Specialty Pharmacy PA Liaison & Patient Access

Beth Israel Lahey Health; United States; On-site; USD 40,000 - 54,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Specialty Pharmacy Liaison to serve as the bridge between specialty/retail pharmacy and prescribers, handling prior authorizations and documenting outcomes, with focus on patient access to prescribed medications.

The role requires PA knowledge, strong customer service, and collaboration with clinicians, pharmacists, and payers to streamline approvals and educate patients.

Qualifications

• High School diploma or GED required.
• Mass Registered Pharmacy Tech license preferred, or Pharmacy Tech Certification Board registration preferred.
• 1–3 years related work experience required in prior authorization.
• Experience with computer systems including web-based applications and some Microsoft Office applications (Outlook, Word, Excel, PowerPoint or Access).
• PTCB certification preferred; specialty pharmacy experience and/or prior authorization experience a plus.

Responsibilities

• Understands product and payer reimbursement landscape and prior authorization guidelines and processes.
• Collects and reviews all data needed for prior authorization approvals in pharmacy and/or medical.
• Resolves insurance related issues, including PA, and assists patients with financial assistance.
• Provides exceptional customer service to internal and external customers; resolves requests timely; escalates complaints as needed.
• Maintains frequent phone contact with patient, provider and pharmacy staff; clarifies prescription orders with pharmacist/clinician as appropriate.
• Serves as direct patient and provider contact for pharmacy benefit information, clinical and program information.
• Coordinates services with providers, specialty pharmacies and national account managers to improve turnaround time.
• Communicates directly with patients to assist awareness of medications and coordinate teaching visits.
• Manages multiple initiatives and independently resolves complex accounts; determines methods for new assignments.
• Networks with key contacts inside and outside own area of expertise.
• Provides training and support to inter-departmental associates.

Skills

Customer service

Written communications

Oral communications

Problem solving

Decision making

Team work

Independence of action

Education

Mass Registered Pharmacy Tech license

Pharm Tech Certification Board registration

Tools

Web-based applications

Microsoft Office

Job description

Beth Israel Lahey Health is seeking a Specialty Pharmacy Liaison to serve as the bridge between specialty/retail pharmacy and prescribers, handling prior authorizations and documenting outcomes, with focus on patient access to prescribed medications.

The role requires PA knowledge, strong customer service, and collaboration with clinicians, pharmacists, and payers to streamline approvals and educate patients.