Full-Time

Medication Assistance Caseworker

Aledade

Aledade

1,001-5,000 employees

Empowers primary care practices with value-based solutions

Data & Analytics
AI & Machine Learning

Junior, Mid, Senior

Bassett, VA, USA

Requirements
  • High school diploma or GED
  • Prior experience in the medical field and/or pharmacology. Previous experience with pharmaceutical patient assistance programs or TPC (The Pharmacy Connection)
  • Strong computer skills including proficiency in Microsoft Office suite and working knowledge of Electronic Medical Record systems (EMRs)
  • Experience with eClinical Works (eCW) preferred but not required
  • Understanding and working knowledge of medications and related medical terminology
  • Strong organizational and communication skills. Comfortable working with diverse populations
  • Ability to work efficiently under pressure and succeed in a fast-paced environment with high levels of distraction
  • Valid Virginia driver's license
  • Ability to transport oneself to meetings and other work sites as needed including pharmacies
  • Bilingual preferred (English and Spanish)
  • A passion and concern for the target population served by the Health Center
Responsibilities
  • Use TPC (The Pharmacy Connection) software to assist patient's access to available long-term maintenance medications
  • Assist the patient in gathering appropriate documents needed to complete the MedAssist application. Enroll patients and track appropriate information in the TPC software
  • Discuss the guidelines and expectations of the MedAssist Program with patients, medical Providers and dispensing partners and hold patients accountable for compliance
  • Support other MedAssist Programs as needed (either on-site or by remote access)
  • Order and re-order patients' medications. Work with Providers to keep prescriptions up-to-date and scanned into the EMR. Keep up with changes in PAP programs and communicate changes to affected patients and Providers when necessary. Communicate and collaborate with pharmaceutical companies as needed
  • Receive, process, and deliver medications to the dispenser as required. Notify patients that medications have been received. Track medicines to ensure they are picked up by the patient or properly disposed of. Assist the dispensing pharmacy with tracking and reissuing returned medicines (RTS). Follow all PAP guidelines for recalled medications
  • Maintain patient files. Update patient applications as needed. Update and maintain the TPC Message Center and ensure that messages are processed in a timely fashion
  • Provide medication assistance for medications not available through TPC. At the Provider's request, a.) contact other available resources (including local pharmacies) to determine and secure the lowest cost available for medications not available through the TPC and, b.) assist patients in determining if their insurance or clinic covers specific medications (if not, identify an alternative medication that is covered). Maintain or assist with the Voucher Program if applicable. Help maintain the sample medication closet, if applicable
  • Ensure compliance in all activities and execute any and all new programs and services requested by Virginia Healthcare Foundation. Maintain records and provide appropriate reports. Regularly attend TPC software update training(s). Update software as needed and comply with requests for data from Virginia Healthcare Foundation. Provide assistance to patients enrolling in Medicare part D. Maintain current knowledge of changes in Medicare part D regulations as related to enrollment. Perform other duties as assigned that are consistent with the philosophy and intent of this position and the goals of the office or practice where the MedAssist Program is located
  • MedAssist Caseworkers will also fill in for Health Center staff as needed. These duties include, but are not limited to, answering incoming telephone calls and processing voicemail messages, scheduling and re-scheduling patient appointments, placing reminder telephone calls for Site Coordinator and scanning and emailing information for Providers
  • Participates in training(s) opportunities to improve patient care including, but not limited to, learning evidence-based approaches to self-management support, proactively addressing the needs of patients and families in this community, cultural competency, effective communication, OSHA, HIPAA and EHR. Participate in monthly on-line program training
  • Other duties as may be assigned from time-to-time by your supervisor that are consistent with Mission of the organization and intent of this position

Aledade, Inc. stands out as a leading network of independent primary care, offering robust support to practices through its unique model that combines advanced data analytics, user-friendly workflows, and health care policy expertise. The company's commitment to the success of independent practices is demonstrated through its strong payer relationships and integrated care solutions, which enable physicians to thrive financially while focusing on patient health. With over 1,500 practices across 45 states and the District of Columbia, Aledade's shared risk and reward model, managing over 2 million patient lives, showcases its industry leadership and its significant role in the evolving healthcare landscape.

Company Stage

Series F

Total Funding

$657.6M

Headquarters

Bethesda, Maryland

Founded

2014

Growth & Insights
Headcount

6 month growth

4%

1 year growth

23%

2 year growth

92%
INACTIVE