Pharmacy Benefits & Access Coordinator

Northwell; Village of New Hyde Park (NY); On-site; USD 52,000 - 78,000; Full time

Job summary

Northwell Health in New York is seeking a Pharmacy Benefits Specialist to collaborate with an inter-professional team to promote timely access to medications. You will perform pharmacy benefits investigations, coordinate financial assistance, and facilitate prior authorizations as required.

The role emphasizes exceptional customer service to patients, families, and health care professionals, along with identifying programs to reduce out-of-pocket costs.

Qualifications

• High School Diploma or equivalent.
• 1-3 years of relevant experience required.
• Experience with pharmacy benefits and prior authorizations is preferred.

Responsibilities

• Collaborates with inter-professional team to enhance communication, coordinate care, and improve patient satisfaction.
• Serves as frontline subject matter expert on outpatient pharmacy services, prescription insurance benefits, and financial assistance.
• Coordinates with stakeholders to ensure timely access to medications.
• Partners with patients to determine most appropriate sources for their medication needs and refers patients to appropriate programs and resources.
• Reviews prescriptions with outpatient pharmacies to confirm which medications need to be dispensed and provides necessary timeline for dispensing.
• Resolves insurance related issues and coordinates prior authorization requirements.
• Identifies financial assistance (e.g., manufacturers’ assistance, copay assistance, vouchers) programs to reduce out of pocket expenses for patients.
• Exhibits exceptional customer service during interactions with patients, caregivers, and other health care professionals.
• Provides routine feedback with respect to program impact and areas for improvement to site and organizational leadership.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Skills

Pharmacy benefits investigation

Prior authorizations

Customer service

Financial assistance coordination

Education

High School Diploma or equivalent

Job description

Northwell Health in New York is seeking a Pharmacy Benefits Specialist to collaborate with an inter-professional team to promote timely access to medications. You will perform pharmacy benefits investigations, coordinate financial assistance, and facilitate prior authorizations as required.

The role emphasizes exceptional customer service to patients, families, and health care professionals, along with identifying programs to reduce out-of-pocket costs.