Specialty Pharmacy Liaison

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

Position Summary

The role is a key member of our specialty pharmacy services and works closely with patients, ECU Health specialty clinical pharmacists and regional clinic teams to improve patient outcomes, by assisting with processing, filling and delivery of their medications. The Liaison leads and has primary responsibility with receiving referrals, verifying patient demographics and medication coverage in the database, initiating, and obtaining prior authorization requests, facilitating patient assistance, appeals, peer reviews, and co-pay assistance. Also ensures communication with specialty patients and the referral source and serves as specialist for outpatient pharmacies with prescriptions requiring prior authorization, patient assistance, appeals and co-pay assistance. The Liaison assists with developing content and sharing with providers offices regarding clinical services and provides pertinent metrics related to their prior authorization and patient funding success rates. This position completes all daily, weekly, and monthly required documentation required for data collection and analysis to support regulatory accreditation requirements. This role will serve as the main point of contact to facilitate communication between the Pharmacy and specialty departments. Performs other duties as necessary for the effective daily pharmacy operations and assists in a range of supportive duties consistent with the goals, policies, and procedures of the pharmacy. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Responsibilities

Proactively engage with patients living with chronic health conditions to complete benefits verification and assist with identifying appropriate secondary coverage.

Complete insurance verification and medication coverage determinations, and work with providers to address formulary restrictions.

Assist with the completion of prior authorizations or appeals necessary to ensure medication access for patients.

Regularly contact or communicate with patients regarding current medication utilizations and ongoing needs, communicating regularly with in-house or contract pharmacies, under the supervision of a pharmacist.

Complete routine reassessment of patients' medication utilization and communicate any concerns or side effects patients may be experiencing to clinical pharmacist.

Consult with pharmacists or providers regarding all clinical needs of patients, routing all clinical interventions or counseling to a pharmacist or appropriate licensed clinician to complete.

Assist patients with scheduling prescriptions, fills, or deliveries.

Document all patient communication in specialty pharmacy software.

Generate reports routinely to identify new patients, upcoming medication needs, and adherence-related data.

Manage patient medical referrals for specialty care.

Other responsibilities as needed

Minimum Requirements

High-School Diploma or equivalent required.

Certified Pharmacy Technician (CPhT) in the state of NC required.

National Certification (PTCB) required.

3 or more years of pharmacy experience is required; 1-2 years in Specialty Pharmacy is preferred

Excellent written and verbal communication skills.

Strong attention to detail and ability to handle multiple tasks simultaneously.

Comfortable with technology and ability to adapt to new systems.

Must be organized and able to work independently.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.