> Position: Existing Program! Specialty Pharmacy Account Liaison Location: Jeffersonville, IN
Job Id: 359 # of Openings: 0
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As a Specialty Pharmacy Account Liaison on our Patient Services team, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process to getting access to their complex medication. You will serve as a central point of contact for specialty pharmacy taking ownership of all activities and ensuring timely and accurate transfer of information with each network pharmacy and perform follow ups for status of referrals. Bringing escalated issues to resolution, being deliberate with weekly communications to each stakeholder and identifying opportunities for improvement within processes are all key deliverables in this role to ensuring patient success. This role requires a high level of ownership, attention to detail and patient focus and will put your problem-solving skills to the test!
You'll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely.
A typical day in the life of a Specialty Pharmacy Account Liaison will include the following:
The responsibilities include, but are not limited to the following:
Relationship Management
Builds trusted relationships with specialty pharmacies, patients, prescribers, client stakeholders through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients
Manages all relationships in a manner that adheres to healthcare laws and regulations
Communications
Performs post Benefits Investigation calls to payors, patients or physicians verifying or explaining coverage options
Manages all client inquiries unable to be determined by client through reporting
Manages HCP inquiries, as applicable, pursuant to business rules
Inbound Call Management
Manages direct inbound calls from specialty pharmacy contacts
Triage patients to internal or external resources as appropriate
Specialty Pharmacy Communication
Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed
Identifies and communicates patient's plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions
Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and specialty pharmacies to follow up on proper submission and/or outcome
Coordinates nurse teach with field-based nurse educators, as applicable to program
Supports adherence services through coordination of nurse follow up, as applicable to program
Identifies peer support resources for patients
Tracks and follows up on shipment of product through patient assistance program and/or bridge program from the PharmaCord pharmacy
Proactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance program
Reports adverse events, Product complaints, special situation reports and/or medical inquiries received in accordance with SOPs and the Business Rules
Documents all activities within the PharmaCord CORscend system in accordance with business requirements
This job might be for you if (must have requirements of the role):
Successful candidates possess the following personal attributes:
Requirements:
The ideal team member should possess the following:
Physical Demands & Work Environment:
Once you land this position, you'll get to enjoy:
Our Benefits & Perks
Company paid Short-term Disability (STD)
Increased competitive 401(k) company match up to 4%
Affordable Medical, Dental, and Vision benefits - PharmaCord covers 75% of Medical Premiums for our employees
Wellness discounts of up to $260 per year for participation in wellness program
Annual HSA employer contribution
Company paid and voluntary Life Insurance options
Voluntary Life, AD&D and Long-Term Disability Insurances
Paid Parental Leave of Absence
Wellness and Employee Assistance Programs
PTO benefits, flex days and paid holidays
Employee Referral Program
Ambassador Program
Tuition reimbursement program up to $5,000 per year
Competitive Compensation & Flexible Working
A Career You'll Love
Any offer of employment is contingent on completion of a background check to company standard. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
At PharmaCord, we don't just accept difference \u2013 we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. PharmaCord is proud to be an equal opportunity employer.
PharmaCord is unable to sponsor employees at this time.
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