Specialty Pharmacy Liaison

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs.  We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.  

Job Description

THE POSITION:

The Specialty Pharmacy Liaison serves as the single point of contact for communications both internally and externally in regards to the case status, prescription processing and reimbursement communications related to specialty pharmacies in network for their program.  They will work directly with operations for patient processing and with account management to communicate with partners.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Our employees are tasked with delivering excellent business results through the efforts of their teams.  These results are achieved by:

• Lead and facilitate conference calls with specialty pharmacy contacts (and client, if applicable) to monitor patient progress, reconcile data discrepancies, research missing data, handle inquiries and provide updates as requested.
• Generate meeting agendas, capture meeting minutes, maintain log of all action items with specialty pharmacies.
• Provide support and identify patient-specific issues to ensure efficient referral processing and triaging including reconciliation follow-up with specialty pharmacies.
• Primary point of contact for client and customer SP-related inquiries and escalations.
• Provide exceptional, white glove, customer service to internal and external customers; resolve any customer and client requests in a timely and accurate manner; escalate appropriately.
• Independently and effectively resolve complex issues with creativity and innovation.
• Active participation in building and maintaining respectful, collaborative internal/external team relationships, exercising and encouraging positivity.
• All other duties as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

EXPECTATIONS OF THE JOB:

• Manage and report referral/prescription process.
• Collaborate with SPs on case recovery efforts.
• Manage patient progress within the SP network through status monitoring and reconciliation.
• Provide exceptional, white glove, customer service to internal and external customers; resolve any customer and client requests in a timely and accurate manner; escalate appropriately.
• Independently and effectively resolve complex issues with creativity and innovation.
• Excellent attendance

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.

An individual in this position must be able to successfully perform the expectations listed above.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

• Required to have 5 years’ experience working with Specialty Pharmacies
• Expert knowledge in patient assistance, reimbursement, medical benefit management, denials, and prior authorizations
• Knowledge of healthcare administration and specifically healthcare billing and reimbursement procedures and regulations
• Excellent oral, written, and interpersonal communication skills.
• Ability to multitask.
• Positive attitude.
• Accurate and detail o