Specialty Pharmacy Liaison Certified

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

As our Pharmacy Liaison, you will provide leadership and strategy for clinical pharmacy programs, medication use policy development, and the maintenance of existing clinical pharmacy activities.

Every day you will coordinate drug use evaluation activities, develop treatment protocols, implement clinical pharmacy services, oversee staff development, and provide direct clinical pharmacy services including staffing coverage as needed.

To be successful in this role you will possess expert communication skills to interact with staff, physicians, and committees, effectively manage clinical competencies, and consistently support the strategic goals of the pharmacy department.

• Specialty pharmacy operations: Assist in marketing efforts to patients and providers to increase revenue, capture patient prescription volume, and improve patient retention by understanding business goals. Inform pharmacy leaders about changes in the marketplace and physician patterns. Inform system manager about issues with workflow and communication between patient, specialty clinic, and Specialty Pharmacy teams. Actively participate in process improvement standards. Is present at provider and community outreach events as appropriate. Actively participates in the accreditation process by understanding and performing the expectations of a liaison and patient care management within the standards. Stays up to date on all training needed for the job as well as maintaining accreditation standards and changes. May perform prescription dispensing duties (ie data entry, filling, selling)
• Prescription management: Act as an insurance specialist by expediting the prescription filling process (entering patient demographics, allergies, insurance information); obtain benefit information, verify patient insurance eligibility and level of coverage; understand Medicare/Medicaid regulations and billing guidelines as they pertain to Specialty Pharmacy patient benefits; understand billing primary, secondary and tertiary insurance claims. Process medication orders confirming that they are billed to all third parties correctly. Initiate and assist with the Prior Authorization and Patient Prescription Financial Assistance processes within the assigned disease state. Coordinate medication deliveries/pick-ups with the dispensing pharmacy after patient communication to include, completed delivery slip, storage/shipping needs, ancillary supplies needed, etc.
• Patient and provider services: Exemplifies excellent customer service during interactions with patients, employees, providers and others to build the Specialty Pharmacy program. Represent on-site/off-site Specialty Pharmacy seamlessly, answer patient and provider staff questions about the service, insurance issues, etc.; assist stakeholders with data interpretation and provide recommendations for improvement of quality. Work with the referring provider and/or clinic staff along with the patient care management program to ensure that patients receive the medications needed at the appropriate time. Communicate with patients in-person, and over the phone through inbound/outbound calls, to ensure adherence with medications through prescription refills and adherence check-ins. Monitor patient charts and profiles in an effort to meet Specialty Pharmacy therapy needs. Influence and motivate others to coordinate projects, resources and people to achieve the implementation of Specialty Pharmacy services.
• Medication management: Review medication regimen with pharmacists to determine which medications need to be dispensed on a timely schedule. Stays informed of medications available within the pharmacy and in the industry in relation to their assigned disease state(s). Participate in clinical training for Specialty disease states.

Required Education and Experience

• High School Graduate and active Pharmacy Technician license
• 4-5 years as a pharmacy technician or a combination of education and related experience may be considered
• Certified Pharmacy Tech PTCB, ECPT or CPHT certification