On-Site Specialty Med Access Navigator

Beth Israel Lahey Health; Burlington (MA); On-site; USD 46,000 - 62,000; Full time

Job summary

Beth Israel Lahey Health is seeking an In-Clinic Specialty Medication Access Coordinator to serve as the on-site liaison among providers, patients and pharmacy for prior authorizations, reimbursement, and patient assistance in complex therapies.

The role collaborates with the MAA team to manage authorizations, cost estimates, and financial clearance, driving access, adherence, and continuity of care across clinics.

Qualifications

• High School diploma or GED required.
• Pharmacy Technician License (Massachusetts) - Massachusetts Board of Pharmacy
• PTCB National Certification
• 5 years related work experience required in specialty pharmacy and pharmacy prior authorization experience.
• Proven track record of successfully managing stakeholder relationships and driving service adoption.

Responsibilities

• Serves as the on-site subject matter expert for providers, clinic staff, and pharmacy teams on prior authorizations, reimbursement, and patient assistance for complex and specialty therapies.
• Independently manages pharmacy and medical benefit authorizations, identifying formulary alternatives and ensuring timely approvals that support continuity of care.
• Oversees insurance authorization and financial clearance for specialty and infusion medications, providing cost estimates and preventing treatment delays.
• Coordinates patient enrollment and ongoing support in manufacturer or financial assistance programs to ensure affordability and uninterrupted therapy access.
• Leads administration of the Employee Variable Co-Pay Program and advocates for patients through direct collaboration with manufacturers, PBMs, and specialty pharmacies.

Skills

Stakeholder management

Communication

Customer service

Clinical coordination

Problem solving

Education

High School diploma or GED

Tools

PACS certification

Job description

Beth Israel Lahey Health is seeking an In-Clinic Specialty Medication Access Coordinator to serve as the on-site liaison among providers, patients and pharmacy for prior authorizations, reimbursement, and patient assistance in complex therapies.

The role collaborates with the MAA team to manage authorizations, cost estimates, and financial clearance, driving access, adherence, and continuity of care across clinics.