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Pharmacy Access Specialist PRN Role

2 weeks ago


Madison, Wisconsin, United States SSM Health Full time
About the Role

We are seeking a highly skilled Pharmacy Access Specialist PRN to join our team at SSM Health. As a key member of our pharmacy team, you will play a vital role in improving patient access and adherence to medically necessary pharmaceuticals.

Job Summary:

  • Serve as the liaison between medical staff, outpatient pharmacies, insurance providers, and patients to enhance communication and continuity of care.
  • Review patient demographics, medication history, and insurance status to identify socioeconomic barriers and opportunities for intervention.
  • Provide exceptional patient service experience through benefits investigations and prior authorization services.
  • Develop a thorough understanding of payer reimbursement patterns and third-party claims.

Key Responsibilities:

  1. Serve as the primary ambulatory pharmacy resource for facilitating access to prescription and medical benefit medications.
  2. Coordinate services with internal patient care team members regarding patients with limited financial resources.
  3. Interact with hospital and clinic employees, including pharmacists, clinical staff, and external contacts such as third-party payers and manufacturers.
  4. Educate patients, providers, and clinic staff on complex insurance situations.

Requirements:

  • Bachelor's degree or equivalent years of experience and education.
  • No experience required.
  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

Benefits:

  • Paid Parental Leave.
  • Flexible Payment Options through DailyPay.
  • Upfront Tuition Coverage through FlexPath Funded.

About SSM Health:

SSM Health is an equal opportunity employer committed to diversity and inclusion. We offer a comprehensive benefits package to fit your needs and support your career growth.