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    Specialty Pharmacy Liaison

    Eversana
    2+ years
    Not Disclosed
    Remote, USA
    10 Nov. 27, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Company Description
    At EVERSANA, we take pride in being certified as a Great Place to Work worldwide. Our mission is to create a healthier world through innovation. With a global team of over 7,000 employees, we are dedicated to providing next-generation commercialization services to the life sciences industry. We work with over 650 clients, ranging from biotech start-ups to established pharmaceutical companies. Our solutions help bring new therapies to market and support the patients who rely on them. We value diversity, and together, we make an impact every day. Join us in shaping the future of healthcare!

    We embrace diversity in all its forms, recognizing the importance of different backgrounds, experiences, and perspectives. Our focus is on improving patient lives, and we need individuals from all walks of life to help us shape the future of healthcare and life sciences. We value our people and work intentionally to create an inclusive, self-reflective culture. We seek team members who are not only skilled but who care deeply about EVERSANA, our people, our clients, and most importantly, the patients we serve. We are EVERSANA.

    Job Description
    Position: Specialty Pharmacy Liaison

    The Specialty Pharmacy Liaison is the primary point of contact for internal and external communications regarding the status of cases, prescription processing, and reimbursement with specialty pharmacies in the network. This role involves working directly with operations for patient processing and collaborating with account management to ensure effective communication with partners.

    Key Responsibilities:

    • Lead and facilitate conference calls with specialty pharmacy contacts (and clients, if applicable) to monitor patient progress, reconcile data discrepancies, research missing data, handle inquiries, and provide updates as needed.
    • Prepare meeting agendas, document minutes, and maintain a log of action items with specialty pharmacies.
    • Support patient-specific issues to ensure timely referral processing and resolution, including follow-up reconciliation with specialty pharmacies.
    • Act as the primary contact for client and customer inquiries and escalations related to specialty pharmacy issues.
    • Provide exceptional, "white glove" customer service to both internal and external customers, addressing requests accurately and promptly; escalate as necessary.
    • Resolve complex issues independently, demonstrating creativity and innovation.
    • Contribute to building and maintaining respectful, collaborative relationships with internal and external teams, promoting positivity and teamwork.
    • Additional duties as assigned, with reasonable accommodations for individuals with disabilities.

    Expectations:

    • Manage and report on referral/prescription processes.
    • Collaborate with specialty pharmacies on case recovery efforts.
    • Track patient progress within the specialty pharmacy network, ensuring reconciliation.
    • Provide excellent customer service to clients and internal teams, managing requests in a timely and accurate manner.
    • Demonstrate creativity in resolving complex issues.
    • Maintain excellent attendance.
    • Ability to adapt to other responsibilities as needed.

    Qualifications

    Minimum Knowledge, Skills, and Abilities:

    • At least 5 years of experience working with specialty pharmacies.
    • Expert knowledge in patient assistance, reimbursement, medical benefit management, denials, and prior authorizations.
    • Strong understanding of healthcare administration, billing, and reimbursement procedures.
    • Excellent oral, written, and interpersonal communication skills.
    • Ability to multitask and prioritize effectively.
    • Positive attitude and detail-oriented.
    • Ability to work both independently and collaboratively.
    • Proficiency in Microsoft Word, Excel, and PowerPoint.

    Preferred Qualifications:

    • Bachelor’s Degree in Life Sciences, Pharmacy, or a Business-related discipline.

    Physical/Mental Demands and Working Environment:

    • The role requires frequent periods of sitting, standing, walking, and talking.
    • Occasional lifting (up to 25 pounds).
    • Moderate office noise with frequent interruptions.
    • The position requires focus, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

    Cultural Beliefs at EVERSANA:

    • Patient Minded: I act with the patient’s best interest in mind.
    • Client Delight: I own every client experience and its impact on results.
    • Take Action: I am empowered and empower others to act now.
    • Grow Talent: I own my development and invest in the development of others.
    • Win Together: I passionately connect with anyone, anywhere, anytime to achieve results.
    • Communication Matters: I speak up to create transparent, thoughtful, and timely dialogue.
    • Embrace Diversity: I create an environment of awareness and respect.
    • Always Innovate: I am bold and creative in everything I do.

    Compensation and Benefits:

    EVERSANA offers competitive salaries and benefits. The expected base salary range for this position is $67,500 to $94,000, and compensation will be based on experience, qualifications, and location. This salary range is applicable to positions based in the U.S. only. EVERSANA reserves the right to modify this salary range at any time.

    Diversity, Equity & Inclusion:

    EVERSANA is an Equal Opportunity Employer and embraces diversity across all dimensions. We believe diverse perspectives contribute to the success of our company and the patients we serve. We encourage individuals of all backgrounds—including race, gender identity, disability status, veteran status, sexual orientation, and religion—to apply. Inclusion is everyone's responsibility, and we are committed to creating a respectful environment for all employees.

    Recruitment Fraud Warning:

    Be aware of fraudulent job offers claiming to be from EVERSANA. These scams may ask for personal information or payment for training or job application fees. EVERSANA will never request such information or fees. If you encounter any suspicious offers, please contact us directly to verify their legitimacy.

    Reasonable Accommodation:

    EVERSANA provides reasonable accommodations in accordance with the Americans with Disabilities Act (ADA) for qualified candidates with disabilities. If you need accommodation during the application process, please contact us at applicantsupport@eversana.com.

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