Specialty Pharmacy Liaison

AssistRx • Maitland, FL

1d • Onsite

About The Position

The purpose of this position is to serve as a vital link between AssistRx and the client’s Field Reimbursement Managers (FRMs) and the contracted specialty pharmacies. This role involves ensuring efficient coordination, communication, and collaboration to enhance patient access to therapies. The ideal candidate will possess a deep understanding of reimbursement processes, specialty pharmacy operations, and the healthcare landscape. This candidate will also be an adaptable and flexible individual who can easily pivot and adjust to changing circumstances.

Requirements

• 2 to 4 years of experience in a client-facing position.
• 2 to 4 years of experience interacting with healthcare providers regarding health insurance plan requirements.
• 1 to 2 years of experience in specialty pharmacy with medication assistance, prior authorizations, pharmacy benefits investigation, managed care, claims processing.
• Experience working with pharmaceutical or biotech companies.
• 5 years of progressive health care business experience (SPP, hospitals, or insurance).
• Computer skills including Microsoft Office Suite

Nice To Haves

• May present a hybrid opportunity depending on performance and program needs.
• Many associates earn the opportunity to work a hybrid schedule after 120 days after training.

Responsibilities

• Develop and maintain strong relationships with key stakeholders, including specialty pharmacies, and Field Reimbursement Managers.
• Single point of contact for FRMs and manages all questions received from the FRM Team with the ability to provide updates or problem solve, including maintaining weekly meetings with FRM agents.
• Asks probing questions of the Specialty Pharmacy to appropriately identify delays in identifying coverage and completing shipments for enrolled patients.
• Manage questions and inquiries from the Specialty Pharmacies
• Relays status updates and challenges to Program Specialist as appropriate
• Provide support as needed in managing cases escalated through program leadership.
• Will maintain weekly meetings with SP contact and provide daily spreadsheet with most up to date information.
• Monitor and analyze reimbursement trends to provide actionable insights and recommendations to Leadership teams.
• Assist in resolving complex reimbursement issues by working closely with Specialty Pharmacies, and Program Specialist.

Benefits

• Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary.
• Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.
• Medical, dental, vision, life, & short-term disability insurance
• Teledoc services for those enrolled in medical insurance
• Matching 401(k) with immediate vesting

What This Job Offers

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