Full-Time Remote Healthcare Case Coordinator - Make a Difference in Members' Lives with VIVIO Health's Innovative Specialty Drug Management Solutions

Join VIVIO Health, a Public Benefit Corporation Revolutionizing Healthcare through Data-Driven Decision Making

VIVIO Health is on a mission to transform the healthcare landscape by harnessing the power of data to inform clinical decisions. Since 2016, our evidence-based, data-driven specialty drug management and cost control solutions have significantly improved healthcare outcomes and reduced costs for large, self-insured employers. As a leader in this innovative field, we are now seeking a dedicated and compassionate Full-Time Remote Healthcare Case Coordinator to join our dynamic team.

About the Role: Empowering Members through Comprehensive Care Coordination

The Healthcare Case Coordinator is a pivotal role that leverages case management expertise to solve complex problems in a fast-paced environment. This position requires a unique blend of strong communication skills, empathy, and a comprehensive understanding of member needs. As a Healthcare Case Coordinator at VIVIO Health, you will be responsible for managing new and existing therapy requests, collaborating with providers and specialty pharmacies, and advocating for members' needs and preferences.

Key Responsibilities: Delivering Exceptional Member Care

• Therapy Management:
  • Accept ownership for managing new and existing therapy requests, ensuring seamless service delivery.
  • Comprehensively assess member treatment needs and collaborate with providers and specialty pharmacies to prioritize member therapy needs.
  • Maintain accurate and thorough documentation of all interactions and therapy updates.
  • Continuously monitor and evaluate member therapy plans and progress.
  • Balance multiple responsibilities, including case management and inbound and outbound contact, while demonstrating skill flexibility.
• Member Advocacy:
  • Take the time to understand each member's unique needs, preferences, and circumstances.
  • Advocate for members' needs and preferences in therapy decision-making processes.
  • Assist members in navigating barriers and explain their options for receiving their medications.
  • Provide members with information and resources to help them make informed decisions about their therapy options.
  • Empower members to participate actively in their treatment planning and decision-making process.
• Case Resolution and Problem-Solving:
  • Resolve member cases and inquiries in a timely and efficient manner, demonstrating strong critical thinking skills and attention to detail.
  • Review and resolve next-level questions or concerns from members, providers, and pharmacies.
  • Critically evaluate scenarios, anticipate potential challenges, and adapt your approach to meet members' evolving needs effectively.
• Communication and Collaboration:
  • Communicate member progress by proactively informing members of their therapy status and options and intervening in crises.
  • Manage communication with providers, ensuring professional and empathetic communication, fostering positive relationships, and ensuring a high level of member satisfaction.
  • Work closely with other departments to coordinate resources and address member inquiries or concerns effectively.

Qualifications: The Ideal Candidate

To excel in this role, you should possess:

• At least 3 years of experience in the healthcare industry, focusing on care coordination, member advocacy, or related roles.
• A minimum of 3 years of customer service experience, preferably in case management within the healthcare sector. Call center experience is a plus.
• Proven experience working in a high-volume, fast-paced, evolving team environment.
• The ability to problem-solve, positively adapt to changing working conditions, and multitask.
• A passion for improving healthcare and helping people, with demonstrated success in a similar role.
• Exceptional communication skills, with the ability to quickly get up to speed with the VIVIO Health program and effectively articulate its benefits.
• A responsible and reliable approach to work, with a commitment to constant performance improvement.
• High attention to detail and organizational skills.
• Experience with Amazon Connect is desirable.
• A high school diploma or GED.
• Availability to work a full-time role between the hours of 6 am PT - 5 pm PT (9 am ET - 8 pm ET).
• Bilingual skills are a plus.

What We Offer: A Comprehensive Benefits Package and Opportunities for Growth

At VIVIO Health, we offer a competitive compensation package and a range of benefits designed to support your well-being and career growth. These include:

• A base pay of $20/hour.
• Bonus eligibility.
• Health benefits.
• PTO.
• 401K.
• The opportunity to work for a growing and innovative company.
• A dynamic and collaborative work environment.
• The chance to make a real impact as part of a Public Benefit Corporation.

Why Join VIVIO Health?

By joining VIVIO Health, you will become part of a pioneering organization that is transforming the healthcare industry through data-driven decision making. As a Full-Time Remote Healthcare Case Coordinator, you will play a critical role in delivering exceptional member care, advocating for members' needs, and contributing to the success of our innovative specialty drug management solutions.

If you are a compassionate and dedicated healthcare professional looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. As an Equal Opportunity Employer, VIVIO Health is committed to diversity and inclusion, and we look forward to hearing from you.

Your Future Starts Here

Don't miss out on this exciting role. We are looking forward to hearing from you. Apply now and join our team in revolutionizing healthcare through data-driven decision making!