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Chronic Care Pharmacy Specialist

2 months ago

Cambridge, Massachusetts, United States AndHealth Full time
Job Overview

Position: Pharmacy Liaison

Employment Type: Full Time

Location: Cambridge, OH

AndHealth is a pioneering healthcare technology organization dedicated to empowering individuals to overcome chronic health challenges. Our mission is to provide exceptional specialty care that is both accessible and affordable for everyone. We collaborate with healthcare systems, community health centers, insurance plans, and employers to eliminate obstacles to care, ensuring that all individuals receive the treatment they deserve.

Role Responsibilities:

  • Engage proactively with patients managing chronic conditions to verify benefits and assist in identifying suitable secondary coverage options.
  • Conduct insurance verifications and medication coverage assessments, collaborating with healthcare providers to navigate formulary limitations.
  • Facilitate the completion of prior authorizations or appeals necessary for ensuring patient access to medications.
  • Maintain regular communication with patients regarding their medication usage and ongoing needs, liaising with in-house or contracted pharmacies.
  • Perform routine reassessments of patients' medication usage, identifying any concerns or side effects they may experience.
  • Consult with pharmacists or healthcare providers regarding the clinical needs of patients, ensuring all clinical interventions are directed to a licensed clinician.
  • Assist patients in scheduling prescriptions, refills, or deliveries as needed.
  • Document all patient interactions within specialty pharmacy software systems.
  • Generate regular reports to identify new patients, upcoming medication requirements, and adherence-related data.
  • Support in-person visits by rooming patients, collecting vital signs, and updating relevant health information.
  • Ensure patients receive necessary lab work during their visits, schedule follow-up appointments, and provide printed orders for additional tests.
  • Administer health questionnaires to patients when required, utilizing tablets and other technologies.
  • Assist patients in setting up and accessing the AndHealth application on their mobile devices.
  • Manage referrals for patients requiring specialty care.
  • Perform additional responsibilities as needed.

Qualifications:

  • A Bachelor's degree is preferred.
  • Certification as a Pharmacy Technician in the state of OH is required.
  • National certification (PTCB or ExCPT) is preferred.
  • Willingness to obtain and maintain licenses or certifications across multiple states is essential.

Desired Skills:

  • 3+ years of experience in pharmacy or nurse navigation is preferred.
  • Exceptional written and verbal communication abilities.
  • Strong attention to detail with the capacity to manage multiple tasks simultaneously.
  • Proficiency with technology and adaptability to new systems.
  • Willingness to travel as required, with reliable transportation.
  • Ability to work independently and maintain organization.

Additional Requirements:

  • Proof of negative TB skin test within the last 12 months.
  • Documentation of MMR immunity or a blood titer.
  • Proof of Varicella vaccination (2 doses) or a blood titer.
  • Completion of Hepatitis B series.
  • Influenza vaccination is required.
  • COVID-19 vaccination is required.
  • Additional health requirements may also apply.

What We Offer:

  • A commitment to equal investment and support for our employees and patients.
  • A dynamic and ambitious startup culture that embraces innovation and rapid learning.
  • The opportunity to showcase creativity and collaboration in a supportive environment.
  • A team of skilled and welcoming professionals, each contributing unique strengths.
  • We believe in the collective success of our organization and strive to provide continuous opportunities for personal and professional growth.
  • Full-time employees are eligible for a comprehensive benefits package, including Medical, Dental, Vision Insurance, Paid Time Off, Short- and Long-Term Disability, and more.

AndHealth is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.