Pharma Support Services Specialist

About the Company

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise, and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers, and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging, and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds, and perspectives makes us stronger, innovative, and more impactful.

About the Role

The Specialist, Pharma Support Services serves as the designated representative on their assigned program(s) to ensure delivery of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of assigned program(s) and contracted requirements. The Specialist will be accountable for referral service delivery as contracted and measured on success in delivering per contracted KPI metrics and accurate and timely data collection/reporting for program(s). The Specialist will maintain a positive relationship with pharma, HUB, and internal and external operational, sales, and patient registration teams.

Responsibilities

• Communicate regularly with assigned program(s) representatives to provide necessary referral coordination updates. Work alongside local/internal operational partners to drive implementation and coordination of the assigned referrals.
• Engage in daily communication with patients, providers, and assistance programs to support coordination and execution to contract obligations and overall patient satisfaction.
• Follow up with stakeholders to ensure assigned tasks are completed and initiate data/information collection and entry. Collects information relative to Program(s) and reports according to Program requirements.
• Participate in business review presentations/contractually agreed-upon meetings as directed by clients.
• Assist in developing related SOPs, workflow, and project plans for identified Program(s).

Requirements

• High School Diploma or equivalent is required.
• At least 1 year of experience in health insurance, specialty pharmacy, patient registration, or a similar role with external-facing responsibilities.
• Knowledge of insurances (Benefit Verifications/Prior Authorization), in specialized pharmacy therapies preferred.
• Must be detail-oriented and have a high degree of customer service focus.
• Demonstrate effective interpersonal communication skills.
• Ability to work independently, problem-solve, and collaborate with cross-functional team members and leadership across all levels of the organization.
• Proficient computer skills, including the ability to effectively use Microsoft Office Suite tools.
• Must be able to work on a personal computer or laptop for extended periods of time.

Preferred Qualifications

• One year of specialty pharmacy, home infusions, home care, or health insurance experience.

Pay

Pay Range is $21.83 - $36.36 per hour, determined by the applicant’s education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Benefits

• Medical, Dental, & Vision Insurance
• Paid Time Off
• Bonding Time Off
• 401K Retirement Savings Plan with Company Match
• HSA Company Match
• Flexible Spending Accounts
• Tuition Reimbursement
• myFlexPay
• Family Support
• Mental Health Services
• Company Paid Life Insurance
• Award/Recognition Programs