Specialist, Medication Access

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


* High School Diploma or GED required.


* Minimum 2 years previous healthcare experience as an Ohio licensed Registered or Certified Pharmacy Technician, Medical Assistant, or Licensed Practical Nurse required.

Enrollment in and completion of Signature Health's Pharmacy Technician Training Program will be required for non-pharmacy technician candidates.


* Administrative experience in prior authorization submission preferred.


* Valid unencumbered professional license or certification in relevant field required.


* American Heart Association (AHA) Basic Life Support (BLS) certification required.


* Demonstrated proficiency in basic computer skills (i.e., Microsoft Windows, Outlook, Teams, Word, PowerPoint, Excel)

WORKING CONDITIONS


* Work is normally performed in a typical interior/office/clinical work environment.


* While hours of operation are generally standard, flexibility to work evenings and extended hours may be required.


* Requires periods of sitting, standing, telephone, and computer work.


* Hearing: adequate to hear clients or patients in person, over the telephone or through telehealth technology.


* Speaking: adequate to speak to clients or patients in person, over the telephone or through tel...