Pharmacy Liaison, Advanced Therapeutics, 40hr, Day

UMass Memorial Health•Holden, MA
•$24 - $35

About The Position

Under the direct supervision of the Operations Manager, the Pharmacy Liaison performs benefit investigation tasks for the Advanced Therapeutics team. These tasks include running test claims, submitting prior authorizations, documenting results in patient charts, and completing patient outreach and follow-up calls. The position works Monday through Friday, 8:30 a.m. to 5:00 p.m., for 40 hours per week, on the day shift. The role supports Advanced Therapeutics PharmD and APP teams by investigating medication benefits, handling insurance authorizations and appeals, sharing information about manufacturer patient savings programs, coordinating prescription delivery, maintaining medication inventory, and assisting with quality and operational improvement activities.

Requirements

  • High school diploma or equivalent.
  • Current license with the Massachusetts Board of Pharmacy.
  • National certification from a governing body such as the Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (ExCPT); if not certified at hire, certification must be obtained within six months of hire.
  • At least one year of related experience as a Pharmacy Technician.
  • Proficiency in math and knowledge of and ability to use a computer.
  • Ability to follow oral and written instructions accurately, efficiently, and dependably.
  • Ability to work in a hybrid or remote environment.
  • Positive work ethic, motivation, and a professional demeanor that promotes teamwork.

Responsibilities

  • Complete requested benefit investigations and document results in the patient electronic medical record.
  • Submit prior authorizations to insurers through online and telephone methods, appeal decisions when necessary, and follow up with insurers by phone.
  • Understand manufacturer patient savings opportunities and communicate relevant information clearly to providers and patients.
  • Make follow-up calls to patients as needed about insurance decisions, rejections, and prescription filling information.
  • Maintain perpetual inventory of appropriate medications from internal pharmacies and communicate inventory information to the clinic team daily.
  • Coordinate prescription delivery with patients and the Home Delivery pharmacy, and queue prescriptions for the home delivery team.
  • Maintain a clean work area and assist with quality indicator monitoring.
  • Identify problems or areas for improvement, assist the manager with problem-solving projects and operational improvements, and participate in Continuous Quality Improvement activities or teams.

Benefits

  • A signing bonus may be available; eligibility will be confirmed by a member of the Recruitment Team during the interview process.
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