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Specialty Pharmacy Liaison
Beth Israel Lahey Health. Act as a liaison between specialty/retail pharmacy and prescribers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing prior authorizations and patient access to medications while providing exceptional customer service. Proficient in coordinating with healthcare providers and specialty pharmacies to enhance patient care and resolve insurance-related issues.
Highest-signal resume keywords
Prior Authorization ManagementSpecialty Pharmacy ExperiencePatient Access CoordinationMicrosoft Office ProficiencyEffective Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior Authorization DocumentationData Collection and ReviewInsurance Issue ResolutionMedication Awareness CoordinationComplex Account Management
Soft Skills
Customer ServiceInterpersonal CommunicationTraining and Support
Tools & Technologies
Web-Based ApplicationsMicrosoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Access
Certifications & Qualifications
Mass Registered Pharmacy Tech LicensePharm Tech Cert Board RegistrationPTCB Certification
Industry Keywords
Pharmacy BenefitReimbursement LandscapeMedication Use in RAMedication Use in GIMedication Use in TransplantMedication Use in Hepatitis CMedication Use in Infectious DiseaseMedication Use in Oncology
About the role
Key responsibilities & impact- Act as a liaison between specialty/retail pharmacy and prescribers
- Document, submit, communicate outcomes, and appeal pharmacy/medical prior authorizations
- Obtain patient access to prescribed medication
- Understand product and payer reimbursement landscapes and prior authorization guidelines and processes
- Collect and review data needed for pharmacy and/or medical prior authorization approvals
- Resolve insurance-related issues and assist patients with financial assistance
- Provide customer service to internal and external customers and resolve requests
- Maintain frequent phone contact with patients, providers, and pharmacy staff
- Clarify prescription orders with pharmacists and/or clinicians
- Serve as direct patient and provider contact for pharmacy benefit, clinical, and program information
- Coordinate services with providers, specialty pharmacies, and national account managers to improve patient turnaround time
- Assist patients with medication awareness and coordinate teaching visits
- Manage multiple strategic initiatives and complex accounts with minimal supervision
- Network with contacts inside and outside the area of expertise
- Provide training and support to inter-departmental associates
Requirements
What you’ll need- High School diploma or GED required
- License Mass Registered Pharmacy Tech preferred
- Registration Pharm Tech Cert Board preferred
- 1-3 years related work experience required in prior authorization
- Experience with computer systems, including web-based applications and Microsoft Office applications such as Outlook, Word, Excel, PowerPoint or Access
- PTCB certification preferred
- Specialty Pharmacy experience and/or prior authorization experience preferred
- Knowledge of medication use in RA, GI, transplant, hepatitis C, infectious disease including HIV, and/or oncology is a plus
- Ability to communicate clearly and effectively in written English
- Ability to comprehend and communicate complex verbal information in English
Benefits
Comp & perks- Influenza vaccination required as a condition of employment
- Potential shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable