Specialty Pharmacy Liaison

Beth Israel Lahey Health•Westwood, MA

3d•$29 - $39•Onsite

About The Position

This position acts as a liaison between specialty/retail pharmacies and the prescribers/patients to submit, communicate, and document all pharmacy prior authorization outcomes and appeals, if necessary. It is also involved in all aspects of obtaining patient access to prescribed medication including affordability through copay cards/grants/foundations/manufacture assistance programs.

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.