Location: This role is hybrid to Asheville and Hendersonville, NC with a stronger emphasis on remote work.

Responsibilities:

• Access various physician practices for potential specialty Rx value using tools/data available.

• Establish communication with targeted specialty practices, arranging meetings with key stakeholders/decision makers.

• Demonstrate value of ambulatory pharmacy partnership to specialty practices.

• Ensure prescriptions flow through to ambulatory pharmacy and are identified by pharmacy staff.

• Establish patient profiles, including third-party payor(s) and clinical information.

• Process prescriptions, including insurance adjudication and product sourcing.

• Prepare and submit prior authorization paperwork; manage denials.

• Triage prescriptions which are limited distribution drugs or out-of-network.

• Act as financial advocate for patient where needed; leverage charitable foundations, state programs, and/or manufacturer programs to ensure maximal patient access

• Coordinate pickup/courier delivery of Rx's with patient.

• Follow up with patient to ensure refills are ordered on time and address and ADR's or clinical questions.

• Inform physician office of patient through process; document in EMR as necessary.

• Maintain relationships with physician offices through periodic visits/meetings.

• Assist with program financial reporting to client/data collection.

• Cross-train to ambulatory pharmacy; assist with staffing needs as required. This may include weekends and/or holidays as per business needs.

• Provide oversight and direction to associates in accordance with the organization’s policies and procedures.

• Coach, mentor, and develop staff, including overseeing new employee onboarding and providing career development and opportunities.

Current unrestricted pharmacist license in the appropriate state of practice,PharmD degree strongly preferred.
5+ years community/retail/ambulatory pharmacy or health-system related experience. Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable.

Skills and Knowledge:

• Must be proficient in Microsoft Office, including Word, Excel, and PowerPoint

• Candidates should have prior experience on pharmacy dispensing systems and be familiar with insurance adjudication processes.

• The role involves working with a broad array of complex disease states and medical conditions; candidates should be comfortable working with clinical data, lab values, and reading/writing notes in patient medical records.

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