• Actsasaliaisonbetweenspecialtypharmacy,patients,insurancecompanies,Pharmamanufacturerand providers offices via phone, fax, online and e-mail communications

• Will be primary point of contact for client inquiries and escalations

• Resolvescustomerissues,ensuringtimelyandaccurateinformationisprovided.Determinescasesthat are falling outside timing parameters and provides resolutions

• CollaborateswithPatientCaredepartment,PharmacyOperationsandTradeRelationsto ensurecustomer requests are handled in a timely and accurate manner. Works with other departments throughout prescription fulfillment

• Collaborates with Patient Care/COE teams, Clinical staff, Fulfillment Pharmacy, Trade Relations, Billing/Adjudication,Contracting,andSalestoprovideateamapproachtoonboardingnewpatients

• Contactsprovider or patient to obtain accurate information to continue processing the prescription

• Triagesandresolvesissuesor concernsrelatingtoproductprescriptioncoveragetotheappropriateteam (i.e. prior authorizations, appeals, grant funding, clinical)

• Workswiththepharmacistand/ornursetocontactprovidersandinsurancecompaniestoverify prescriptions, overrides and other approvals

• Participates with Trade Relations in relevant Quarterly Business Reviews (QBRs) as needed

• Buildsrapportwithinternalandexternalcustomerstopromotethehighestcustomerserviceandpositive image of the company

• Provides data updates and ad hoc reports to manufacturers and HUBs as requested

• Interpretsanddisseminatesinformation,includingkeyinformationaboutupdatesorchangesinthe assigned product and/or program details

• Assistsinthedevelopmentofprogramsfordatacollection,adverseeventreporting,andadherenceas related to contractual agreements

• Adherestoallcompanypoliciesasindicatedinthehandbookanddirectivesissuedbymanagement.Has reviewed Policy and Procedure manual

• This is an office based position

ProfessionalCompetencies:

• Apassionforhelpingpatients.Organized,high-integrity,attentiontodetail,abilitytomulti-taskandwork independently,dependable,qualityfocused,empathetic,goodlistener/communicator,abletoeffectively transfer knowledge to others. Energetic, outgoing, highly motivated team player.

• Proficient withMSExcel,Word,andOutlook.Abilitytocomprehendandapplyprinciplesofbasicmath while analyzing data and generating reports.

• Ability to apply principles of logical thinking to a wide range of intellectual and practical problems.

• Strongoral,writtenandinterpersonalskills.Abilitytoeffectivelyeducate,trainandpresentinformation and respond to questions from groups of coworkers, managers, clients and customers.

• Excellentcustomerservicewiththeabilitytoworkwithalllevelsofinternalmanagement andstaff,as well as outside clients and vendors

RequiredQualifications:

• ExperiencedpharmacytechnicianwithnationalCPhTcertification.Atleast3yearsofpriorpharmacy technician experience is preferred

• Workingknowledgeofspecialtypharmacy;demonstratedunderstandingofspecifieddiseasestate(s), competitors, healthcare industry trends, etc.

• Experiencewithinsuranceverification,healthcarebenefitassessment,paperworkanddocumentationfor billing Medicare/Medicaid and commercial insurances preferred

• HIPAAtrainedandortheabilitytoworkwithandprotectextremelyconfidentialpatient andemployee information

• Two years of experience in a physician’s office, healthcare setting and/or insurance background preferred

• Ability to travel as needed

EducationalRequirements:

Bachelor’s degree in a related field preferred

LicensureandCertificationRequirements:

Current unrestricted state pharmacy technician registration/licensure.

National or state pharmacy technician certification per applicable State Board of Pharmacy requirements.

Physical Requirements:

• Must be able to remain in a stationary position up to 90% of the time

• The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events.

• Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.

• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

• The ability to observe details at close range (within a few feet of the observer).

Working Conditions

Normal office environment.

Equipment Used to Perform the Job