Specialty Pharmacy Liaison

Beth Israel Lahey Health • Westwood, MA

5d • $29 - $39 • Onsite

About The Position

This position acts as a liaison between the specialty/retail pharmacy and the prescribers to document, submit, communicate outcomes and appeal if necessary all pharmacy/medical prior authorizations. Is also involved in all aspects of obtaining patient access to prescribed medication.

Requirements

• High School diploma or GED required.
• License Mass Registered Pharmacy Tech required.
• 3-5 years related work experience required in Pharmacy.
• Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Nice To Haves

• PTCB certification
• Specialty Pharmacy experience and/or prior authorization experience.
• Knowledge of medication use in RA, GI, transplant, hepatitis C, infectious disease (including HIV), and/or oncology a plus.

Responsibilities

• Understands product and payer reimbursement landscape and prior authorization guidelines and processes.
• Collects and reviews all data needed pharmacy and/or medical for prior authorization approvals.
• Resolves insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance.
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly; maintains frequent phone contact with patient, provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate.
• Serves as the direct patient and provider contact for pharmacy benefit information, clinical and program information.
• Coordinates services with providers, specialty pharmacies and national account managers to improve turnaround time for patients.
• Communicates directly with patients to assist them in the awareness of their medications and coordinate teaching visits.
• Manage multiple strategic initiatives simultaneously and reprioritize where necessary and independently and effectively resolves complex accounts, and determine methods and procedures on new or special assignments with minimal supervision.
• Networks with key contacts inside and outside own area of expertise.
• Provides training and support to inter-departmental associates.

Benefits

• The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED