Medication Access Specialist - Community Pharmacy

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

220 Hutchison Rd, Rochester, New York, United States of America, 14620

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500160 Pharmacy SMH

Work Shift:

Range:

UR URCC 204 H

Compensation Range:

$19.08 - $25.77

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

This individual is responsible for the overall management of drug access for high-cost specialty and restricted access drugs in assigned clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of patients in appropriate patient assistance programs, managing the vendor payment process for the assistance programs, and collaboration with patient financial services to assure accurate billing for the patient self-pay obligation. This overall program is intended to facilitate access to clinic-administered drugs while also maximizing the revenue and margin associated with the provision of these high cost drugs through retention of supply chain management within Strong Memorial Hospital.



This position has independent responsibility for organizing and planning work in order to accomplish daily work requirements. A substantial portion of the normal duties of the incumbent requires proper judgement, sensitivity, and strict adherence to Strong Memorial Hospital policy on confidentiality and the protection of Private Health Information. The incumbent interacts with multiple individuals internal and external to the institution including hospital and clinical employees at multiple levels including pharmacists, medical/clinical staff, fiscal personnel, department managers, access services staff, coding staff and billing assistants. External contacts include third party payers, governmental peer review organizations, and referring physicians. To be effective this individual must be able to establish strong collaborative working relationships.

Responsibilities

POSITION SUMMARY:

This individual is responsible for the overall management of drug access for high-cost specialty and restricted access drugs in assigned clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of patients in appropriate patient assistance programs, managing the vendor payment process for the assistance programs, and collaboration with patient financial services to assure accurate billing for the patient self-pay obligation. This overall program is intended to facilitate access to clinic-administered drugs while also maximizing the revenue and margin associated with the provision of these high cost drugs through retention of supply chain management within Strong Memorial Hospital.

This position has independent responsibility for organizing and planning work in order to accomplish daily work requirements. A substantial portion of the normal duties of the incumbent requires proper judgement, sensitivity, and strict adherence to Strong Memorial Hospital policy on confidentiality and the protection of Private Health Information. The incumbent interacts with multiple individuals internal and external to the institution including hospital and clinical employees at multiple levels including pharmacists, medical/clinical staff, fiscal personnel, department managers, access services staff, coding staff and billing assistants. External contacts include third party payers, governmental peer review organizations, and referring physicians. To be effective this individual must be able to establish strong collaborative working relationships.

SPECIFIC RESPONSIBILITIES:

A. Prior Authorization Management

- Highly knowledgeable of the current policies of the major payers for the relevant clinic-administered drugs that require prior authorization (PA), and will be responsible for working with the clinic providers, nurses and other patient care staff to assure