Specialist, Medication Access

Job Type

Full-time

Description

SCOPE OF ROLE

Reporting to Associate Director, Clinical Pharmacy, the Specialist, Medication Access will provide support for clinical teams and patients relating to prescription medication access. The Specialist, Medication Access, will assist with analyzing and determining necessary documentation components that support medical necessity of medication regimens. The Specialist, Medication Access, will assist and support other Medication Access and clinical team members by serving as an operational subject matter expert regarding medication logistics.

HOW YOU'LL SUCCEED

• Interface with insurance providers and applicable web-based portals to initiate and complete medication prior authorizations in a timely and efficient manner.
• Complete timely documentation in the patient electronic health record.
• Communicate documentation requirements relating to medications with clinical teams.
• Provide, in conjunction with Associate Director, Clinical Pharmacy, training to new members of the Medication Access team.
• Efficiently and effectively respond to incoming communications from patients, colleagues, and other collaborators, including but not limited to, telephone calls, emails, and other methods of electronic messages with a high level of customer service.
• Support excellent care by assisting patients with connection(s) to necessary services.
• Identify improvement opportunities and offer solutions to drive growth, improve efficiencies, and advance patient care.
• Support pharmacy operations by performing duties as a pharmacy technician in centralized pharmacy when needed.
• Other duties as assigned.

Requirements

KNOWLEDGE & EXPERIENCE

WORKING CONDITIONS

This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice.

All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and / or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are considered but not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer, all applicants must successfully pass a pre-employment drug screen.