Foundation Specialist I

Portland, OR 97232

Posted: 06/28/2019 Employment Type: Contract Industry: Commercial Operations/Customer Care Job Number: 6482

Our client is a leading biotechnology company that discovers, develops, manufactures and commercializes medicines to treat patients with serious or life-threatening medical conditions. They are among the world' s leading biotech companies, with multiple products on the market and a promising development pipeline.


Purpose: 
  • The Foundation Specialist evaluates patient eligibility for the Company’ s foundation and coordinates shipments of products to patients within program guidelines.

Key Responsibilities/Accountabilities:
  • Provides customer focused support to patients and providers.
  • Works collaboratively with peers to move casework forward.
  • Assists patients and providers in enrollment process for assigned products.
  • Evaluates patient eligibility across key criteria and communicates determinations.
  • Coordinates delivery of product following all shipping policies and procedures.
  • Actively supports product launches, line extensions and formulation changes.
  • Embeds a culture of compliance by ensuring self, colleagues and team members are adhering to laws, regulations, and policies that govern Foundation conduct.
  • Periodic mandatory overtime throughout the year is required. This may include, but is not limited to, high referral season, new product or system launches, new line extensions, or any unexpected surge in volume or backlog situations. May include weekends as needed.

Skills:  
  • Recommended Skills and Experiences:
  • A minimum of 3 years reimbursement experience is preferred.
  • Knowledge of the managed care industry, including government payers.
  • Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules).
  • Understands reimbursement/funding resources and how to access these resources.
  • Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format.
  • Ability to work collaboratively in a team structure and responsibly delegate next steps to appropriate team members.
  • Demonstrates effective problem solving and excellent customer service.
  • Exceptional attention to detail.
  • Able to work effectively under pressure and prioritize tasks.
  • Able to follow written Standard Operating Procedure.

Competencies:
  • Managing Change
  • Teamwork and Collaboration
  • Achieving Results 

Education:       
  • Bachelor’ s degree is preferred or equivalent experience.

Skills:  

  • Recommended Skills and Experiences:
  • A minimum of 3 years reimbursement experience is preferred.
  • Knowledge of the managed care industry, including government payers.
  • Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules).
  • Understands reimbursement/funding resources and how to access these resources.
  • Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format.
  • Ability to work collaboratively in a team structure and responsibly delegate next steps to appropriate team members.
  • Demonstrates effective problem solving and excellent customer service.
  • Exceptional attention to detail.
  • Able to work effectively under pressure and prioritize tasks.
  • Able to follow written Standard Operating Procedure.

Competencies:

  • Managing Change
  • Teamwork and Collaboration
  • Achieving Results 

Education:       

  • Bachelor’s degree is preferred or equivalent experience.
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