Medication Access Solutions Specialist

3 days ago

Saint Paul, Minnesota, United States Visante Full time
About Visante
We are a specialized consulting firm dedicated to helping hospitals and health systems optimize their pharmacy programs. Our team of experts brings deep, contemporary knowledge and innovation to drive significant value quickly.

Visante is seeking a Medication Access Specialist to join our Specialty Pharmacy Services line. This individual will be responsible for providing medication access and affordability services to our clients and their patients.

About the Role (Remote Work)
The Medication Access Specialist's responsibilities include:
  • Reviewing medication authorizations submitted by clients
  • Performing appropriate actions based on client and patient needs, including:
    • Identifying the process to submit authorizations
    • Reviewing documentation in the client's medical record that is required for authorization submissions
    • Performing benefits investigation reviews to determine patient coverage and out-of-pocket costs
    • Identifying patient assistance programs, copay cards, grants, or funds that could be utilized to reduce patient financial burdens
    • Communicating with the clinic to obtain additional information or guidance related to prior authorization submission
    • Assisting clinics with submitting appeals related to coverage denials
  • Communicating determinations and relevant follow-up with patients on behalf of clients, including:
    • Sharing information related to medication coverage and financial assistance options
    • Providing pharmacy options for where prescriptions can be filled
  • Ensuring timely and accurate documentation related to services provided to clients and their patients by appropriately documenting information in clients' EMR systems based on the agreed-upon workflow and documenting information in Visante systems for tracking prior authorization volumes and associated fees
  • Supporting clients with onboarding and training of client-employed medication access specialists, when directed and supporting Visante with continual process improvement and client-specific workflow and process development
  • Collaborating with Visante team members and leaders to provide insight and constructive feedback into day-to-day operations
  • Supporting clients with improving clinical staff and client pharmacy workflows and communications
  • Completing other duties as assigned by the supervisor
About the Position
This full-time salaried role offers competitive pay and company benefits. The estimated salary range for this position is $60,000 - $80,000 per year, depending on experience.

Required Skills and Qualifications
The following education and skills are required for this position:
  • High school diploma or equivalent
  • At least 3-5 years of experience working within healthcare or with pharmacy providers on medication access
About Visante
We are an equal-opportunity employer committed to maintaining an environment free of discrimination, harassment, and violence. We believe our people are our greatest asset and strive to create a workplace that fosters diversity, equity, and inclusion.

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