Medication Access Specialist

Job Description

Job Description

Description : ABOUT VISANTE

We are a specialized consulting firm focused on helping hospitals and health systems accelerate strong clinical, operational, and financial performance through pharmacy. Our team of professionals brings deep, contemporary expertise and innovation to optimizing all aspects of a fully integrated health system pharmacy program, driving significant value quickly.

Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives.

Visante is looking to add a Medication Specialist to our Specialty Pharmacy Services line. This individual will be responsible for

providing medication access and affordability services to Visante clients and their patients.

ABOUT THE ROLE (Remote, work from home)

The Medication Specialist’s responsibilities include the following :

• Reviewing medication authorizations submitted by clients
• Performing appropriate actions based on client and patient needs, including :

Identifying the process to submit authorizations

Sharing information related to medication coverage and financial assistance options

Requirements : Education

Required : High school diploma or equivalent

Experience

Required : 3 years of experience working within healthcare or with pharmacy providers on medication access

Preferred : Previous consulting and / or client-facing experience; Experience with electronic medical record documentation and prior authorization workflows; Experience with performing retail pharmacy PBM adjudication; Experience in utilizing CoverMyMeds® to submit prior authorizations; Two (2) years of experience in healthcare revenue cycle that includes medication authorizations; Knowledge of CPT and ICD coding is highly desired; Knowledge of Medicare and third-party payer regulations and guidelines is highly desired; Two (2) years of experience in preadmission / precertification

Skills and Abilities

Demonstration of good judgment, multi-tasking and meeting deadlines with a sense of urgency, and being able to prioritize competing demands; Strong client relationship, interpersonal, and team skills; Proven ability to diagnose and resolve issues, demonstrating strong analytical and creative skills; Ability to make sound and timely decisions based on analysis, experience, and judgment; Clear and concise verbal and written communication skills and the ability to advise clients professionally and positively; Maintains confidentiality of all patient-related information; Excellent knowledge of medication reimbursement and healthcare prior authorization / coding ; Excellent knowledge and proficiency in MS Word, Outlook, PowerPoint, and Excel

Compensation and Benefits : We offer competitive salary and benefits for this full-time salaried role.

Equal Opportunity Statement : Visante is an equal opportunity employer. Visante’s people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by applicable laws and regulations