Job Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.

Job Description

THE POSITION :

The Specialty Pharmacy Liaison serves as the single point of contact for communications both internally and externally in regards to the case status, prescription processing and reimbursement communications related to specialty pharmacies in network for their program. They will work directly with operations for patient processing and with account management to communicate with partners.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:

• Lead and facilitate conference calls with specialty pharmacy contacts (and client, if applicable) to monitor patient progress, reconcile data discrepancies, research missing data, handle inquiries and provide updates as requested.
• Generate meeting agendas, capture meeting minutes, maintain log of all action items with specialty pharmacies.
• Provide support and identify patient-specific issues to ensure efficient referral processing and triaging including reconciliation follow-up with specialty pharmacies.
• Primary point of contact for client and customer SP-related inquiries and escalations.
• Provide exceptional, white glove, customer service to internal and external customers; resolve any customer and client requests in a timely and accurate manner; escalate appropriately.
• Independently and effectively resolve complex issues with creativity and innovation.
• Active participation in building and maintaining respectful, collaborative internal/external team relationships, exercising and encouraging positivity.
• All other duties as assigned .

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

EXPECT AT IONS OF THE JOB:

• Manage and report referral/prescription process.
• Collaborate with SPs on case recovery efforts.
• Manage patient progress within the SP network through status monitoring and reconciliation.
• Provide exceptional, white glove, customer service to internal and external customers; resolve any customer and client requests in a timely and accurate manner; escalate appropriately.
• Independently and effectively resolve complex issues with creativity and innovation.
• Excellent attendance

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.

An individual in this position must be able to successfully perform the expectations listed above.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

• Required to have 5 years’ experience working with Specialty Pharmacies
• Expert knowledge in patient assistance, reimbursement, medical benefit management, denials, and prior authorizations
• Knowledge of healthcare administration and specifically healthcare billing and reimbursement procedures and regulations
• Excellent oral, written, and interpersonal communication skills.
• Ability to multitask.
• Positive attitude.
• Accurate and detail orientated.
• Ability to work independently and function as a team player.
• Ability to build productive working relationships.
• Ability to work in a fast paced, metric driven environment, while remaining patient minded.
• Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.

PREFERRED

QUALIFICATIONS

:

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

PHYSICAL/MENTAL DEMANDS AND WORKING ENVIRONMENT:

The physical and mental requirements along with the work environment characteristics described here are representative of those individual encounters while performing the essential functions of this position.

Office: While performing the essential functions of this job the employee is frequently required to reach, grasp, stand and/or sit for long periods of time (up to 90% of the shift), walk, talk and hear; occasionally required to lift and/or move up to 25 pounds. The noise level in the work environment is usually moderately quiet, with frequent interruptions and multiple demands.

Additional Information

OUR CULTURAL BELIEFS:

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.

EVERSANA is committed to providing competitive salaries and benefits for all employees. The anticipated base salary range for this position is $67,500 to $94,000 and is not applicable to locations outside of the U.S. The base salary range represents the low and high end of the salary range for this position. Compensation will be determined based on relevant experience, other job-related

qualifications

/skills, and geographic location (to account for comparative cost of living). EVERSANA reserves the right to modify this base salary range at any time.

Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at  applicantsupport@eversana.com .

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Job Tags

Full time, Local area, Shift work,

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