Boston Medical Center (BMC)
hospitality
SpecialtyPharmacyMedicationAccessCoordinator
“Specialty Pharmacy - Medication Access Coordinator at Boston Medical Center (BMC). Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement, prior authorizations, financial assistance processes, payer relationships, revenue metrics, data management, claims knowledge, patient healthcare needs coordination. Navigate Electronic Medical Records (EMR) and manage documentation, prior authorizations, and fin”
What You'll Achieve.
driving better outcomes at lower cost; supporting the health system’s operating margin; optimize patient outcomes; maximize medication access; improve patient adherence; reduce patient out-of-pocket costs; improve operational efficiency and patient outcomes; ensure accurate adjudication and proactive resolution of issues; support medication access and adherence; commitment to the program’s goals
Industry & Context.
Exercise sound judgment to resolve complex patient care issues; problem-solving skills; Proactively identify barriers to medication access and develop solutions
pass a drug screen, practice discretion and confidentiality as position deals with highly sensitive and private data
What They're Looking For.
Must Have
minimum of 4 years of pharmacy experience, Pharmacy Interns must be in their 2nd year, pass a drug screen, registered as a Pharmacy Technician or Pharmacy Intern with the Board of Pharmacy in Massachusetts, Technicians must have current active National Certification verified by PTCB or ExCPT
Nice to Have
AA or BA, Knowledge of transplant, hepatitis C, infectious diseases (including HIV), oncology and/or other specialty medication therapies, Bilingual or multi-lingual skills (beyond that of English) appropriate to the patient population served, Experience with submission of prior authorization requests to third party payors, Familiarity with 340B drug program and ACO hospital models, Knowledge of QS1/NRx, EPIC, Salesforce, Navinet
What You'll Do.
Navigate Electronic Medical Records (EMR) and manage documentation
and financial assistance processes accurately and efficiently
Communicate effectively across clinical and administrative teams and with patients to support hospital initiatives
Exercise sound judgment to resolve complex patient care issues and escalate appropriately to ensure safety and quality
Manage workload independently in a fast-paced environment while demonstrating technical proficiency and problem-solving skills
and support new staff to uphold operational standards and maintain high-quality service delivery
Document and triage patient interactions and pharmacy-related concerns to ensure safe
coordinated care and medication adherence
Foster trusting relationships with providers
and patients to enhance collaboration
and patient retention
Assess and extract clinical documentation to meet payer criteria for drug approvals
Cultivate payer relationships and stay current on payer requirements within assigned areas to optimize patient outcomes and maximize medication access
Proactively identify barriers to medication access and develop solutions to improve patient adherence
and pursue financial assistance opportunities to reduce patient out-of-pocket costs
Manage financial assistance applications and support processes throughout the patient’s medication journey
Manage and expand specialty pharmacy accounts through proactive recruitment and retention strategies using provider relationships
customer engagement and revenue metrics
Represent pharmacy department in clinical settings by proactively managing patient medication needs in partnership with clinic staff
Lead departmental and organizational initiatives to improve operational efficiency and patient outcomes
Apply data management and claims knowledge to ensure accurate adjudication and proactive resolution of issues
Coordinate patient healthcare needs such as labs and appointment follow-ups to support medication access and adherence
How You'll Work.
Team & Collaboration
Communicate effectively across clinical and administrative teams and with patients; Foster trusting relationships with providers, care teams, ancillary staff, and patients to enhance collaboration, transitions of care, and patient retention; Represent pharmacy department in clinical settings by proactively managing patient medication needs in partnership with clinic staff
Communication Scope
Excellent English oral and written communication skills; ability to communicate professionally over the phone; Excellent interpersonal skills to provide superb personalized customer service and to instill confidence and to advocate for ability to explain required information to customers in a comprehensible manner
Process & Methodology
Lead departmental and organizational initiatives to improve operational efficiency and patient outcomes
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