Specialty Pharmacy Access Navigator

Beth Israel Lahey Health (BILH); Burlington (NC); Sur place; USD 46 000 - 62 000; Plein temps

Résumé du poste

Beth Israel Lahey Health (BILH) seeks an In-Clinic Specialty Medication Access Coordinator to coordinate access for complex, high-cost therapies across specialty clinics. You will manage prior authorizations, insurance approvals, and financial assistance while partnering with MA A teams to minimize delays and improve patient outcomes.

You will serve as a key on-site liaison among providers, patients, and pharmacy, educate stakeholders on internal coordination benefits, and drive initiatives to

Qualifications

• High School diploma or GED required.
• Pharmacy Technician License (Massachusetts) - Massachusetts Board of Pharmacy.
• PTCB National Certification.
• 5 years related work experience required in specialty pharmacy and pharmacy prior authorization experience.
• Proven track record of stakeholder relationships and driving service adoption.

Responsabilités

• Serves as on-site subject matter expert for prior authorizations, reimbursement, and patient assistance for complex therapies.
• Independently manages pharmacy and medical benefit authorizations and identifies formulary alternatives.
• Oversees insurance authorization and financial clearance for specialty and infusion meds.
• Coordinates patient enrollment in manufacturer or financial assistance programs.
• Delivers high-level customer service and proactive communication with patients and providers.

Connaissances

Communication

Problem solving

Teamwork

Formation

High School diploma or GED

Pharmacy Technician License (Massachusetts) - Massachusetts Board of Pharmacy

PTCB National Certification

Description du poste

Beth Israel Lahey Health (BILH) seeks an In-Clinic Specialty Medication Access Coordinator to coordinate access for complex, high-cost therapies across specialty clinics. You will manage prior authorizations, insurance approvals, and financial assistance while partnering with MA A teams to minimize delays and improve patient outcomes.

You will serve as a key on-site liaison among providers, patients, and pharmacy, educate stakeholders on internal coordination benefits, and drive initiatives to