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Beth Israel Lahey Health

Specialty Medication Access Coordinator

Beth Israel Lahey Health

. Serve as the on-site subject matter expert for prior authorizations, reimbursement, and patient assistance for complex and specialty therapies .

Posted 11/2/2026full-timeBurlington • Massachusetts • United StatesMid-LevelSenior💰 $34 - $45 per hourWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in prior authorizations, reimbursement processes, and patient assistance for specialty therapies, while effectively managing stakeholder relationships and driving operational efficiency in pharmacy settings.

Highest-signal resume keywords
Pharmacy Technician License (Massachusetts)PTCB National Certification5 Years Specialty Pharmacy ExperienceLeadership Experience in PharmacyClinical Knowledge of Specialty Disease-State Therapies

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Prior Authorization ManagementReimbursement ProcessesPatient Assistance CoordinationCost EstimationOperational Efficiency ImprovementStakeholder Relationship ManagementAccess Optimization InitiativesFormulary Alternatives IdentificationFinancial Clearance for MedicationsComplex Case Resolution
Soft Skills
Written CommunicationVerbal CommunicationMentorshipCollaborationProblem-Solving
Tools & Technologies
PACS Certification340B Program FamiliarityIntegrated Health System Pharmacy Models
Certifications & Qualifications
Pharmacy Technician License (Massachusetts)PTCB National CertificationAdvanced Certificate Pharmacy Technician (CPhT-Adv)
Industry Keywords
Specialty PharmacyMedication Access ProgramsInsurance AuthorizationPatient EnrollmentEmployee Variable Co-Pay Program

About the role

Key responsibilities & impact
  • Serve as the on-site subject matter expert for prior authorizations, reimbursement, and patient assistance for complex and specialty therapies
  • Manage pharmacy and medical benefit authorizations, identify formulary alternatives, and ensure timely approvals
  • Oversee insurance authorization and financial clearance for specialty and infusion medications
  • Provide cost estimates and prevent treatment delays
  • Coordinate patient enrollment and ongoing support in manufacturer or financial assistance programs
  • Lead administration of the Employee Variable Co-Pay Program
  • Collaborate with manufacturers, PBMs, and specialty pharmacies
  • Maintain proactive contact with patients, providers, and pharmacies to resolve access barriers
  • Act as the primary point of contact for benefits, clinical coordination, and program eligibility inquiries
  • Drive operational efficiency and quality improvement, resolving complex cases and advancing clinic best practices
  • Develop and maintain relationships with payers, manufacturers, and specialty partners
  • Provide mentorship and training to Medication Authorization and Access team members
  • Support cross-coverage across specialty and primary care clinics

Requirements

What you’ll need
  • 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 successfully managing stakeholder relationships and driving service adoption
  • Written and verbal communication in English
  • Preferred: Leadership or training experience within a pharmacy, clinic, or medication access program
  • Preferred: Familiarity with 340B and integrated health system pharmacy models
  • Preferred: Comprehensive clinical knowledge of specialty disease-state therapies
  • Preferred: Advanced Certificate Pharmacy Technician credential (CPhT-Adv)
  • Preferred: Experience implementing process improvement or access optimization initiatives
  • Preferred: PACS certification

Benefits

Comp & perks
  • Influenza vaccination required as a condition of employment
  • Potential shift differentials
  • Call pay
  • Premium pay
  • Overtime pay
  • Equal Opportunity Employer/Veterans/Disabled