[Hiring] Specialty Liaison - Patient Access @United Biosource Corporation

Role Description

Serves as a single point of contact for program specific engagements with Specialty Pharmacies (SPs), Specialty Distributors (SDs) and/or the manufacturer’s field teams. Responsible for reviewing, analyzing, identifying, and solving problematic issues and escalations. Provide timely and accurate reconciliation of SP and/or SD dispensing/shipping information, builds and develops strong partner relationships, and supports all activities that facilitate patient access. Utilize knowledge of specialty pharmacy processes, dispensing patterns and reimbursement issues to effectively detect and investigate potential gaps in care.

• Provide consistent and effective communication to all appropriate stakeholders as first line support/single point of contact with contracted specialty pharmacies and/or specialty distributors and manufacturer field teams.
• Identify, investigate, and resolve escalated issues and cases related to complex reimbursement and/or REMS compliance from both internal and external stakeholders.
• Responsible for analyzing incoming data and recognizing trends and cases that need further action.
• Review all incoming data from partners, review exception errors generated from each contracted data feed, and outreach to contracted SPs and/or SDs related to outstanding restatements. Ensure all contractual timeframes related to SP and/or SD data review are successfully met, as applicable.
• Lead weekly (more or less frequently as needed) calls with each contracted SP and/or SD to review identified issues with shipment files and/or patient status files to include those patients at risk of lapsing in therapy, shipment and/or insurance delays, missing shipment and updates.
• Triage records, in a timely and accurate manner, if applicable to the program.
• Provide timely tracking of receipt of referral, status of contracted SP activity, and potential interruptions in therapy.
• Provide training and education to contracted SPs and/or SDs about the program, processes, and data requirements.
• Gathers, analyzes, and prepares data, for Quarterly Business Reviews (QBRs), Compliance Committee Meetings, FDA requirements, and other special projects and reports as applicable.
• Attends manufacturer hosted conferences as applicable.
• Attends manufacturer/SP QBRs and other manufacturer meetings as requested.

Qualifications

• Associate or Bachelor’s Degree preferred
• 4-6 years relevant working experience
• 2+ years’ experience in a customer service setting, preferably in a call center environment
• Previous experience in the PBM and/or healthcare industry preferred
• Proficient in Microsoft Office applications, specifically Excel
• Ability to handle a fast paced environment
• Strong written and verbal communication skills
• Advanced problem solving and trouble-shooting skills
• Strong attention to detail and ability to multi-task
• Strong team building skills and the ability to train other team members
• Research, analysis, report preparation and documentation skills
• Demonstrated customer service resolution skills

Benefits

• Remote opportunities
• Competitive salaries
• Growth opportunities for promotion
• 401K with company match*
• Tuition reimbursement
• Discretionary PTO (Paid Time Off)
• Paid Holidays
• Employee assistance programs
• Medical, Dental, and vision coverage
• HSA/FSA
• Telemedicine (Virtual doctor appointments)
• Wellness program
• Adoption assistance
• Short-term disability
• Long term disability
• Life insurance
• Discount programs