JobMesh

Medication Access Specialist

Beth Israel Lahey Health · Westwood, Massachusetts, US

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Summary: The Medication Access Specialis...

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Summary: The Medication Access Specialist will fulfill all of the job responsibilities as needed and coordinate for at least one or more specialty clinics. This position acts as a care coordination specialist between specialty/retail pharmacy and the prescribers. Responsible for documenting, submitting, communicating outcomes and appeal all pharmacy and medical buy and bill prior authorizations. Involved in all aspects of obtaining patient access to prescribed medications such as benefit investigation, white bagging, financial assistance (grants/foundations/copay cards) and manage the Employee Variable Co-Pay Program. Job Description: Essential Responsibilities: - Serves as a subject matter expert for physicians, administrators, clinical staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance programs. - Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic administered or infusion medicatio...