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Medication Authorization and Access Manager

Westwood, Massachusetts

Organization Facility: Beth Israel Deaconess Medical Center Category: Patient Access Job ID: JR66092 Date posted: 01/22/2025
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Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Responsible for managing all aspects of the Medication Authorization and Access team which includes prior authorizations/financial clearance, patient assistance program, and denial management. The manager will lead, support, and manage all the staff and functions of the department to ensure patients can access the drugs they need.

Job Description:

Oversees the functions related to prior Authorization for prescriptions, financial clearance for hospital based infusion/injection services and our Patient Assistance Programs. Responsible for the development, implementation, administration, and quality of the groups systems, policies and procedures. Assumes direct supervision of the staff and their performance. Coordinates, communicates, maintains schedules, trains, and monitors the development and evaluation of their staff. Works collaboratively as part of the Pharmacy Corp leadership team and in particular the Ambulatory Pharmacy Services team to achieve our goals and purpose. Ensures processes consistently communicate with staff, patients, and providers to ensure proper and timely delivery of medications. Ensures strong working relationships with clinics and physicians to ensure we are providing the level of service to support their patients. Works collaboratively with our Data analytics and financial teams to ensure that infusions and injections are being paid correctly. Participates as a member of the Quality Management Committee to provide quality management oversight to the pharmacy operations and client satisfaction.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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Why join Beth Israel Lahey Health?

If you’re looking for a career where you can make a difference and explore your potential, Beth Israel Lahey Health is the place you belong. Our system includes a network of hospitals, physician practices, outpatient centers, and other healthcare facilities and we offer a broad range of careers in direct patient care, environmental services, registration, finance and many other fields. We are focused on providing compassionate and personalized healthcare with a strong reputation for clinical excellence and research and offer diverse opportunities for career growth and development. Conveniently, we have many locations in communities across Eastern Massachusetts and Southern New Hampshire.

At Beth Israel Lahey Health, we see you for all that you are – your experience and your dreams. Explore our open opportunities and find out why so many have already chosen to join our team.

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