[Hiring] Medication Access & Adherence Specialist @Piedmont HealthCare PA

Role Description

The Medication Access & Adherence Specialist plays a dual role in supporting timely medication access and improving patient health outcomes. This specialist is responsible for managing prior authorization (PA) processes while proactively engaging patients to promote medication adherence through outreach, education, and follow-up.

Qualifications

• 2+ years of experience in prior authorization, healthcare support, pharmacy, or patient outreach
• Knowledge of insurance processes, formularies, and medication access workflows
• Strong communication and interpersonal skills, especially over the phone
• Experience with EMR/EHR systems and pharmacy platforms
• Ability to manage multiple tasks and work in a fast-paced environment
• Experience working with HEDIS quality measures is preferred
• Experience in a clinical setting preferred
• Demonstrated skills in leadership, advocacy, and communication
• Culturally effective capabilities demonstrating sensitivity and responsiveness to varying cultural characteristics and beliefs

Requirements

• Self-motivated, dependable, strong work ethic with a desire to learn
• Strong time and project management skills
• Experience with computer applications with proficient Excel abilities
• Ability to apply critical thinking skills and make sound judgments both while performing daily responsibilities and throughout the patient’s continuum of care
• Knowledge and demonstrated abilities to work in a regulatory climate that includes oversight by federal and state rules, payer contracts, governmental benefits, and community resources
• Excellent oral and written communication skills
• Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate accurately and effectively with all levels of staff and management
• Detail-oriented, thorough, and able to handle multiple tasks and projects with varying deadlines and priorities
• Ability to work successfully in a fast-paced, stressful environment
• Ability to work with a registry and an electronic health record
• Empathy, mental alertness, precision, analytical problem-solving abilities, communication skills, focus, and initiative
• Fundamental knowledge of healthcare organization, operations, and processes
• Ability to lead, organize, and collaboratively work with a team to ensure department goals are met in a timely manner

Benefits

• Dedicated home office space for remote work flexibility, as role is assigned/directed by a supervisor
• If directed for remote work, the home office space must be of low distraction, HIPAA compliant, and supported by a reliable internet service to support system applications

Environmental/Working Conditions

• Talking, hearing, repetitive motions and close visual acuity associated with a normal office environment
• Potential for a variety of exposure to additional work settings to include clinical/medical office, patient’s home, and/or a community-based environment

Physical/Mental Demands

• Standing, sitting for long periods while doing computer input and making phone calls
• Must have ability to bend, stoop, twist and work with computer equipment
• Stress involved in working with patients with multiple co-morbidities and multiple assignments