At Biologics by McKesson, our mission is to simplify access to medication and deliver personalized care that helps patients achieve the best-possible outcomes -- one patient, one partner, one therapy at time.
The Case Manager - Rare/Orphan will be responsible for supporting the pharmacist in end to end prescription processing, including order intake, benefits investigation, prior authorization support, Rx setup and claims adjudication, as well as refill management and delivery coordination functions in accordance with company policies and procedures.
Schedule:Monday-Friday must be available between the hours of 8am-8pm - Partially remote until further notice -Will be required to work in an in-office settings
Essential Duties and Responsibilities
Enter new patient and provider information accurately into the pharmacy MIS.
Review contents of referrals to ensure complete and accurate information has been received and entered into the pharmacy system. Communicate with providers to obtain missing information when necessary.
Locate and enter accurate prescription insurance information on patient's profile by processing eligibility checks and adjudicating pharmacy claims.
Adjudicate claims and troubleshoot rejections so that the correct information is communicated to the patient
Communicate the need for medication prior authorization (PA) to providers and serve as a resource to the provider during the PA process.
Manage inbound calls from patients, clients, physicians, practitioners and clinics regarding inquiries about order status, services provided, financial support options
Serve as a technical resource pertaining to adjudication while identifying areas for improvement.
Entering detailed, accurate, and grammatically correct progress notes to ensure proper documentation on patient profiles.
Contact patients to schedule medication delivery and payment so that accurate information is included in their profile and distribution can successfully send their package in a timely manner
Manage patient refill coordination and follow-up to ensure patients comply with their therapy plan
Identify and report adverse events (AEs) and product complaints (PCs) to clinicians to ensure patient's safety
Perform other duties as assigned (above tasks may vary slightly depending on the specific team/program requirements.)
High School Diploma or equivalent
Certified Pharmacy Technician
2 years Pharmacy Technician experience
CPhT (Certified Pharmacy Technician) certification required. Must be current, without restrictions, and in good standing.
2+ years pharmacy experience preferred.
High school diploma required.
Prior experience working in a pharmacy or other health care setting required.
Competent in basic computer skills and proficiency in Microsoft applications.
Conscientious, detail oriented with the ability and desire to solve problems to help our patients.
Flexible, adaptable, and the ability to effectively work in a team setting to accomplish a common goal.
Highly motivated and committed to excellence with a positive attitude.
General office demands
High School Diploma or GED
CAREER LEVEL: B3
McKesson is an Equal Opportunity/Affirmative Action employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to McKessonTalentAcquisition@mckesson.com . Resumes or CVs submitted to this email box will not be accepted.
Current employees must apply through the internal career site.
Join us at McKesson!
Internal Number: JR0046159
About McKesson Corporation
We deliver careers with purpose and potential. Our focus on better health starts with creating an inclusive environment with strong values where you can build a fulfilling career. You can count on us to provide you with resources and opportunities to grow and be your best, while contributing to our pursuit of improving lives. Every day, McKesson’s employees deliver products to healthcare providers that make a difference in the care and life of a patient. We work to distribute medical supplies, bandages, syringes, vials of flu vaccine, and pharmaceutical drugs to help real patients like Jack, an eight-year-old boy battling cancer. We take that job seriously. Together, the work we do is shaping the future of healthcare. If you are passionate about combining a meaningful career with a balanced life, join us on this journey and apply for a job with McKesson today. Every day, McKesson’s employees deliver products to healthcare providers that make a difference in the care and life of a patient.
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