[Hiring] Specialty Pharmacy Liaison Certified @CommonSpirit Health

Role Description

As our Pharmacy Liaison, you will provide leadership and strategy for clinical pharmacy programs, medication use policy development, and the maintenance of existing clinical pharmacy activities. Every day you will:

• Coordinate drug use evaluation activities.
• Develop treatment protocols.
• Implement clinical pharmacy services.
• Oversee staff development.
• Provide direct clinical pharmacy services including staffing coverage as needed.

To be successful in this role you will possess expert communication skills to:

• Interact with staff, physicians, and committees.
• Effectively manage clinical competencies.
• Consistently support the strategic goals of the pharmacy department.

Specialty pharmacy operations:

• Assist in marketing efforts to patients and providers to increase revenue, capture patient prescription volume, and improve patient retention by understanding business goals.
• Inform pharmacy leaders about changes in the marketplace and physician patterns.
• Inform system manager about issues with workflow and communication between patient, specialty clinic, and Specialty Pharmacy teams.
• Actively participate in process improvement standards.
• Be present at provider and community outreach events as appropriate.
• Participate in the accreditation process by understanding and performing the expectations of a liaison and patient care management within the standards.
• Stay up to date on all training needed for the job as well as maintaining accreditation standards and changes.
• May perform prescription dispensing duties (i.e., data entry, filling, selling).

Prescription management:

• Act as an insurance specialist by expediting the prescription filling process (entering patient demographics, allergies, insurance information).
• Obtain benefit information, verify patient insurance eligibility and level of coverage.
• Understand Medicare/Medicaid regulations and billing guidelines as they pertain to Specialty Pharmacy patient benefits.
• Understand billing primary, secondary, and tertiary insurance claims.
• Process medication orders confirming that they are billed to all third parties correctly.
• Initiate and assist with the Prior Authorization and Patient Prescription Financial Assistance processes within the assigned disease state.
• Coordinate medication deliveries/pick-ups with the dispensing pharmacy after patient communication to include completed delivery slip, storage/shipping needs, ancillary supplies needed, etc.

Patient and provider services:

• Exemplify excellent customer service during interactions with patients, employees, providers, and others to build the Specialty Pharmacy program.
• Represent on-site/off-site Specialty Pharmacy seamlessly.
• Answer patient and provider staff questions about the service, insurance issues, etc.
• Assist stakeholders with data interpretation and provide recommendations for improvement of quality.
• Work with the referring provider and/or clinic staff along with the patient care management program to ensure that patients receive the medications needed at the appropriate time.
• Communicate with patients in-person, and over the phone through inbound/outbound calls, to ensure adherence with medications through prescription refills and adherence check-ins.
• Monitor patient charts and profiles in an effort to meet Specialty Pharmacy therapy needs.
• Influence and motivate others to coordinate projects, resources, and people to achieve the implementation of Specialty Pharmacy services.

Medication management:

• Review medication regimen with pharmacists to determine which medications need to be dispensed on a timely schedule.
• Stay informed of medications available within the pharmacy and in the industry in relation to their assigned disease state(s).
• Participate in clinical training for Specialty disease states.

Qualifications

• High School Graduate and active Pharmacy Technician license.
• 4-5 years as a pharmacy technician or a combination of education and related experience may be considered.
• Certified Pharmacy Tech PTCB, ECPT or CPHT certification.