Experience Inc. Jobs

Req Number 147990

Job Description

Leads and guides team by acting as a liaison between patients, prescribers, pharmacies, and payers and collaborates with members of the interprofessional team to promote timely access to medications. Leads daily operations of pharmacy benefits investigation, oversees financial assistance and facilitation of prior authorizations, as required.

Job Responsibility

1.Collaborates with inter-professional team to enhance communication, coordinate care, and improve patient satisfaction.

2.Leads team as a subject matter expert on outpatient pharmacy services, prescription insurance benefits, and financial assistance.

3.Leads team on patient cases and is responsible for training/mentoring team members on technical skills.

4.Partners with patients to determine most appropriate sources for their medication needs and refers patients to appropriate programs and resources.

5.Reviews prescriptions with outpatient pharmacies to confirm which medications need to be dispensed and provides necessary timeline for dispensing.

6.Resolves insurance related issues and coordinates prior authorization requirements.

7.Exhibits exceptional customer service during interactions with patients, caregivers, and other health care professionals.

8.Makes recommendations to leaders with respect to program impact and areas for improvement to site and organizational leadership. 9. Researches and resolves complex prior authorizations including letters of medical necessity, and supervises team members with complicated authorization or financial assistance tasks. 10. Makes decisions regarding daily priorities and provide guidance to team members on non-routine or escalated issues. 11.May have functional supervision responsibilities, coordinate scheduling of work assignments, and direct daily priorities of team members. 12. May provide input into performance reviews and corrective actions for team members.

13. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• Associate's/Technical Degree or equivalent combination of education and related experience.

• 5-7 years of relevant experience, required.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $55,070-$85,720/year

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.