Specialty Pharmacy Patient Liaison - Medication Access Coordinator

JOB SUMMARY:

Boston Medical Center (BMC) provides a specialty pharmacy service to serve the complex medication needs of its chronic patients. BMC Specialty Pharmacy will provide patients who require specialty drugs a comprehensive service program that includes an on-site pharmacy staffed with a care team that includes Pharmacists, Pharmacy Technicians and Pharmacy Liaisons. The cornerstone of BMC's Specialty Pharmacy approach is an unparalleled level of integration with the clinical team coupled with highly personalized service, thus driving better outcomes at lower cost.

The Pharmacy Patient Liaison is a unique role that provides integrated support to patients and pharmacists by providing a 'hands-on' approach to total quality patient care. This position is essential to the growth and sustainability of the specialty pharmacy business and plays a central role in supporting the health system's operating margin. This hybridized role is a unique combination of patient service delivery and business performance. The Pharmacy Patient Liaison works closely with patients to deliver a full continuum of medication adherence support by utilizing BMC's various tools and applications. The Pharmacy Patient Liaison is responsible for providing technician pharmacy services with an emphasis on performing assigned tasks that require working independently and increased competency relating to patient medication therapy.

ESSENTIAL RESPONSIBILITIES / DUTIES:

Pharmacy Patient Liaison Responsibilities

• Navigate Electronic Medical Records (EMR) and manage documentation, prior authorizations, and financial assistance processes accurately and efficiently

• Communicate effectively across clinical and administrative teams and with patients to support hospital initiatives, medication access, and patient care

• 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 strong technical proficiency and problem-solving skills

• Train, mentor, 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, care teams, ancillary staff, and patients to enhance collaboration, transitions of care, and patient retention

Prior Authorization Responsibilities

• 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

• Evaluate, monitor, 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

Medication Access Responsibilities

• 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

Must adhere to all of BMC's RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

REQUIRED EDUCATION AND EXPERIENCE:

PREFERRED EDUCATION AND EXPERIENCE:

• 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

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED:

Must be currently 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.

KNOWLEDGE, SKILLS & ABILITIES (KSAs):