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Clearway Health · 2 days ago

Implementation Specialist - Pharmacy

United States

Full-time

Remote

Mid, Senior Level

$70K/yr - $85K/yr

4+ years exp

Clearway Health is an award-winning organization focused on improving access to care for vulnerable patients. The Implementation Specialist will work with new partnership hospitals to integrate and launch pharmacy services, providing hands-on care and training for new team members while managing patient relationships and operational workflows.

Health CareHospitalWellness

Responsibilities

You'll provide hands-on expertise, resources, and knowledge to new hospital sites as part of a new client partnership agreement

Own in partnership with our People & Culture team the on-boarding experience and client satisfaction of new hires

Build, develop and/or maintaining on-site provider and pharmacy relationships by providing exceptional pharmacy care to patients

Developing relationships with local insurances, drug representatives, and external care providers to create a holistic care model for each and every patient

Owning of identification and address of Clinic and/or Pharmacy workflow inefficiencies: Identify key barriers, create workflow maps, propose new ideas, gain agreement from staff, and execute changes to promote workflow efficiencies (PA workflows, pharmacy workflows, escalation protocols, communication methods, patient flows)

Integrating specific and centralized processes for safe and efficient fulfillment of specialty pharmacy services at client sites; including training materials and education

Refinement of workflows and processes post launch to deliver Clearway Health experience to patients

Training of on-site client staff liaisons to ensure local model is consistent with every site and ensure all liaisons meet competency requirements

The Implementation Specialist is responsible for making initial contact with the clinical team

Attending a provider or all staff meeting

Shadow a member of each group (pharmacy staff, front desk, MA, RN, and MD) to evaluate the efficiency and flow of the program’s current state

Identify clinic sponsors to obtain feedback/gaps with past, present, and future workflows. Purpose is to mimic what is working and provide solution to improve and expand patient care model

Train and Shadow new Pharmacy Technician Liaisons and Pharmacists in all duties, roles, and responsibilities

Track and report status to management along with any issues: escalate to leadership any risks and barriers to success including identifying and managing individual staff presenting challenges with adopting new protocols

As a member of the clinical team, work seamlessly alongside hospital clinicians to serve patients both face-to-face and over the phone

Communicate with Specialty Pharmacy Management, Medical Directors, and Practice Managers to provide support for new and ongoing hospital initiatives

Monitor staff to ensure that all required documentation is properly completed for billing purposes to include electronic orders and paperwork related to medications ordered

Utilize drug pricing provided by pharmacy and reconcile reimbursement to make sure it is within range

Communicate directly with patients to assist them in the awareness of their medications

Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow- up

You'll be responsible for managing and growing patient base by recruitment and retention of specialty pharmacy services

Patient enrollment functions, including following up on provided leads for new business in clinic, and generating leads through provider relationships or direct customer service engagements

Retention of patients through excellent service

Navigation of patient EMR (electronic medical record) to effectively answer questions and/or provide documentation as needed for prior authorizations

Resolve patient care issues and situational awareness around when to involve managers and/ or clinicians

Qualification

National Certification (PTCB)Pharmacy ExperienceMicrosoft OfficePharmacy Leadership ExperienceSpecialty MedicationsPrior Authorization ExperienceBilingual SkillsCultural SensitivityEmpathyCommunication SkillsInterpersonal SkillsOrganizational SkillsAttention to Detail

Required

HS Diploma Or G.E.D. Required

Must be registered and in good standing with any State Board of Pharmacy

Implementation Specialist must have current active National Certification verified by PTCB

Must have a valid driver's license with current auto insurance

Must be willing and able to travel up to 75% of the time

Must have 4-5 years of pharmacy experience

Excellent English oral and written communication skills required; as well as ability to communicate professionally over the phone

Excellent interpersonal skills to relate to hospital healthcare personnel working cooperatively and collaboratively to resolve situations and problems, as well as effectively communicating and displaying leadership within and outside of the department

Cultural sensitivity, understanding, and comfort with a wide range of social, racial and ethnic populations

Must practice discretion and confidentiality as position deals with highly sensitive and private data

Ability to understand, explain, and actively promote the hospital's objectives through direct coordination and commitment to the program's goals

Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally

Highly proficient in Microsoft Office particularly Excel, Word, and Outlook

Ability to quickly learn other relevant applications that support management of patient care and assigned responsibilities; and ability to extract necessary information

Other professional skills and qualities: organized, strong attention to detail, ability to self-direct through multitasking and prioritizing, dependable, empathetic, focused on quality service, goal oriented

Capacity to work independently by managing workload and meeting established goals in a fast paced environment