Medication Access & Adherence Specialist

Job description

Description GENERAL SUMMARY OF DUTIES: The Medication Access & Adherence Specialist plays a dual role in supporting timely medication access and improving patient health outcomes. This specialist is responsible for managing prior authorization (PA) processes while proactively engaging patients to promote medication adherence through outreach, education and follow-up. SUPERVISION RECEIVED: Ambulatory Care Pharmacy Manager SUPERVISION EXERCISED: None ROLE AND RESPONSIBILITIES: - Review, prepare, and submit prior authorization requests to insurance providers for prescribed medications - Track authorization status and ensure timely follow-up to prevent delays in therapy - Maintain accurate documentation of all PA activities in the appropriate systems - Identify alternative therapies or solutions when coverage barriers arise - Conduct outbound calls to patients to support medication adherence and persistence - Educate patients on proper medication use as directed by provider and importance of adherence - Identify barriers to adherence (cost, access, side effects, understanding) and provide solutions or escalate as needed - Coordinate refills and reminders to ensure continuity of care -...