Be Part of an Extraordinary Team
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.
JOB SUMMARY :
The Patient Advocate- Bleeding Disorder serves as the primary point of contact and facilitator between key clients and all operational areas inside Carelon Medical Benefits Management.
How you will make an impact:
Primary duties may include, but are not limited to:
Provide excellent customer service to our national customer base of insurers and managed care organizations by securing first-line response and follow-up activities at all levels of the organization.
Act as the single point of contact for patients and referral sources ensuring high levels of customer satisfaction.
Manage, administer and facilitate the activities of an internal cross-functional client performance team in direct support of assigned clients, as well as Regional Account Executive initiatives related to those clients.
Schedule and facilitate internal meetings in support of assigned clients, including preparation and follow-up.
Track and manage resulting actions, follow-up, accountabilities.
Work directly with Regional Account Executive to prioritize and develop performance plans and initiatives in support of assigned clients.
Prepare and present periodic reports to various levels of management on assigned accounts.
Compose and prepare correspondence and other written materials, including letters, memos, and meeting agendas/notes.
Effectively deal with issues of confidentiality.
Some travel required (about 10%) to engage in community events locally and nationally.
Requires a BA or BS degree in Business Administration or related field and a minimum of 2 years’ experience administering health insurance product deliverables such as claims processing, eligibility, and system interfaces, resolving client issues; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Prior or current experience within the Hemophilia community and events highly preferred.
Prior experience in Specialty Pharmacy preferred.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact firstname.lastname@example.org for assistance.