Pharmacy Implementation Specialist

Clearway Health•Boston, MA

6d•Onsite

About The Position

At Clearway Health, we’ve been recognized as a Great Place to Work® for three years in a row—and we’re just getting started. We’re redefining specialty pharmacy by improving access to care, delivering personalized support, and helping patients navigate complex medication needs. Our award-winning culture is built on empowering our people to grow, contribute, and make a difference every day. If you’re driven to create meaningful change and thrive in a collaborative, purpose-driven environment, you’ll fit right in. If you’re looking for a role where you can truly make an impact, keep reading below! The Implementation Specialist at Clearway Health will work with new partnership hospitals to integrate and launch new pharmacy services. The Implementation Specialist is deployed to the client at the onset of the partnership and is responsible for providing hands on, in person, integrated care for patients with high medication cost. You'll be responsible for delivering safe and efficient specialty services while training the incoming new team members including Pharmacy Technicians and Pharmacy Liaisons. When not integrated at a new hospital partnership, you will be assigned work from an existing liaison that requires additional support, or other special projects in support of company or departmental initiatives. This position requires extensive air and/or auto travel to and from the client sites (domestic only). The Implementation Specialist is expected to travel from several weeks to up to one year for each client site. Frequency and mode of travel will depend on the distance from the individual’s remote home base to the client’s site. The Implementation Specialist is a full-time travelling position; the qualified candidate must be willing to travel, which will include overnight and extended stays at a client's location. Estimated durations of travel will be 3-4 months per project.

Requirements

Must be registered and in good standing with any State Board of Pharmacy.
Implementation Specialist must have current active National Certification verified by PTCB.
Must have a valid driver's license with current auto insurance.
3+ years of pharmacy experience required.
Excellent English oral and written communication skills required; as well as ability to communicate professionally over the phone.
Excellent interpersonal skills to relate to hospital healthcare personnel working cooperatively and collaboratively to resolve situations and problems, as well as effectively communicating and displaying leadership within and outside of the department.
Cultural sensitivity, understanding, and comfort with a wide range of social, racial, and ethnic populations.
Must practice discretion and confidentiality as position deals with highly sensitive and private data.
Ability to understand, explain, and actively promote the hospital’s objectives through direct coordination and commitment to the program’s goals.
Demonstrates a desire and capacity to expand expertise, develop new skills, and grow professionally.
Highly proficient in Microsoft Office, particularly Excel, Word, and Outlook. Ability to quickly learn other relevant applications that support management of patient care and assigned responsibilities; and ability to extract necessary information.
Other professional skills and qualities: organized, strong attention to detail, ability to self-direct through multitasking and prioritizing, dependable, empathetic, focused on quality service, goal oriented.
Capacity to work independently by managing workload and meeting established goals in a fast-paced environment
Experience with submission of prior authorization requests to third party payors

Nice To Haves

Experience developing and documenting specialty pharmacy workflows, SOPs, and training materials to support new program launches and operational consistency, preferred.
Familiarity with specialty pharmacy operations and compliance standards (e.g., payer requirements, Prior Authorization processes, and accreditation standards such as URAC or ACHC) preferred.
Experience managing implementation timelines, milestones, and issue resolution to ensure projects launch on schedule and meet operational and client expectations.
Pharmacy leadership experience preferred
Knowledge of transplant, hepatitis C, infectious diseases (including HIV), oncology and/or other specialty medication therapies preferred.
Bilingual or multi-lingual skills (beyond that of English) appropriate to the patient population served is a plus.
Familiarity with 340B drug program and ACO hospital models
Knowledge of QS1/NRx, EPIC, Salesforce, CoverMyMeds

Responsibilities

Provide hands-on expertise, resources, and knowledge to new hospital sites as part of a new client partnership agreement
Own in partnership with our People & Culture team the on-boarding experience and client satisfaction of new hires
Build, develop and/or maintaining on-site provider and pharmacy relationships by providing exceptional pharmacy care to patients
Develops relationships with local insurances, drug representatives, and external care providers to create a holistic care model for every patient
Owning of identification and address of Clinic and/or Pharmacy workflow inefficiencies: Identify key barriers, create workflow maps, propose new ideas, gain agreement from staff, and execute changes to promote workflow efficiencies (PA workflows, pharmacy workflows, escalation protocols, communication methods, patient flows)
Integrating specific and centralized processes for safe and efficient fulfillment of specialty pharmacy services at client sites; including training materials and education
Refinement of workflows and processes post launch to deliver Clearway Health experience to patients
Training of on-site client staff liaisons to ensure local model is consistent with every site and ensure all liaisons meet competency requirements
Provider Relations –The Implementation Specialist is responsible for making initial contact with the clinical team. This includes but not limited to: Attending a provider or all staff meetings.
Shadow a member of each group (pharmacy staff, front desk, MA, RN, and MD) to evaluate the efficiency and flow of the program’s current state.
Identify clinic sponsors to obtain feedback/gaps with past, present, and future workflows. The purpose is to mimic what is working and provide solutions to improve and expand patient care models.
Train and Shadow new Pharmacy Technician Liaisons and Pharmacists in all duties, roles, and responsibilities
Track and report status to management along with any issues: escalate to leadership any risks and barriers to success including identifying and managing individual staff presenting challenges with adopting new protocols
As a member of the clinical team, work seamlessly alongside hospital clinicians to serve patients both face-to-face and over the phone.
Communicate with Specialty Pharmacy Management, Medical Directors, and Practice Managers to provide support for new and ongoing hospital initiatives
Monitor staff to ensure that all required documentation is properly completed for billing purposes to include electronic orders and paperwork related to medications ordered
Utilize drug pricing provided by pharmacy and reconcile reimbursement to make sure it is within range
Communicate directly with patients to assist them in the awareness of their medications
Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow- up
Patient Relationship Development and Client Performance – Responsible for managing and growing patient base by recruitment and retention of specialty pharmacy services
Patient enrollment functions, including following up on provided leads for new business in clinic, and generating leads through provider relationships or direct customer service engagements
Retention of patients through excellent service
Navigation of patient EMR (electronic medical record) to effectively answer questions and/or provide documentation as needed for prior authorizations
Resolve patient care issues and situational awareness around when to involve managers and/ or clinicians
Filing and renewing of any primary state pharmacy technician license registration.