Pharmacy Experience Associate

📋 Description

• Leverage data insights to identify prescriptions that are delayed or stalled and take necessary actions.

• Build, nurture, and sustain working relationships with regional network specialty pharmacies, their leadership, and staff.

• Educate pharmacists and their staff about patient access and affordability programs that may benefit patients.

• Collaborate with healthcare providers (HCPs) to ensure complete, accurate, and timely prescription submissions to Network specialty pharmacies or health plans, minimizing therapy delays.

• Act as a Network Specialty Pharmacy partner in the designated geography and communicate with stakeholders promptly.

• Foster a strong working relationship with sales teams and sales leadership.

• Support the Field Reimbursement and Patient Services Team in identifying opportunities for continuous process improvement through root cause analysis and ongoing training needs assessment.

• Conduct needs assessments and provide relevant education for HCPs (e.g., CoverMyMeds, Prior Authorization (PA) process, pharmacy operations).

• Coordinate with patient support service program representatives (HUB) to ensure timely addressing of patient and physician needs.

• Train physician office staff on utilizing patient assistance programs and call center support services, including web-based provider tools.

• Participate in POAs and Regional conference calls, offering education, training, and feedback on the positioning of our network pharmacies and the current market access environment, ensuring clarity for HCPs and patients.

• Provide timely updates on patient access to the National Account Directors, keeping them informed about pharmacy claims and the PA process for PBMs and payers.

• Collaborate with the Field Reimbursement and Patient Services Team on patient cases requiring additional support and training activities with network pharmacies.

• Uphold the highest standards of ethical obligations, ensuring compliance with applicable laws and regulations in all activities.

• Manage personal travel schedules and arrangements when business travel is required.

• Prepare and submit expense reports promptly.

⛳️ Requirements

• Bachelor’s degree preferred or Licensed/Certified Pharmacy Technician with a minimum of 5+ years of experience, including work with a Pharmacy Benefit Manager, Health Plan, or healthcare provider’s office, overseeing the prescription fulfillment process.

• Proven working knowledge of pharmacy benefit design (Commercial, Medicare Part D, Medicaid, and prior authorization processes).

• Preferred experience working with pharmacies and/or office-based physician practices.

• Understand and adhere to HIPAA regulations concerning patient privacy.

• Ability to excel in a dynamic, fast-paced environment with time-sensitive deadlines, quickly identifying issues and providing solutions.

• Strong interpersonal skills with the capability to cultivate robust working relationships and collaborate effectively across cross-functional teams.

• Proficient in delivering presentations to both small and large groups.

• Excellent written and oral communication skills, along with exceptional planning and organizational abilities.

• Exhibits strong attention to detail.

• Capable of working with data, swiftly analyzing trends, and taking appropriate actions.

• Ability to operate independently as well as within a team setting.

🏝️ Benefits

• Health insurance

• Professional development opportunities