Specialty Practice Pharmacy Analyst

The Ohio State University

1d • Remote

About The Position

The Medication Access Pharmacist collaborates with clinic teams, specialists, prior authorization, and revenue integrity staff to ensure required clinical information is complete for submission of prior authorization requests and approval. Responsibilities include reviewing off-label regimens for appropriate clinical support, verifying provider signed notes, aligning treatment plan dates, and escalating issues as needed. The position also involves direct patient communication, addressing insurance barriers, delivering ABNs, explaining treatment-related next steps, and responding to patient questions. Additionally, the pharmacist serves as a resource for the prior authorization and medication assistance teams, supports provider education, leads process improvement initiatives, and participates in relevant departmental or hospital committees. This position is responsible for ensuring accurate and complete clinical information for prior authorization, assisting with appeal content and peer-to-peer reviews, and escalating issues for timely resolution. The Medication Access Pharmacist must demonstrate mastery of oncology treatment modalities, expected outcomes, insurance requirements, and clinic-specific workflows, while demonstrating exceptional communication, interpersonal, and organizational skills. The role requires collaboration with providers, nursing, pharmacy, financial counselors, scheduling, and PCRMs, and a deep understanding of processes and operations within the practice area.

Requirements

• Bachelor's Degree in Pharmacy required.
• 2 years of relevant experience required.

Nice To Haves

• Doctoral Degree in Pharmacy preferred.
• 2-4 years of relevant experience preferred.

Responsibilities

• Collaborate with clinic teams, specialists, prior authorization, and revenue integrity staff to ensure required clinical information is complete for submission of prior authorization requests and approval.
• Review off-label regimens for appropriate clinical support.
• Verify provider signed notes.
• Align treatment plan dates.
• Escalate issues as needed.
• Direct patient communication, addressing insurance barriers, delivering ABNs, explaining treatment-related next steps, and responding to patient questions.
• Serve as a resource for the prior authorization and medication assistance teams.
• Support provider education.
• Lead process improvement initiatives.
• Participate in relevant departmental or hospital committees.
• Ensure accurate and complete clinical information for prior authorization.
• Assist with appeal content and peer-to-peer reviews.
• Demonstrate mastery of oncology treatment modalities, expected outcomes, insurance requirements, and clinic-specific workflows.
• Demonstrate exceptional communication, interpersonal, and organizational skills.
• Collaborate with providers, nursing, pharmacy, financial counselors, scheduling, and PCRMs.
• Maintain a deep understanding of processes and operations within the practice area.

Benefits

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level