Medication Access Specialist

Job 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
  • Reviewing documentation in the client’s medical record that is required for authorization submissions
  • Performing benefits investigation reviews to determine patient coverage and out-of-pocket costs
  • Identifying patient assistance programs, copay cards, grants, or funds that could be utilized to reduce patient financial burdens
  • Communicating with the clinic to obtain additional information or guidance related to prior authorization submission
  • Assisting clinics with submitting appeals related to coverage denials
• Communicates determinations and relevant follow-up with patients on behalf of clients, including:
  • Sharing information related to medication coverage and financial assistance options
  • Providing pharmacy options for where prescriptions can be filled
• Ensuring timely and accurate documentation related to services provided to clients and their patients by appropriately documenting information in clients’ EMR systems based on the agreed-upon Visante-client workflow and documenting information in Visante systems for tracking prior authorization volumes and associated fees
• Supporting clients with onboarding and training of client-employed medication access specialists, when directed and supporting Visante with continual process improvement and client-specific workflow and process development
• Collaborating with Visante team members and leaders to provide insight and constructive feedback into day-to-day operations
• Supporting clients with improving clinical staff and client pharmacy workflows and communications
• Completing other duties as assigned by the supervisor