Specialty Pharmacy Liaison

Beth Israel Lahey Health • Westwood, MA

22h

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. The role is also involved in all aspects of obtaining patient access to prescribed medication. Joining the growing BILH team means making a difference in people's lives.

Requirements

• High School diploma or GED 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
• License Mass Registered Pharmacy Tech.
• 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.

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees