Pharmacy Medication Access Specialist

Marion County Public Health Department; Indianapolis (IN); On-site; USD 55,000 - 75,000; Full time

Job summary

Eskenazi Health is seeking a Pharmacy Medication Access Specialist II to improve patient access to medications and optimize reimbursement. This role focuses on patient assistance and medical benefit precertification, acting as a liaison between patients, clinical staff, payors, and programs.

The position emphasizes identifying coverage options, navigating MAP, and collaborating with care teams to ensure timely therapy access across clinic and hospital settings.

Qualifications

• High school education or equivalent required.
• Bachelor’s degree required; five years of relevant pharmacy experience may be accepted in lieu of degree.
• Two years of experience in program development or staff education preferred.
• Licenses/Certification: Pharmacy Technician License, Pharmacy Intern License, or Technician in Training License in Indiana; CPhT is preferred.

Responsibilities

• Advocate for patients by identifying insurance coverage and programs to reduce costs.
• Process third party medical benefit authorizations to maximize revenue capture for high-cost medications.
• Work with care teams and payors to resolve denied claims and barriers to therapy.
• Assist with Medication Access Program implementation, documentation, and ongoing maintenance.
• Triages and manages prior authorization requests with follow-up to patients and providers.
• Educate staff on patient assistance programs and MAP processes.
• Collaborate with clinicians to ensure timely access to prescribed therapies.

Skills

Medication reimbursement

Prior authorization knowledge

Communication skills

Interpersonal skills

Fast-paced environment

Education

High school diploma or equivalent

Bachelor’s degree

Pharmacy Technician License / Intern License

Tools

EHR systems

Database management

Spreadsheets

Job description

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Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

We asked Dawn, CEO - Eskenazi Health Center:

Q

What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community?

We asked Dawn, CEO - Eskenazi Health Center: Q What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community? Employee Q&A

Date: Aug 10, 2026

Location: Indianapolis, IN, US

Organization: HHC

Sub-Division:Hospital

Schedule:Full Time

Shift:Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status

Non-Exempt

Job Role Summary

The Pharmacy Medication Access Specialist II is responsible for improving patient access to and ensures optimal reimbursement for medications and therapies administered and prescribed by Eskenazi Health with a focus on patient assistance and medical benefit precertification. This position functions as a liaison and navigator for patients, clinical staff, pharmacy department, payors, and programs to eliminate barriers to care. The Pharmacy Medication Access Specialist II uses a proactive approach to identifying patient insurance coverage and programs that affect costs for therapies with a focus on high cost, high reimbursement medications utilized in various specialty and primary care clinics.

Essential Functions and Responsibilities

• Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health values of Professionalism, Respect, Innovation, Development and Excellence
• Assists with responsibility for implementation, documentation and maintenance of Eskenazi Health’s Medication Access Program (MAP)
• Contributes to maximizing revenue capture for high-cost clinic-administered and take-home medications by completing third party (external) medical benefit authorizations
• Works to maximize Eskenazi Health and patient participation in pharmaceutical company sponsored medication assistance programs – institutional, individual and foundation-based
• Continuously seeks new programs and opportunities for medication access
• Develops a thorough understanding of reimbursement policies and patterns for pharmacy claims with third parties and resolves discrepancies
• Communicates effectively with care teams and insurance companies as necessary to follow up on rejected claims, denials, or other barriers to therapy
• Triages, processes, and manages pharmacy prior authorization requests with diligent follow-up to patients and providers as appropriate
• Pre-screens patients for viable payment sources and educates care teams on outcomes and processes necessary to achieve coverage
• Analyzes payor responses and seeks available wraparound sources of support for patient therapy plans
• Identifies pathways to coverage for uninsured and underinsured patients
• Facilitates adherence by ensuring that patients receive prescribed medications and therapies in a timely manner
• Ensures medications can be physically obtained by patients through a variety of modalities (delivery, home delivery, mail delivery, pickup, etc.)
• Maintains multiple queues and portals, internal and external, that provide baseline functionality to operate medication access program (EHR, Prior Authorization request, Medicaid, specialty pharmacy, manufacturer, foundations, etc.)
• Identifies opportunities to improve reimbursement optimization and works collaboratively to develop and institute successful action plans
• Works in collaboration with care teams (physicians, nurses, clinical specialists, pharmacists, social workers, precertification analysts) to ensure patients are adequately triaged and monitored throughout therapy
• Trains or instructs staff members and peers on use of patient assistant programs and other programs or actions that affect the MAP
• Provides ongoing feedback to staff resulting from MAP quality assurance audits
• Collaborates with other care providers to promote a high standard of care

Job Requirements

• Completion of a high school education or equivalent required
• Bachelor’s degree required; a minimum of five years of relevant pharmacy experience may be accepted in lieu of degree
• Two years of experience in program development or staff education preferred
• Licenses/Certification required: Pharmacy Technician License, Pharmacy Intern License, or Technician in Training License in the State of Indiana
• Successful completion of Eskenazi Health Pharmacy Technician Training Program within 122-day probationary period.
• Participation in continuing education activities to meet licensure and certification requirements CPhT certification through the Pharmacy Technician Certification Board preferred

Knowledge, Skills & Abilities

• Knowledge of medication reimbursement, healthcare insurance, and prior authorization/coding
• Knowledge of and ability to use a variety of computer programs including database management, EHR, and spreadsheets
• Strong oral and written communication skills
• Ability to effectively manage conflicts and resolve problems
• Strong interpersonal skills, including ability to effect collaborative alliances, promote teamwork, and ensure a high level of internal and external customer satisfaction
• Ability to function effectively in fast-paced changing environment with multiple priorities
• Strong critical thinking skills and ability to work independently, quickly and with initiative

Accredited by The Joint Commission and named as one of Indiana’s best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute , Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the first verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.