Pharmacy Access Lead: Streamline High‑Cost Drug Access

Fairview Health Services

Minneapolis (MN)

On-site

USD 90,000 - 130,000

Full time

10 days ago
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Job summary

Fairview Health Services in Minnesota is seeking a Lead Pharmacy Access Specialist to oversee patient access to medications, verify benefits, and streamline payer interactions to reduce delays. The role focuses on resolving complex cases, guiding financial assistance, coordinating high-cost drug procurement, and leading process improvements across FPS.

You will train staff, maintain stakeholder relationships, and ensure timely, affordable care for patients while supporting positive health

Qualifications

  • Experience in revenue cycle, financial counseling or contracting within healthcare or insurance.
  • Strong communication, interpersonal skills and adaptability are critical.
  • Willingness to work in a fast-paced environment and to grow with the team.

Responsibilities

  • Verify insurance benefits and payer policies to remove barriers to care.
  • Assist in resolving access issues with payers and provide cross-department support.
  • Coordinate site assignment for care and financial counseling eligibility.
  • Screen patients for financial assistance eligibility and collect income/assets.
  • Support revenue cycle with coding and billing related to infusions and clinic meds.
  • Lead training for new staff and manage day-to-day access operations.
  • Advance prior authorizations and appeals, and optimize financial assistance enrollment.

Skills

Revenue cycle
Financial counseling
Pharmacy access services
Contracting experience
Communication skills
Adaptability

Education

B.S./B.A. in business or healthcare related field

Job description

Fairview Health Services in Minnesota is seeking a Lead Pharmacy Access Specialist to oversee patient access to medications, verify benefits, and streamline payer interactions to reduce delays. The role focuses on resolving complex cases, guiding financial assistance, coordinating high-cost drug procurement, and leading process improvements across FPS.

You will train staff, maintain stakeholder relationships, and ensure timely, affordable care for patients while supporting positive health

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