Sr Coordinator, Individualized Care (Contractor Conversion)

📌 Core Information

🔹 Job Title: Sr Coordinator, Individualized Care (Contractor Conversion)

🔹 Company: Cardinal Health

🔹 Location: United States

🔹 Job Type: On-site

🔹 Category: Not Specified

🔹 Date Posted: April 2, 2025

🔹 Experience Level: 2-5 years

🔹 Remote Status: Not Specified

📌 Essential Job Details

🚀 Job Overview

Key aspects of this role include:

• Supporting patient access to therapy through Reimbursement Support Services.
• Guiding healthcare providers through process steps for patient therapy journeys.
• Investigating all patient health insurance benefits and facilitating authorizations.
• Ensuring timely delivery of therapies by collaborating with various partners.

ASSUMPTION: The job involves significant interaction with both healthcare providers and payers to streamline patient therapy access, due to the nature of the role and industry.

📋 Key Responsibilities

✅ Support patient access to therapy in accordance with business rules and HIPAA regulations.

✅ Guide healthcare providers through processes to support patient journeys to therapy.

✅ Manage patient referral intake and investigate health insurance benefits.

✅ Identify and initiate prior authorizations and step therapy reviews.

✅ Proactively follow up with partners, including insurance payers, specialty pharmacies, and support organizations.

✅ Demonstrate efficiency and organizational skills in resolving complex payer/pharmacy issues.

✅ Maintain superior customer support and communication, both written and verbal.

✅ Meet daily task and benefit investigation goals within high enrollment volume programs.

ASSUMPTION: Responsibilities likely require a mix of analytical and interpersonal skills to manage healthcare provider and insurance payer interactions, typical for this role type.

🎯 Required Qualifications

Education: High School Diploma, GED, or equivalent work experience preferred

Experience: 3-6 years in a related field preferred; 1-2 years in patient health insurance investigations and authorizations

Required Skills:

• Reimbursement support
• Customer support and problem resolution
• Strong attention to detail and communication skills

Preferred Skills:

• Knowledge of Medicare, Medicaid, and commercial insurance practices
• Medical and pharmacy billing and coding knowledge
• Critical and creative thinking skills

ASSUMPTION: The preferred qualifications suggest a preference for candidates with a strong background in healthcare insurance and billing.

💰 Compensation & Benefits

Salary Range: $21.50 per hour - $30.70 per hour

Benefits:

• Medical, dental, and vision coverage
• Paid time off plan
• 401k savings plan and flexible spending accounts

Working Hours: Expected to work 40 hours/week with flexibility to cover shifts between 7:00am-7:00pm CST.

ASSUMPTION: The range indicates competitive market standards based on location, and benefits reflect comprehensive coverage.

📌 Applicant Insights

🔍 Company Context

Industry: Hospitals and Health Care

Company Size: 10,001+ employees, offering a broad range of resources and potential for growth

Founded: Not Specified, though with over 50 years active in the industry

Company Description:

• Cardinal Health is a leader in pharmaceutical distribution.
• It manufactures and distributes medical and laboratory products globally.
• Has a strong emphasis on healthcare performance and data solutions.

Company Specialties:

• Healthcare services and supply chain management
• Medical product distribution and patient safety
• Performance and data solutions for healthcare facilities

Company Website: cardinalhealth.com

ASSUMPTION: Cardinal Health's global presence suggests diverse opportunities within its expansive network.

📊 Role Analysis

Career Level: This is a mid-level position ideal for experienced professionals ready to leverage their skills in a structured environment.

Reporting Structure: Likely reports to a senior manager or director within the reimbursement and support services section.

Work Arrangement: Structured around a full-time schedule with expected flexibility to accommodate shift requirements.

Growth Opportunities:

• Potential to advance to senior case manager roles or supervisory positions.
• Exposure to a broad spectrum of healthcare and insurance industry practices.
• Opportunity to develop specialized skills in patient access services.

ASSUMPTION: Role may offer career development through cross-functional projects and internal programs.

🌍 Location & Work Environment

Office Type: Remote work environment, particularly designed for task-dedicated spaces.

Office Location(s): Main operational reference to facilities near Dallas, Texas, and company headquarters in Dublin, OH.

Geographic Context:

• Company's presence across diverse geographical regions increases exposure and potential relocation options.
• Remote working opens opportunities to diverse U.S. locations.
• The main hub near Dallas, Texas, headquarters in Dublin, OH.

Work Schedule: Flexibility to manage work-life balance with defined hours.

ASSUMPTION: Flexibility in remote work remains key to accommodating varied patient interaction times.

💼 Interview & Application Insights

Typical Process:

• Resume screening
• Initial HR interview focusing on work history and key skills
• Technical interview with a hiring manager or team supervisor

Key Assessment Areas:

• Technical skills in patient health insurance processing
• Customer service and communication proficiency
• Problem-solving abilities

Application Tips:

• Highlight experience in healthcare insurance processes.
• Discuss specific examples of customer service success.
• Be ready to explain HIPAA-related knowledge with concrete examples.

ATS Keywords: Reimbursement Support, Patient Access, Prior Authorization, Health Insurance Benefits

ASSUMPTION: Application assessments focus heavily on past hands-on experience in relevant scenarios.

🛠️ Tools & Technologies

• Advanced patient management software
• EHR (Electronic Health Record) systems
• Insurance authorization platforms

ASSUMPTION: The role relies on specialized healthcare and patient management technologies given its focus on insurance and therapy access.

👔 Cultural Fit Considerations

Company Values:

• Commitment to healthcare innovation
• Focus on compassionate patient care
• Strong organizational ethics in patient interaction and service delivery

Work Style:

• Proactive problem solving
• Clear and effective communication
• Focus on collaboration with various stakeholders

Self-Assessment Questions:

• Do I have a strong understanding of healthcare insurance processes?
• Am I capable of working efficiently in a remote setting?
• Can I clearly communicate with diverse healthcare professionals?

ASSUMPTION: The company culture encourages a proactive and adaptable work style, essential for a dynamic healthcare environment.

⚠️ Potential Challenges

• Navigating complex insurance payer landscapes
• Maintaining patient confidentiality in all communications
• Meeting high volume case processing under performance pressure
• Adapting to rapidly changing healthcare policies and technologies

ASSUMPTION: Challenges are typical of roles involving healthcare administration and insurance navigation.

📈 Similar Roles Comparison

• Case Manager roles in other healthcare organizations often require similar skills in insurance processing and patient care.
• Similar positions might include focus on specific healthcare specialties or geographic regions.
• Roles in larger healthcare firms may offer more distinct specialization tracks.

ASSUMPTION: Comparisons highlight opportunities in different settings, suggesting more widespread application of core skills.

📝 Sample Projects

• Developing new processes to increase efficiency in patient onboarding.
• Implementing compliance improvements for patient data handling under HIPAA.
• Leading team workshops on enhancing patient service delivery.

ASSUMPTION: Recommended projects align with the role's focus on improving patient interactions and insurance processes.

❓ Key Questions to Ask During Interview

• What specific challenges does the team currently face in managing patient access?
• How does Cardinal Health support continuous professional development in this role?
• What tools and technologies are critical in your current processes?
• Can you provide examples of a typical day in this role?
• How has the company adapted its patient support services in response to recent healthcare changes?

ASSUMPTION: These questions help gain insights into role-specific challenges and opportunities.

📌 Next Steps for Applicants

To apply for this position:

• Submit your application through this link
• Ensure your resume highlights relevant skills and experience.
• Prepare for potential interviews by understanding the company's healthcare mission.
• Gather examples of past work that demonstrate your capability and success.
• Be ready to discuss how your experiences relate to the specific responsibilities of the role.

⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.

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