Clinical Support Manager

Job Type

Full-time

Description

Soleo Health is seeking a Clinical Support Manager to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!

Soleo Health Perks:

• Competitive Wages
• 401(k) with a Match
• Referral Bonus
• Paid Time Off
• Great Company Culture
• Annual Merit Based Increases
• No Weekends or Holidays
• Paid Parental Leave Options
• Affordable Medical, Dental, & Vision Insurance Plans
• Company Paid Disability & Basic Life Insurance
• HSA & FSA (including dependent care) Options
• Education Assistance Program
  
  

The Position:

The Client Support Manager (CSL) serves as a key resource for managing contracted client relationships, including Soleo's narrow network and Site of Care Programs. The CSL communicates with internal and external stakeholders, primarily via phone or email, to resolve payer-related contractual and communication issues promptly and accurately. This role reports to the Patient Access department and ensures compliance with payer program requirements. Responsibilities include

• Maintain relationships with assigned payer organization personnel in a customer service capacity.
• Support Soleo Health’s contracted clients as assigned.
• Communicate effectively with payers via email, phone, letter, or portal.
• Collaborate with the assigned Payor Director or Senior Director.
• Serve as Manager between payers and Soleo departments.
• Manage daily communications with designated health plans.
• Handle direct referral processes and respond to case managers within required timeframes.
• Follow up on payer initiatives and program requirements.
• Use Soleo software to review account notes and pricing.
• Send updated logs as required by payers.
• Act as primary contact for assigned payer initiatives.
• Support contract implementation and ensure compliance.
• Prepare and submit client reports by due dates.
• Complete ad hoc reports and projects as requested.
• Assist with reimbursement projects and address client billing inquiries.
• Adhere to Soleo Health policies, procedures, and standards of conduct.
• Attend mandatory annual training courses.
• Report known or suspected violations of policies or standards.
• Perform other related duties as assigned.
  
  

Schedule:

• Monday-Friday 8:30am - 5:00pm
  
  

Requirements

• Home infusion and/or specialty pharmacy required
• Bachelor’s degree in business administration, Healthcare Administration, or a related field (preferred), or equivalent relevant experience
• 2–4 years of experience in healthcare, managed care, customer service, or client account management
• Experience with payor relationships and working within healthcare contracts, credentialing, and re-credentialing processes
• Familiarity with case management procedures, referral processes, and billing/reimbursement systems
• Experience using healthcare management software and online portals for payor and referral management
• Must have organizational, written, communication and interpersonal skills
• Proficient in Microsoft Office and other applications including Word, and Excel
  
  

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!

Soleo’s Core Values:

• Improve patients’ lives every day
• Be passionate in everything you do
• Encourage unlimited ideas and creative thinking
• Make decisions as if you own the company
• Do the right thing
• Have fun!
  
  

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.

Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

Salary Description

$60k-$75k per year