Pharmacy Medication Access Coordinator - Specialty Pharmacy, Hybrid

Boston Medical Center•Boston, MA

1d•$30 - $44•Hybrid

About The Position

POSITION SUMMARY: Boston Medical Center (BMC) provides a specialty pharmacy service to serve the complex medication needs of its chronic patients. BMC Specialty Pharmacy will provide patients who require specialty drugs a comprehensive service program that includes an on-site pharmacy staffed with a care team that includes Pharmacists, Pharmacy Technicians and Pharmacy Liaisons. The cornerstone of BMC's Specialty Pharmacy approach is an unparalleled level of integration with the clinical team coupled with highly personalized service, thus driving better outcomes at lower cost. The Pharmacy Patient Liaison is a unique role that provides integrated support to patients and pharmacists by providing a 'hands-on' approach to total quality patient care. This position is essential to the growth and sustainability of the specialty pharmacy business and plays a central role in supporting the health system’s operating margin. This hybridized role is a unique combination of patient service delivery and business performance. The Pharmacy Patient Liaison works closely with patients to deliver a full continuum of medication adherence support by utilizing BMC's various tools and applications. The Pharmacy Patient Liaison is responsible for providing technician pharmacy services with an emphasis on performing assigned tasks that require working independently and increased competency relating to patient medication therapy. Position : Pharmacy Medication Access Coordinator Department : Specialty Pharmacy Schedule : Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Pharmacy Patient Liaison Responsibilities Navigate Electronic Medical Records (EMR) and manage documentation, prior authorizations, and financial assistance processes accurately and efficiently Communicate effectively across clinical and administrative teams and with patients to support hospital initiatives, medication access, and patient care Exercise sound judgment to resolve complex patient care issues and escalate appropriately to ensure safety and quality Manage workload independently in a fast-paced environment while demonstrating strong technical proficiency and problem-solving skills Train, mentor, and support new staff to uphold operational standards and maintain high-quality service delivery Document and triage patient interactions and pharmacy-related concerns to ensure safe, coordinated care and medication adherence Foster trusting relationships with providers, care teams, ancillary staff, and patients to enhance collaboration, transitions of care, and patient retention Prior Authorization Responsibilities Assess and extract clinical documentation to meet payer criteria for drug approvals Cultivate payer relationships and stay current on payer requirements within assigned areas to optimize patient outcomes and maximize medication access Proactively identify barriers to medication access and develop solutions to improve patient adherence Evaluate, monitor, and pursue financial assistance opportunities to reduce patient out-of-pocket costs Manage financial assistance applications and support processes throughout the patient’s medication journey Medication Access Responsibilities Manage and expand specialty pharmacy accounts through proactive recruitment and retention strategies using provider relationships, customer engagement and revenue metrics Represent pharmacy department in clinical settings by proactively managing patient medication needs in partnership with clinic staff Lead departmental and organizational initiatives to improve operational efficiency and patient outcomes Apply data management and claims knowledge to ensure accurate adjudication and proactive resolution of issues Coordinate patient healthcare needs such as labs and appointment follow-ups to support medication access and adherence Must adhere to all of BMC’s RESPECT behavioral standards. Drug Testing Required (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Requirements

Requires a high school diploma (or state accepted equivalency)
Must have a minimum of 4 years of pharmacy experience
Pharmacy Interns must be in their 2nd year
As part of the employment screening process, to be compliant with URAC (U tilization Review Accreditation Commission) r equirements, employees hired into this role must pass a drug screen
Must be currently registered as a Pharmacy Technician or Pharmacy Intern with the Board of Pharmacy in Massachusetts.
Technicians must have current active National Certification verified by PTCB or ExCPT.
Excellent English oral and written communication skills required; as well as ability to communicate professionally over the phone.
Excellent interpersonal skills to provide superb personalized customer service and to instill confidence and to advocate for patients; ability to explain required information to customers in a comprehensible manner.
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.
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.
Flexibility to adapt to changes in the departmental needs including but not limited to: offering assistance to other team members, adjusting assignments, etc.
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.

Nice To Haves

AA or BA
Knowledge of transplant, hepatitis C, infectious diseases (including HIV), oncology and/or other specialty medication therapies
Bilingual or multi-lingual skills (beyond that of English) appropriate to the patient population served
Experience with submission of prior authorization requests to third party payors
Familiarity with 340B drug program and ACO hospital models
Knowledge of QS1/NRx, EPIC, Salesforce, Navinet

Responsibilities

Navigate Electronic Medical Records (EMR) and manage documentation, prior authorizations, and financial assistance processes accurately and efficiently
Communicate effectively across clinical and administrative teams and with patients to support hospital initiatives, medication access, and patient care
Exercise sound judgment to resolve complex patient care issues and escalate appropriately to ensure safety and quality
Manage workload independently in a fast-paced environment while demonstrating strong technical proficiency and problem-solving skills
Train, mentor, and support new staff to uphold operational standards and maintain high-quality service delivery
Document and triage patient interactions and pharmacy-related concerns to ensure safe, coordinated care and medication adherence
Foster trusting relationships with providers, care teams, ancillary staff, and patients to enhance collaboration, transitions of care, and patient retention
Assess and extract clinical documentation to meet payer criteria for drug approvals
Cultivate payer relationships and stay current on payer requirements within assigned areas to optimize patient outcomes and maximize medication access
Proactively identify barriers to medication access and develop solutions to improve patient adherence
Evaluate, monitor, and pursue financial assistance opportunities to reduce patient out-of-pocket costs
Manage financial assistance applications and support processes throughout the patient’s medication journey
Manage and expand specialty pharmacy accounts through proactive recruitment and retention strategies using provider relationships, customer engagement and revenue metrics
Represent pharmacy department in clinical settings by proactively managing patient medication needs in partnership with clinic staff
Lead departmental and organizational initiatives to improve operational efficiency and patient outcomes
Apply data management and claims knowledge to ensure accurate adjudication and proactive resolution of issues
Coordinate patient healthcare needs such as labs and appointment follow-ups to support medication access and adherence
Must adhere to all of BMC’s RESPECT behavioral standards