Specialty Pharmacy Liaison

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day-Weekend (United States of America)

Address:

601 E ROLLINS ST

City:

ORLANDO

State:

Florida

Postal Code:

32803

Job Description:

Schedule: M-F, 8A-8P with possibility for some weekends (Flexible); 40 hours/week

Location: 601 E ROLLINS ST ORLANDO, FL 32803

Responsible for improving patient outcomes by assisting with processing, filling, and delivery of medications. This position leads and manages referrals, verifies patient demographics and medication coverage, and initiates prior authorization requests. This role facilitates patient assistance, appeals, peer reviews, and co-pay assistance, ensuring communication with specialty patients and referral sources. Other expectations include developing content and presenting clinical services to provider offices, providing metrics related to prior authorization and patient funding success rates.

• Monitors patient medication adherence and provides interventions as needed.

• Maintains accurate and up-to-date patient records and documentation.

• Participates in quality improvement initiatives to enhance pharmacy services.

• Other duties as assigned.

• Dispenses medications accurately and efficiently to patients. Reviews and verifies prescriptions for accuracy and completeness. Manages inventory to ensure adequate stock levels and compliance with regulations. Utilizes patient assistance programs to provide financial aid to eligible patients.

Knowledge, Skills, and Abilities:

• Proficiency with prescription-filling software and other computer skills [Required]

• Proficient in processing third party claims and secondary billing [Required]

• Knowledge of part B a part D Medicare billing [Required]

• Knowledgeable in most major prescription insurance carrier reimbursement guidelines and eligibility for coverage by third-party payers [Required]

• Knowledge of medical terminology and vast understanding of mathematical principles to perform pharmaceutical calculations [Required]

Education:

• Associate [Required]

Work Experience:

• 5+ years working in a retail pharmacy or equivalent environment [Preferred]

• Previous experience in a managed healthcare organization, medical insurance company, pharmacy benefit management or other healthcare related entity [Preferred]

• Prior experience facilitating prior authorizations, patient assistance and co-pay assistance [Preferred]

• Prior experience processing and filling prescriptions for specialty patients [Preferred]

Additional Information:

• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:

• Associate's degree OR

• High School Grad and 5+ years of experience

Licenses and Certifications:

• Registered Pharmacy Technician (RPhT)[Required]

• Certified Pharmacy Technician (CPhT) [Required]

Physical Requirements: (Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range:

$21.17 - $39.38

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse :

https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Pharmacy

Organization: AdventHealth Orlando Support

Schedule: Full time

Shift: Day-Weekend

Req ID: 153957458