Pharmacy Benefits & Access Coordinator

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

Job summary

Northwell Health is seeking a pharmacy benefits advocate to collaborate with inter-professional teams, payers, patients and families to promote timely access to medications. You will handle benefits investigations, financial assistance coordination and prior authorizations to support patient care.

Responsibilities include front-line expertise on outpatient pharmacy services, coordinating with stakeholders, and ensuring timely dispensing while delivering exceptional customer service.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.

Responsibilities

• Collaborates with inter-professional team to enhance communication, coordinate care, and improve patient satisfaction.
• Serves as front line 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 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.

Education

High School Diploma or equivalent

Job description

Northwell Health is seeking a pharmacy benefits advocate to collaborate with inter-professional teams, payers, patients and families to promote timely access to medications. You will handle benefits investigations, financial assistance coordination and prior authorizations to support patient care.

Responsibilities include front-line expertise on outpatient pharmacy services, coordinating with stakeholders, and ensuring timely dispensing while delivering exceptional customer service.