Pharma Support Services Specialist

Option Care Health, Inc.; Baltimore (MD); On-site; USD 76,393,000 - 127,224,000; Full time

Benefits offered by this job

Medical, Dental, & Vision Insurance

Paid Time off

401K Retirement Savings Plan with 401K

HSA Company Match

Flexible Spending Accounts

Tuition Reimbursement

myFlexPay

Family Support

Mental Health Services

Company Paid Life Insurance

Job summary

Option Care Health, Inc. is seeking a Specialist, Pharma Support Services in Baltimore to ensure delivery of referral management to external partners.

You will work with Clinical Product Support to understand program requirements and meet KPI metrics while maintaining strong pharma and HUB relationships. The role involves daily patient and provider communication, coordination of referrals, and data collection to support contract obligations and patient satisfaction.

Qualifications

• High School Diploma or equivalent required.
• At least 1 year experience in health insurance, specialty pharmacy, patient registration, or similar external facing role.
• Knowledge of benefits verifications and prior authorization preferred.
• Detail-oriented with strong customer service and communication skills.
• Ability to work independently and collaborate with cross-functional teams.

Responsibilities

• The Specialist communicates regularly with assigned program representatives to provide referral coordination updates.
• The Specialist collaborates with operational partners to drive implementation and coordination of referrals.
• Daily communication with patients, providers, and assistance programs to support coordination and contract obligations.
• Follow up with stakeholders to ensure tasks are completed and collect/report data per program requirements.
• Participate in business review presentations and contractually agreed meetings.
• Assist in developing SOPs, workflow, and project plans for identified programs.

Skills

Insurance verifications

Customer service

Interpersonal communication

Microsoft Office

Education

High School Diploma

Tools

Microsoft Office Suite

Job description

Baltimore, MD

Full time

R37406

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

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. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

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. The Specialist will be measured on success in delivering per contracted KPI metrics and accurate and timely data collection/reporting for program(s). The Specialist of Pharma Support Services will be responsible for maintaining a positive relationship with pharma, HUB, and internal and external operational, sales, and patient registration teams.

Job Description:

Job Responsibilities (listed in order of importance and/or time spent)

• The Specialist will communicate on a regular basis with their assigned program(s) representatives to provide necessary referral coordination updates. The Specialist will work alongside local/internal operational partners, to drive implementation and coordination of the assigned referrals. This role requires daily communication with patients, providers, and assistance programs to support coordination and execution to contract obligations and overall patient satisfaction.
• The Specialist will communicate regularly with their assigned program(s) representatives to provide necessary referral coordination updates. The Specialist will work alongside local/internal operational partners to drive implementation and coordination of the assigned referrals.
• The Specialist will have daily communication with patients, providers, and assistance programs to support the coordination and execution to contract obligations and overall patient satisfaction.
• The Specialist will 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.
• Participates in business review presentations/contractually agreed upon meetings as directed by our clients.
• Assists in developing related SOPs, workflow, and project plans for identified Program(s).

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No - X

Yes

Basic Education and/or Experience Requirements

• High School Diploma or equivalent is required.
• At least 1 years of experience in a health insurance, specialty pharmacy, patient registration, or similar role with external facing responsibilities.

Basic Qualifications

• 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 that include the ability to effectively use the Microsoft Office Suite tools.

Physician Demand Requirements

• Must be able to work on a personal computer or laptop computer for extended periods of time.

Preferred Qualifications & Interests (PQIs)

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

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $26.67-$44.44

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 InsuranceAward/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.