Specialty Pharmacy Liaison

About the Role

Peak Performers has partnered with a global pharmaceutical company to assist in their search for a remote Specialty Pharmacy Liaison. In this position, you will be responsible for managing escalated cases and trends that impact the timeliness and ability of specialty pharmacies to fill prescriptions.

Responsibilities

• Develop working relationships with internal and vendor teams that interact with specialty pharmacies (SPs) and be responsible for escalating trends and issues.
• Demonstrate proficiency and full understanding of client hub patient database and electronic data exchange requirements, including understanding of data elements, definition of various case statuses and outcomes, case documentation requirements, and the importance of meeting program metrics.
• Gain familiarity with the performance of SPs currently dispensing client products and interacting with patient services hub programs.
• Manage process, escalations, and data exchange with SPs and patient services hub programs.
• Act as a point of contact for patient services hub program vendors, SPs, and internal stakeholders for questions and escalations related to prescriptions.
• Accurately document call details, follow-up actions, and any other pertinent information in the client hub patient database.
• Identify and escalate customer concerns and program trends related to SP performance to patient access services management and client trade teams.
• Troubleshoot and resolve ongoing issues with SPs, data aggregator vendors, and other patient access services vendors.
• Provide backup as needed for other members of the patient services team.
• Adhere to client standard operating procedures and compliance requirements.

Requirements

• Bachelor’s degree preferred.
• Minimum of 3 years’ experience working in a reimbursement hub supporting products distributed by a specialty pharmacy, time working in specialty pharmacy operations, or for an aggregator of specialty pharmacy data.
• Experience implementing and supporting electronic data exchanges between a reimbursement hub program and specialty pharmacy.
• Knowledge of health plan reimbursement requirements for specialty injectable products covered by both medical (AOB) and pharmacy benefits.
• Working knowledge of the compliance and regulatory environment for manufacturers in the pharmaceutical space.
• Experience and understanding of the importance of reimbursement hub metrics and operations in the pharmaceutical industry.
• Proficiency in Microsoft Outlook, Word, Excel, and PowerPoint.
• Prior reimbursement experience with the ability to communicate complex reimbursement scenarios and solutions to patients and medical professionals.

Pay

$40.00/hour (W2 contract).

Schedule

4-month contract with varied working shifts to support operations from 8:30 AM – 5:00 PM ET.

Benefits

• Excellent medical, dental, and vision insurance available after 60 days.
• Option to participate in a 403(b) retirement plan.
• Priority placement for qualified applicants with chronic medical conditions and/or disabilities.
• Weekly pay through direct deposit.

All employment offers are contingent on the successful completion of a pre-employment criminal background check, in compliance with all applicable federal and state laws.