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CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. Cares for patients with chronic and complex illnesses. Offers personalized clinical and educational services to improve health outcomes and drive superior medication adherence. CenterWell, a Humana company, creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and the fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional, and social wellness of our patients. Part of Humana Inc. (NYSE: HUM). Offers stability, industry-leading benefits, and opportunities to grow yourself and your career. Employs more than 30,000 clinicians committed to putting health first. Provides flexible scheduling options, clinical certifications, leadership development programs, and career coaching.
Referral Coordinator - REMOTE
Location
United States
Posted
107 days ago
Salary
$40K - $52.3K / year
Seniority
Mid Level
Job Description
Referral Coordinator - REMOTE
CenterWell
Become a part of our caring community CenterWell is seeking a hard-working and dedicated Referral Coordinator, to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office and who is interested in being part of a team that focuses on excellent service to others. Overview of Referral Coordinator Job Functions: - This position is REMOTE - Prepares and processes all managed care referral paperwork. - Gathers pertinent information from physicians, nurse practitioners and nursing staff to complete referrals. - Contacts various offices/facilities to obtain necessary appointments for completing referrals. - Maintains referral records and files documentation. - Responds to patient inquiries regarding health plan referrals. - Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Use your skills to make an impact Required Qualifications - 1-3 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population - Referral experience is MANDATORY - Proficient with medical terminology - Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook - Experience with Electronic Medical Records - Excellent professional communication abilities, at all levels within the organization and with patients, at all times Preferred Qualifications - Bachelor's Degree in Healthcare or Business Administration - Knowledge of ICD 10 and CPT coding - Bilingual in English and Spanish - Medical Assistant or Professional State Certifications related to healthcare Working hours: Monday to Friday 8AM-5PM Local travel may be required; Mileage is reimbursed ** PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format) ** Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Interview Format – HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Language Proficiency Testing: Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing. Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Blue Cross and Blue Shield Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities #LI-HJ1 #LI-REMOTE Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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Before reading the job post, we encourage you to watch this video about our company. It gives you an inside look at how we started, the team and culture that made us successful, and where we're going. It's easy to read a job post and apply, but people often wonder about the culture and whether they would fit in. If you want to call Harrow your home and genuinely want to be part of a family and something big, then we encourage you to click this link and get to know us. Who is Harrow? Harrow (Nasdaq: HROW) is a leading provider of ophthalmic disease management solutions in North America. Harrow is an incredible entrepreneurial company – where we celebrate the ability of every member of the Harrow Family to be the CEO of their job. Harrow’s values have driven interest over the past decade in attracting high-performing professionals in a variety of disciplines. 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Harrow’s ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including: - An expanding Retina Portfolio including IHEEZO®, TRIESENCE®, BYOOVIZTM, and OPUVIZTM - A broad Dry Eye Disease product line, led by VEVYE® and bolstered by well-known adjacent ocular surface disease products such as FLAREX® and FRESHKOTE® - A peri-operative Surgical product line, led by TRIESENCE®, and BYQLOVITM - A Rare and Specialty product line, which includes various high-need and utility products such as ILEVRO®, NATACYN®, and VERKAZIA® - A robust internal development pipeline with multiple late-stage candidates, including MELT-300, MELT-210, H-N08, and CR-01 Job Summary The DE Account Specialist within the Dry Eye Business Unit is responsible for unlocking the full potential of priority accounts through enterprise‑level engagement, strategic account planning, and cross‑functional collaboration. This role operates at a broader, more strategic level than a traditional territory sales position, with a focus on identifying and influencing key stakeholders, building durable advocacy, and accelerating growth. Serving in an overlay capacity, this individual partners closely with field sales representatives, marketing, market access, training, and other internal stakeholders to drive cohesive, system‑level account strategies across a defined geographic area, generating new growth for VEVYE. The role requires strong strategic thinking, the ability to influence without direct authority, and demonstrated success managing complex accounts. Significant travel, including frequent overnight stays, is required. Core Responsibilities - Drive growth for the business that results in the delivery of the goal - Outline a business action plan that prioritizes key DED accounts and associated ECPs to allocate time and resources to drive growth - Develop comprehensive near-term account plans to unlock growth potential across priority accounts and associated ECP targets - Employ a data-driven approach, considering the market opportunity, VEVYE performance, account performance, market dynamics, and customer insights to inform strategic pivots and real-time business adjustments - Engage Target accounts and ECPs by delivering clinical differentiating VEVYE that encourages earlier utilization, increases brand loyalty, and establishes a new growth trajectory - Clear understanding of Account and ECP adoption and the vital role of clinical and non-clinical selling - Serve as the central point (QB) of coordination for Target accounts across a defined geography, including multi‑site or system‑based customers - Provide strategic guidance and support to sales partners on complex accounts, system‑level opportunities, and challenging access environments - Effectively document account strategies, activities, insights, and coordinated actions in CRM systems in a timely and accurate manner - Ensure all activities are conducted in compliance with company policies, industry codes of practice, and state and federal regulations Qualifications & Requirements - 5-7 years of ophthalmic pharmaceutical experience - Bachelor’s degree required; advanced degree or relevant business training a plus - Proven track record of sales success in dry eye, anterior segment, or broader ophthalmic/specialty pharmaceutical environments - Proven success in engaging at multiple levels within accounts, including senior clinical, administrative, and non‑clinical stakeholders - Demonstrate strong business acumen and executive presence in all internal and external interactions - Strong strategic thinking skills with experience developing and executing short‑ and long‑term account plans - Ability to influence cross‑functional partners and drive alignment without direct authority - Experience navigating payer, access, and reimbursement environments to support pull‑through and sustained account growth - Excellent analytical, communication, and presentation skills - High level of autonomy, initiative, and adaptability in a dynamic market environment - Proficiency with CRM systems and standard business tools (Excel, PowerPoint, Word) - Willingness and ability to travel extensively, 70-80%, including overnight stays Position Type - Remote Travel - Up to 70-80%

