Pharmacy Access Specialist

4 weeks ago


Madison, Wisconsin, United States SSM Health Full time

Job Summary:

As a Pharmacy Access Specialist at SSM Health, you will play a vital role in improving patient access to necessary medications. You will serve as a liaison between medical staff, pharmacies, insurance providers, and patients to ensure seamless communication and continuity of care.

Key Responsibilities:

  • Review patient demographics, medication history, and insurance status to identify barriers to care and opportunities for intervention.
  • Investigate benefits and conduct prior authorization services to improve patient service experience.
  • Develop a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims.
  • Serve as a primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications.
  • Coordinate services with internal teams to support patients with limited financial resources.

Requirements:

  • Bachelor's degree or equivalent experience and education.
  • No experience required.

Benefits:

  • Paid Parental Leave.
  • Flexible Payment Options.
  • Upfront Tuition Coverage.


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