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Role Description

The Specialist, Pharma Support Services serves as the designated representative on their assigned program(s) to ensure delivery of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of assigned program(s) and contracted requirements.

• Accountable for referral service delivery as contracted.
• Measured on success in delivering per contracted KPI metrics and accurate and timely data collection/reporting for program(s).
• Responsible for maintaining a positive relationship with pharma, HUB, and internal and external operational, sales, and patient registration teams.

Job Responsibilities:

• Communicate regularly with assigned program(s) representatives to provide necessary referral coordination updates.
• Work alongside local/internal operational partners to drive implementation and coordination of the assigned referrals.
• Daily communication with patients, providers, and assistance programs to support coordination and execution to contract obligations and overall patient satisfaction.
• Follow up with stakeholders to ensure assigned tasks are completed and initiate data/information collection and entry.
• Participate in business review presentations/contractually agreed upon meetings as directed by clients.
• Assist in developing related SOPs, workflow, and project plans for identified Program(s).

Qualifications

• High School Diploma or equivalent is required.
• At least 1 year of experience in a health insurance, specialty pharmacy, patient registration, or similar role with external facing responsibilities.

Requirements

• Knowledge of insurances (Benefit Verifications/Prior Authorization), in specialized pharmacy therapies preferred.
• Must be detail-oriented and have a high degree of customer service focus.
• Demonstrate effective interpersonal communication skills.
• Ability to work independently, problem solve, and collaborate with cross-functional team members and leadership across all levels of the organization.
• Proficient computer skills that include the ability to effectively use the Microsoft Office Suite tools.
• Must be able to work on a personal computer or laptop computer for extended periods of time.

Preferred Qualifications & Interests (PQIs)

• One year of specialty pharmacy, home infusions, home care, or health insurance experience.

Benefits

• Medical, Dental, & Vision Insurance
• Paid Time off
• Bonding Time Off
• 401K Retirement Savings Plan with Company Match
• HSA Company Match
• Flexible Spending Accounts
• Tuition Reimbursement
• myFlexPay
• Family Support
• Mental Health Services
• Company Paid Life Insurance
• Award/Recognition Programs