From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy.

JOB TITLE: Specialty Pharmacy Liaison

POSITION SUMMARY:

Under the general supervision of the operational program leadership, the Specialty Pharmacy Liaison (also referred to as the Data Quality Representative) is responsible for various functions, including but not limited to accurate and timely data submission and patient status collection. The Specialty Pharmacy Liaison conducts weekly specialty pharmacy calls, tracks specialty pharmacy performance and responds to all account inquiries regarding data.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Collects and reviews all data to the degree authorized by the SOP of the program.
• Coordinates services with the specialty pharmacy and national account manager.
• Maintains frequent phone contact with pharmacy staff and manufacturer client.
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
• Provides training and support to inter-departmental associates.
• Verifies transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate.
• Independently and effectively resolves complex accounts with minimal supervision.
• Demonstrates an understanding of complicated data issues.
• Handles complex issues where analysis of situations or data requires an in-depth evaluation of variable factors.
• Exercises judgment in selecting methods, techniques and evaluation criteria for obtaining results of pending shipments and incomplete data sets.
• Networks with key contacts outside own area of expertise.
• Acts independently to determine methods and procedures on new or special assignments.
• Performs related duties and special projects as assigned.
• Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled.
• Performs other related duties as assigned.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• Previous 3+ years of experience in a specialty pharmacy, medical insurance,reimbursement hub experience, physician's office, healthcare setting, and/or insurance background preferred
• Bachelor's Degree Preferred

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• Ability to communicate effectively both orally and in writing
• Ability to build productive internal/external working relationships
• Strong interpersonal skills
• Strong negotiating skills
• Strong analytical skills
• Strong organizational skills; attention to detail
• General knowledge of pharmacy benefits, and medical benefits
• Ability to proficiently use Microsoft Excel, Outlook and Word
• Ability and initiative to work independently or as a team member
• Ability to problem solve
• Strong time management skills
• Customer satisfaction focused

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit
• The employee must occasionally lift and/or move up to 10 pounds.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

SCHEDULE:

• Must be flexible on schedule and hours

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.