialty is a diversified insurance firm providing custom, self-funded healthcare solutions to a limited distribution network of brokers, consultants, and agents nationwide. Ranked on the Inc. 5000 Fastest Growing Companies and Best Workplaces, we leverage industry expertise, superior talent, data analytics, and a disruptive mindset to manufacture, underwrite, and administer agile, transparent, and cost-saving solutions. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees.

At Crumdale, people come first. We strive to make a positive impact on the people we serve. We believe this starts with the passion and purpose of our team. Our company culture is rooted in alignment, innovation, and integrity.

Position Summary:

We are looking for a Pharmacy Care Coordinator. The Pharmacy Care Coordinator will oversee ongoing specialty sourcing solutions 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 Coordinator will 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

• 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 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
• Well spoken
• 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
• Effective and efficient communicator
• Bilingual is a plus but is not necessary

At Crumdale, we strive to provide a comprehensive and supportive benefits package to ensure the well-being of our employees. Our benefits include:

• Medical
• Telemedicine
• Dental
• Vision
• Life, AD&D, Disability
• 401(k)
• Flexible Time-off

Please note: Crumdale Specialty is not engaging with external recruitment agencies; please refrain from contacting us regarding this position.