Specialty Access & Assistance Coordinator

DCH Health Care Authority • Tuscaloosa, AL

7d • Onsite

About The Position

The Specialty Pharmacy Access & Assistance Coordinator is responsible for specialty medication access, dispensing, and patient financial navigation. The role brings together prior authorization, benefit verification, specialty dispensing, drug recovery, and patient assistance program functions. The Coordinator reviews patient drug benefits, obtains manufacturer and foundation funding for eligible patients, manages specialty medication orders and shipments, and maintains documentation supporting URAC and ACHC accreditation. The position works with pharmacists, providers, payers, and patients to support timely, affordable access to specialty medications.

Requirements

• Active Alabama Pharmacy Technician registration required by the start date.
• National certification by PTCB or ExCPT required.
• At least two years of combined experience in medication reimbursement, healthcare insurance prior authorization, and/or patient assistance program coordination.
• Proficiency in Microsoft Office, pharmacy dispensing systems, and third-party reimbursement and patient assistance software platforms.
• Strong communication and interpersonal skills, including telephone presence and etiquette.
• Detail-oriented, with strong follow-up skills and the ability to work under pressure and meet deadlines.
• Better-than-average working knowledge of medications and medication classes.
• Ability to read, write legibly, speak, and comprehend English.
• Ability to perform the duties with or without reasonable accommodation.
• Ability to tolerate prolonged periods of sitting and/or standing; hearing and vision must be normal or corrected to within normal range.
• Ability to file and maintain records, complete work thoroughly, and handle responsibilities and challenges reliably and ethically.
• Ability to accept criticism and deal calmly and effectively with high-stress situations.
• Pleasant, cooperative, dependable, and careful in completing work tasks.

Nice To Haves

• Three or more years of pharmacy practice experience.
• Experience with specialty pharmacy dispensing and drug recovery or patient assistance programs.
• Baccalaureate degree strongly preferred.

Responsibilities

• Review and verify patients’ drug benefit information in the electronic medical record and pharmacy computer system.
• Submit third-party prior authorization requests, including complex oncology and specialty drug authorizations.
• Process medication test claims and maximize revenue capture for high-cost take-home medications through external medication authorization.
• Communicate with providers, payers, and patients about coverage determinations and appeals.
• Research, complete, submit, and track Patient Assistance Program applications for assigned facilities.
• Identify and qualify patients for medication assistance and drug recovery programs; locate and secure funding from pharmaceutical manufacturers and foundations.
• Manage patient enrollment and ongoing eligibility in medication assistance programs, and maintain related files and documentation.
• Ensure assistance is maintained for the duration of enrolled patients’ prescriptions and identify programs using third-party software and manufacturer portals.
• Dispense specialty medications and manage the specialty pharmacy dispensing workflow.
• Coordinate specialty orders, including cold-chain and time-sensitive oncology agents, and track shipments and deliveries.
• Maintain accurate inventory of patient-specific medications supplied through assistance programs.
• Complete documentation supporting URAC and ACHC accreditation, including chart audits, temperature logs, and policy-adherence tracking.
• Support 340B program compliance and documentation.
• Perform insurance audits and monitor outstanding claims to support revenue cycle integrity.
• Maintain relationships with hospital contacts, providers, and department managers, keeping them informed about changes affecting medication access and recovery.
• Report program status and barriers to maximizing medication access and recovery opportunities to the Assistant Director.
• Follow DCH standards, policies, procedures, and compliance requirements; promote patient, visitor, and employee safety.
• Use electronic mail, time and attendance software, learning management software, and the intranet.
• Perform other duties as assigned to support departmental goals and operational efficiency.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed