Specialty Pharmacy Program Liaison

2 days ago

Omaha, United States Amber Specialty Pharmacy Full time

At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions.Hiring Bonus: $1,000 at hire; $1,000 at six months of employmentMonday-FridayHours: 8:00 a.m. - 5:00 p.m. CSTNo weekendsSix paid holidaysMust pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.Licensure and Certification Requirements:Current unrestricted state pharmacy technician registration/licensure.National or state pharmacy technician certification per applicable State Board of Pharmacy requirements.Amber Specialty PharmacyJob Title: Specialty Pharmacy Program LiaisonDepartment: OperationsFLSA: Non-ExemptGeneral FunctionsThe Specialty Pharmacy Program Liaison serves as the primary point of contact for internal and external communication between the Company, pharmaceutical manufacturers and HUB service provider regarding program details, requests for information regarding product, case status updates, next steps in processing, and communication of reimbursement or coverage issues. This is a customer-facing role with the expectation to handle first line customer resolutions.Reporting RelationsReports to: Program Management LeadDirect Reports: NonePrimary Responsibilities:Acts as a liaison between specialty pharmacy, patients, insurance companies, Pharma manufacturer and providers offices via phone, fax, online and e-mail communicationsWill be primary point of contact for client inquiries and escalationsResolves customer issues, ensuring timely and accurate information is provided. Determines cases that are falling outside timing parameters and provides resolutionsCollaborates with Patient Care department, Pharmacy Operations and Trade Relations to ensure customer requests are handled in a timely and accurate manner. Works with other departments throughout prescription fulfillmentCollaborates with Patient Care/COE teams, Clinical staff, Fulfillment Pharmacy, Trade Relations, Billing/Adjudication, Contracting, and Sales to provide a team approach to onboarding new patientsContacts provider or patient to obtain accurate information to continue processing the prescriptionTriages and resolves issues or concerns relating to product prescription coverage to the appropriate team (i.e. prior authorizations, appeals, grant funding, clinical)Works with the pharmacist and/or nurse to contact providers and insurance companies to verify prescriptions, overrides and other approvalsParticipates with Trade Relations in relevant Quarterly Business Reviews (QBRs) as neededBuilds rapport with internal and external customers to promote the highest customer service and positive image of the companyProvides data updates and ad hoc reports to manufacturers and HUBs as requestedInterprets and disseminates information, including key information about updates or changes in the assigned product and/or program detailsAssists in the development of programs for data collection, adverse event reporting, and adherence as related to contractual agreementsAdheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed Policy and Procedure manualThis is an office based positionProfessional Competencies:A passion for helping patients. Organized, high-integrity, attention to detail, ability to multi-task and work independently, dependable, quality focused, empathetic, good listener/communicator, able to effectively transfer knowledge to others. Energetic, outgoing, highly motivated team player.Proficient with MS Excel, Word, and Outlook. Ability to comprehend and apply principles of basic math while analyzing data and generating reports.Ability to apply principles of logical thinking to a wide range of intellectual and practical problems.Strong oral, written and interpersonal skills. Ability to effectively educate, train and present information and respond to questions from groups of coworkers, managers, clients and customers.Excellent customer service with the ability to work with all levels of internal management and staff, as well as outside clients and vendors.Required Qualifications:Experienced pharmacy technician with national CPhT certification. At least 3 years of prior pharmacy technician experience is preferredWorking knowledge of specialty pharmacy; demonstrated understanding of specified disease state(s), competitors, healthcare industry trends, etc.Experience with insurance verification, healthcare benefit assessment, paperwork and documentation for billing Medicare/Medicaid and commercial insurances preferredHIPAA trained and /or the ability to work with and protect extremely confidential patient and employee informationTwo years of experience in a physician's office, healthcare setting and/or insurance background preferredAbility to travel as neededEducational Requirements: Bachelor's degree in a related field preferredLicensure and Certification Requirements: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 timeThe 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:Computers, keyboards, mouse, monitors, fax, and/or headsets for phone work. Software specific to the position, including but not limited to Microsoft Outlook and Skype. Must lift and traverse the area to move paper and supplies to use the equipment.Contacts:Frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, insurance providers, payers, vendors, and customers. This is a partial list of contacts and is subject to changes and alternatives.Confidentiality:The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information. The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role.Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).Apply now and join our mission to provide exceptional patient care

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