Remote Medication Access & Adherence Specialist

Piedmont HealthCare PA; Statesville (NC); Remote; USD 65,000 - 80,000; Full time

Job summary

Piedmont HealthCare PA is seeking a Medication Access & Adherence Specialist to support timely medication access and improve patient outcomes. You will manage prior authorization processes and proactively engage patients to promote adherence through outreach, education, and follow-up.

The role reports to the Ambulatory Care Pharmacy Manager and involves coordination with patients, providers, pharmacies, and insurers to resolve access barriers and ensure timely therapy.

Qualifications

• 2+ years in prior authorization, healthcare support, pharmacy, or patient outreach.
• Knowledge of insurance processes, formularies, and medication access workflows.
• Strong communication and interpersonal skills, especially over the phone.
• Experience with EMR/EHR systems and pharmacy platforms.
• Ability to manage multiple tasks in a fast-paced environment.
• Experience with HEDIS quality measures is preferred.
• Experience in a clinical setting preferred.
• Demonstrated skills in leadership, advocacy, and communication.
• Culturally effective capabilities demonstrating sensitivity to varying cultural characteristics.

Responsibilities

• Review, prepare, and submit prior authorization requests to insurance providers for prescribed medications.
• Track authorization status and ensure timely follow-up to prevent delays in therapy.
• Maintain accurate documentation of all PA activities in the appropriate systems.
• Identify alternative therapies or solutions when coverage barriers arise.
• Conduct outbound calls to patients to support medication adherence and persistence.
• Educate patients on proper medication use as directed by provider and importance of adherence.
• Identify barriers to adherence (cost, access, side effects, understanding) and provide solutions or escalate as needed.
• Coordinate refills and reminders to ensure continuity of care.
• Serve as a liaison between patients, providers, pharmacies, and insurance companies.
• Assist with benefits investigation and financial assistance programs when applicable.
• Support care teams with insights on patient adherence trends and access issues.
• Attend and participate in organized functions of PHC and perform administrative duties as necessary.
• Other duties as assigned

Skills

Prior Authorization

Healthcare Support

Pharmacy

Patient Outreach

Insurance Processes

Formularies

Medication Access Workflows

Communication Skills

EMR/EHR Systems

Pharmacy Platforms

Time Management

Project Management

Excel

Tools

EMR/EHR

Pharmacy Platforms

Excel

Job description

Piedmont HealthCare PA is seeking a Medication Access & Adherence Specialist to support timely medication access and improve patient outcomes. You will manage prior authorization processes and proactively engage patients to promote adherence through outreach, education, and follow-up.

The role reports to the Ambulatory Care Pharmacy Manager and involves coordination with patients, providers, pharmacies, and insurers to resolve access barriers and ensure timely therapy.