Pharmacy Experience Associate
Remote - TexasFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 5+ years of experience
- Required Skills
- Microsoft Office
Requirements
- Bachelor’s degree preferred or Licensed / Certified Pharmacy Technician
- at least 5+ years of experience including work with a Pharmacy Benefit Manager, Health Plan, or healthcare provider’s office, managing the prescription fulfillment process
- Demonstrated working knowledge of pharmacy benefit design (Commercial, Medicare Part D, Medicaid, and prior authorization processes)
- Experience working with pharmacies and/or office-based physician practices preferred
- Understand and comply with HIPAA rules and regulations related to patient privacy
- Demonstrated ability to thrive in a dynamic, fast-paced environment with date sensitive deadlines
- Strong interpersonal skills
- Ability to develop strong working relationships and work collaboratively across cross-functional teams
- Ability to deliver presentations with small and large groups
- Strong written and oral communication skills
- Excellent planning and organizational skills
- Strong attention to detail
- Ability to work with data and quickly analyze trends and take appropriate action
- Ability to work independently and within a team
- Microsoft Office
Responsibilities
- Utilizing data insights, identify prescriptions that are delayed or stalled and take appropriate action.
- Establish, develop, and maintain working relationships with regional network specialty pharmacies, their leadership, and staff.
- Inform pharmacists and their staff on patient access and affordability programs that could be beneficial to patients.
- Work with HCPs to support complete, accurate and timely prescription submissions to Network specialty pharmacies or health plans, to minimize delay in therapy.
- Serve as a Network Specialty Pharmacy partner within assigned geography and communicate with stakeholders in a timely manner.
- Maintain a strong working relationship with sales and sales leadership.
- Assist the Field Reimbursement and Patient Services Team in identifying opportunities for continuous process improvements through root cause analysis and identifying ongoing training needs.
- Conduct needs assessment and provides appropriate education for HCPs (i.e., CoverMyMeds, Prior Authorization (PA) process, pharmacy process).
- Coordinate cases with patient support service program representatives (HUB) to ensure patient and physician needs are being addressed in a timely manner.
- Educate physician office staff on the use of patient assistance programs and call center support services, including web-based provider programs.
- Attend POAs and Regional conference calls, providing education, training, and feedback on the positioning of our network pharmacies and the current market access environment, to ensure a clear path for HCP and the patient.
- Provide timely information on patient access to the National Account Directors so they are informed and up to date on pharmacy claims and PA process for PBMs and payers.
- Collaborate with the Field Reimbursement and Patient Services Team on patient cases that need additional support and training activities with network pharmacies.
- Maintain the highest level of ethical obligations and ensure that all activities are complied with applicable laws and regulations.
- When called on for business travel manage personal travel schedule and travel arrangements.
- Prepare and submit appropriate expense reports in a timely fashion.
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