Specialty Pharmacy Liaison

Essential Responsibilities

• Understands product and payer reimbursement landscape and prior authorization guidelines and processes.
• Collections 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.

Required Qualifications

• High School diploma or GED required.
• Licence Mass Registered Pharmacy Tech 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.

Preferred Qualifications

• 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.

Competencies

• Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation.
• Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
• Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations.

Physical Nature Of The Job

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally.

Pay Range

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

About the Role

Beth Israel Lahey Health is a health care organization made up of more than 35,000 people working together to care for and protect our patients, our colleagues and our communities. Your skill and compassion can make us even stronger.

Benefits

Beth Israel Lahey Health offers a comprehensive benefits package including health, dental, vision, life insurance, disability, and paid time off. We also offer a variety of wellness programs and resources to help you maintain your physical and mental health.

Qualifications

Specialty Pharmacy Liaison is an essential role within the healthcare industry. If you have a passion for helping others and a strong background in pharmacy, this could be the perfect opportunity for you.

Skills

To succeed in this role, you will need to have a strong understanding of the pharmaceutical industry, excellent communication skills, and the ability to manage multiple tasks simultaneously.

Benefits

Beth Israel Lahey Health offers a comprehensive benefits package including health, dental, vision, life insurance, disability, and paid time off. We also offer a variety of wellness programs and resources to help you maintain your physical and mental health.