OnePoint Patient Care

The PBM Operations Support role performs a variety of tasks in support of the Pharmacy Benefit Management (PBM) department. This will include both daily tasks and strategic projects. This position would be ideal for someone that has some pharmacy and insurance experience

• Performs general administrative functions in support of the PBM team
• Proactively notifies network pharmacies (LTC/SNF/ALF) of patient election to hospice and the medications covered/not-covered for each patient
• Ensures patient eligibility is accurate within the OnePoint Patient Care processing system
• Assists with calling Long Term Care facilities to verify pharmacy providing hospice medications
• Assists with various questions from network pharmacies
• Ensures hospice patients medications are being billed properly through the hospice benefit
• Assists with special projects as required, including, but not limiting to census audits
• Communicates insurance changes to network pharmacies during new customer transitions
• Assists with providing already established fees to contracted network pharmacies
• Assists with preparing network agreements for the Provider Services team
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
• The requirements listed above are representative of the knowledge, skill, and/or ability required
• Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

EDUCATION/EXPERIENCE
• Currently in High School, Graduated or equivalent
• Experience in Operations Support II role or equivalent recommended

 

About OnePoint Patient Care
 
OnePoint Patient Care is the nation’s leading independent provider of community-based hospice pharmacy and pharmacy benefits management (PBM) services – offering hospices nationwide flexible and adaptable solutions for their hospice pharmacy needs. OnePoint fills prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients per day. Through its Concierge PBM, Next Day Valet mail order and Direct Express local services, OnePoint serves more than 350 hospice programs and is available in 50 states.
 
OnePoint was one of the first pharmacies to begin serving the hospice industry when the Medicare hospice benefit began in the 1980s. Today OnePoint has grown to be one of the leading national hospice pharmacies with 15 locations strategically positioned throughout the United States, with additional plans for expansion. For additional information on what OnePoint can do, visit www.oppc.com or call (866) 771-OPPC. Follow us on Facebook, Twitter, and LinkedIn.