Specialty Pharmacy Advocate

4 days ago

Worcester, Massachusetts, United States Shields Health Solutions LLC Full time
Job Title: Specialty Pharmacy Advocate

At Shields Health Solutions LLC, we are committed to delivering exceptional patient care and services. We are seeking a highly motivated and detail-oriented individual to join our team as a Specialty Pharmacy Advocate.

Job Summary:

The Specialty Pharmacy Advocate will provide integrated support to patients and pharmacists by delivering a full continuum of medication adherence support. This role will work closely with patients to encourage the utilization of pharmacy services and provide a seamless experience for patients and clinicians.

Key Responsibilities:
  • Provide "legendary" care to hospital patients by offering a full suite of custom medication management services.
  • Work seamlessly alongside hospital clinicians to serve patients both face-to-face and over the phone.
  • Educate prospective pharmacy patients on how hospital services improve their overall care.
  • Support outpatient retail and specialty prescription medication needs.
  • Grow the specialty pharmacies patient population.
  • Ensure patients remain on track with medication regimens, including outbound therapy/medication adherence check-ups and securing refill prescriptions.
  • Communicate effectively with the centralized Patient Service Center regarding refill reports, zero-fill reports, monthly outstanding reports, and appointment lists.
  • Help develop new processes to ensure smooth operations and patient care.
  • Identify medications requiring special storage and/or handling, such as hazardous medications and/or refrigerated medication.
  • Identify supplies necessary for select medications, including sharps containers, needles/syringes, alcohol swabs, and Band-Aids.
  • Answer, resolve, and triage inbound inquiries.
  • Perform refill reminder calls under the supervision of a pharmacist.
  • Resolve insurance-related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance.
  • Ensure appropriate documentation in all required systems/tracking mechanisms.
  • Manage, organize, and update relevant data using database applications.
  • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
  • Identify trends, resolve problems, recommend improvements, and implement change.
  • Actively participate in process improvement initiatives.
  • Act as a value-added business partner to stakeholders throughout the organization.
  • Protect organization's value by keeping information confidential.
  • Update knowledge by participating in educational opportunities, reading professional publications, maintaining networks, and participating in professional organizations.
  • Be willing to do whatever is necessary for the betterment of the Company.
Requirements:
  • Strong interpersonal communication skills.
  • Ability to work independently and demonstrate good judgment.
  • Strong verbal and written communication.
  • Highly proficient in Microsoft Office, particularly Excel and Word.
  • Able to quickly learn other software programs and extract relevant information.
  • Strong organizational/administrative skills.
Preferred Qualifications:
  • Knowledge of transplant, hepatitis C, infectious disease (including HIV), and/or oncology.
Education and Experience:
  • High School Diploma or GED required.
  • 2 years of experience as a Pharmacy Technician, with 3-5 years preferred.
  • Nationally certified as a CPhT or equivalent is strongly preferred but not required.

Shields Health Solutions LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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