Pharmacy Medication Access Coordinator

BMC Software•Boston, MA

7d•$30 - $44

About The Position

Boston Medical Center’s Specialty Pharmacy serves patients with complex medication needs through an integrated care team and personalized support. The Pharmacy Medication Access Coordinator works with patients, pharmacists, providers, clinic staff, pharmacies, payers, and manufacturers to support medication access, adherence, and patient outcomes. The role combines patient service with responsibility for supporting specialty pharmacy growth and business performance. The coordinator helps patients obtain and use medications safely, supports refill continuity, and addresses barriers such as insurance approval and affordability. The position may be located in a clinical area and requires close integration with clinic teams. It also includes technician pharmacy services, operational coordination, patient relationship development, and independent management of assigned work under leadership supervision.

Requirements

High school diploma or GED required.
Registration as a Pharmacy Technician with the Massachusetts Board of Pharmacy or a Massachusetts Pharmacy Intern License.
Pharmacy technicians must have current active national certification verified by PTCB or ExCPT.
Four to five years of pharmacy experience required; pharmacy interns must be in their second year.
Excellent English oral and written communication skills, including professional telephone communication.
Strong interpersonal and customer-service skills, including the ability to explain information clearly and advocate for patients.
Organization, attention to detail, self-direction, multitasking and prioritization, dependability, empathy, quality focus, and goal orientation.
Cultural sensitivity and comfort working with people across a wide range of social, racial, and ethnic populations.
Ability to exercise discretion and maintain confidentiality when handling sensitive private data.
Ability to understand and promote hospital objectives through coordination and commitment to program goals.
Flexibility to adapt to changing departmental needs, including assisting colleagues and adjusting assignments.
High proficiency in Microsoft Office, particularly Excel, Word, and Outlook, and ability to learn relevant applications and extract necessary information.
Must pass a drug screen as part of employment screening to meet URAC requirements.

Nice To Haves

Associate or bachelor’s degree.
Knowledge of transplant, hepatitis C, infectious diseases including HIV, oncology, or other specialty medication therapies.
Bilingual or multilingual skills beyond English appropriate to the patient population served.
Experience submitting prior authorization requests to third-party payers.
Familiarity with the 340B drug program and ACO hospital models.
Knowledge of QS1/NRx, EPIC, Salesforce, or Navinet.

Responsibilities

Manage and grow the specialty pharmacy patient account base through recruitment and retention of patients referred through the BMC Health System.
Follow up on leads and generate new business through provider relationships and direct patient service; work toward assigned recruitment targets.
Encourage clinic patients to use BMC pharmacy services and provide medication adherence support using available tools and applications.
Conduct outbound therapy and medication adherence check-ins and process refills to help prevent gaps in treatment.
Monitor medication adherence-related outcomes and triage patient needs to pharmacists to support safe medication use.
Build relationships with providers, hospital staff, patients, payers, and manufacturers to support patient care and medication access.
Integrate with clinic staff, represent the pharmacy department, and coordinate transitions of patient care between clinic and pharmacy.
Train, mentor, and support colleagues and new staff in operational expectations.
Coordinate care needs, including laboratory and appointment follow-up when needed for medication access and adherence.
Process orders, forms, prior authorizations, copay assistance applications, and referrals to financial services.
Advocate for patients by reducing medication-access barriers and encouraging appropriate medication use.
Interpret and retrieve clinical documentation as needed to satisfy payer criteria for drug approvals; stay current on payer criteria in the assigned area.
Navigate the patient electronic medical record to answer questions and provide documentation for prior authorizations.
Enter data, perform test-claim adjudication, and prepare follow-up action plans to meet operational objectives.
Communicate professionally and promptly with providers, pharmacy leadership, medical directors, and practice managers, including through the EMR.
Resolve high-level patient-care issues, recognize when to involve managers or clinicians, and develop workable solutions to complex problems.
Manage workload independently, meet established goals in a fast-paced environment, and participate in assigned departmental and organizational committees.
Support ethical, effective, appropriate, and safe pharmacy services under the direct supervision of leadership; contribute to a healthy work environment.
Assist patients and visitors courteously, provide customer service and service recovery when appropriate, obtain information for new prescriptions, and maintain confidentiality.
Refer prescription-related inquiries and clinical questions to a pharmacist as appropriate; refer matters requiring attention to a pharmacist or manager.
Communicate equipment maintenance or malfunction issues and unsafe working conditions to pharmacists or the pharmacy manager.
Adhere to BMC’s RESPECT behavioral standards.