UnitedHealth Group Inc.-posted 21 days ago
$18 - $32/Yr
Full-time • Entry Level
Onsite • Wheelersburg, OH
5,001-10,000 employees
Insurance Carriers and Related Activities

As a Specialty Pharmacy Liaison with CPS Solutions, LLC, you will engage directly with patients to coordinate pharmacy services through the health system's specialty and retail pharmacy. Acting as a bridge between patients, providers, and the pharmacy, this role focuses on improving prescription capture, providing follow-up counseling, and ensuring smooth communication. Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely with the CPS Patient Care Services team and works under the direct supervision of a pharmacist. Pharmacy Location: Southern Ohio Medical Center Specialty Pharmacy - 8940 Ohio River Rd Wheelersburg, OH 45694 Schedule: Monday through Friday 8:30am-5:00pm, 40 hours per week

  • Initializing and leading ongoing work in clinics and ensuring that the patient/CPS engagement is appropriate and consistent with their preferences.
  • Ensuring that every patient who can benefit from specialty pharmacy services is identified and met in clinic upon arrival
  • Explaining the benefits of our specialty pharmacy, without impeding patient choice of pharmacy, and achieving patient participation
  • Successfully enrolling patients into the program
  • Performing all benefits investigation, prior authorization, and financial assistance work needed to ensure patients have access to the medication they need
  • Overseeing services provided to enrolled patients - ensuring that everything from order entry to final verification is completed quickly, accurately, and in accordance with patients' needs
  • Providing direct support to enrolled patients to ensure that they are supported throughout their therapy regimen and achieve their intended outcome.
  • Conducting outbound phone calls for patient support, adherence checks, and refill reminders
  • Accepting inbound calls from patients, as needed and sharing in on call coverage to ensure 24/7 patient support
  • Appropriately triaging any clinical questions to an appropriate clinician (pharmacist, nurse, or provider)
  • High school diploma or equivalent (college degree preferred)
  • Active Pharmacy Technician license in good standing in applicable state
  • Recent work experience as a Pharmacy Technician, ideally in specialty or outpatient settings
  • Experience supporting clinical pharmacy programs and performing administrative tasks such as prior authorizations and data entry
  • Experience in a health system specialty pharmacy as an in-clinic liaison
  • Experience working with various disease states
  • Solid knowledge of medication regimens, age-specific dosing, and managed care practices
  • Proficient in pharmacy systems, care management platforms, and Microsoft Office (Outlook, Word, Excel)
  • a comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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