Pharma Support Services Specialist

Option Care Health; Memphis (TN); On-site; Full time

Job summary

Join a leading healthcare provider as a Pharma Support Services Specialist. This role focuses on managing referral processes and maintaining relationships with internal and external stakeholders. Ideal candidates will have strong customer service skills and a background in health insurance or specialty pharmacy services.

Benefits

401k

Health Insurance

Paid Time Off

Vision Insurance

Life Insurance

Qualifications

• At least 1 year in health insurance or specialty pharmacy.
• Knowledge of Benefit Verifications/Prior Authorization preferred.
• Proficient in computer skills.

Responsibilities

• Communicate regularly for referral coordination updates.
• Support contract obligations and overall patient satisfaction.
• Participate in business review presentations.

Skills

Customer Service

Detail-oriented

Communication

Problem-solving

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Job description

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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 employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as unique as the patients and communities we serve. Join a company that is taking action to develop a culture that is inclusive, respectful, engaging and rewarding for all team members. 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 $22.58-$37.64

Benefits

• 401k
• Dental Insurance
• Disability Insurance
• Health Insurance
• Life Insurance
• Paid Time off
• Vision Insurance
  
  

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.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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