Specialty Pharmacy Liaison

Beth Israel Lahey Health•Westwood, MA

11d•$29 - $39

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Specialty Pharmacy Liaison Job Description: Job Summary: 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 preferred., or Registration Pharm Tech Cert Board preferred.
1-3 years related work experience required in prior authorization.
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.