Medication Access Specialist
About The Position
Mary Bird Perkins Cancer Center is Louisiana’s leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are delivering on our mission to improve survivorship and lessen the burden of cancer. Mary Bird Perkins and its partners work together to provide state-of-the-art treatments and unparalleled collaborative, comprehensive cancer services. This culture of innovation helps attract the best cancer minds in the country, from expert physicians and highly specialized scientists to forward-thinking leaders in supportive care and other disciplines. Together, with our hospital and physician partners, we are one-hundred percent focused on cancer care. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Requirements
- High school diploma or equivalent required.
- Working knowledge of medical and pharmacy benefit structures, prior authorization processes, payer policies, specialty pharmacy requirements, site-of-care restrictions, and high-cost medication access.
- Familiarity with drug channel concepts including medical versus pharmacy benefit, buy-and-bill, specialty pharmacy routing, payer-mandated specialty pharmacy, 340B, GPO, and limited-distribution requirements.
- Ability to distinguish benefit/access functions from pharmacist-required clinical, counseling, prescription verification, and dispensing responsibilities.
- Strong communication, organization, documentation, problem-solving, prioritization, attention to detail, and follow-through skills.
Nice To Haves
- Associate or bachelor's degree in healthcare, business, pharmacy, finance, or a related field preferred but not required.
- Minimum two years of experience in medication access, patient access, business office operations, medical or pharmacy benefits, prior authorization, reimbursement, specialty pharmacy, infusion services, or a related healthcare setting preferred.
- Experience evaluating medical and/or pharmacy benefits for high-cost medications preferred.
- Oncology, infusion, specialty pharmacy, reimbursement, or complex medication-access experience preferred.
- Pharmacy technician registration and/or Certified Pharmacy Technician (CPhT) certification preferred only when applicable to an individual's background or assigned responsibilities.
Responsibilities
- Benefit Investigation & Medication Access
- Prior Authorization & Payer Coordination
- Drug Channel & Specialty Access Support
- Patient / Care Team Communication & Handoffs
- Documentation, Quality & Compliance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
