Specialty Drug Administrator I

MedImpact Healthcare Systems, Inc.•Tempe, AZ

4d•$16 - $25•Onsite

About The Position

Working as the liaison between the member, healthcare providers, and prescription drug assistance programs, the Specialty Drug Program Administrator helps to connect members to prescription drug assistance programs that will facilitate members to receive medications at no charge or at a discounted price. The Specialty Drug Program Administrator will work directly with members and physicians to ensure all required paperwork for a MAP/PAP application is completed and submitted to the manufacturer. Once a coverage determination has been made by the manufacturer, the Specialty Drug Program Administrator will work directly with the PBM and dispensing pharmacy to ensure the claim approves appropriately and the member receives their medication.

Requirements

GED/HS Diploma and 6+ months’ experience or equivalent combination of education and experience
Strong proficiency with MS Office / Word, PowerPoint, Excel, Project, Visio, and Outlook to create complex documents, manage schedules, and analyze data.
Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to apply concepts of basic algebra and geometry.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Nice To Haves

Strong proficiency with MedImpact and/or MedImpact Direct systems including MedAccess, MedOptimize, and Salesforce.
Skills that are desirable, but not required include SQL query development, Golden32 or other equivalent database browsing software, and Excel macro programming.

Responsibilities

Perform patient & physician outreach; educating patient on potential Alternate Funding programs as they relate to their specific benefit.
Provide all necessary paperwork and documentation to the patient and physician and follow-up on appropriate manufacturer program to determine patient eligibility.
Enter benefit overrides as applicable to ensure pharmacy receives a paid claim once funding has been secured.
Provide all necessary billing information to the dispensing pharmacy once funding has been approved.
Ensure patients are aware of documentation requirements for the program to ensure application for refills or new application process can proceed.
Thoroughly document patient contacts, patient information, and other related agency activities in the case file.
Performs other duties as assigned by Principal Enterprise Drug Product Solutions.