Medication Access Supervisor
Essential Job Responsibilities/ExpectationsReporting to the Pharmacy Business Services Corporate Director, the Medication Access Supervisor is responsible for oversight of the day-to-day operations of the medication access / medication prior authorization team, ensuring exceptional patient care, customer service, and efficient coordination with healthcare providers and insurance entities. The Medication Access Supervisor will play a crucial role in ensuring access to medications for patients with unique medical needs through leadership of a dedicated medication access team.
Medication Access Service Development:• Oversee the development and management of high-quality pharmacy benefit and medical benefit prior authorization program, ensuring efficient and compliant processes to optimize patient access to necessary medications and treatments.• Monitor and track key performance indicators (KPIs) to ensure team productivity, patient satisfaction, provider satisfaction, and compliance goals are met or exceeded.• Develop and maintain an in-depth understanding of insurance coverage and prior authorization requirements for medications.• Act as a point of escalation for complex cases, addressing patient concerns, insurance challenges, and coordinating solutions with internal departments.• Provide leadership and support for medication assistance programs (MAP), including eligibility assessments, coordination with pharmaceutical companies, and optimizing patient access to vital medications.• Oversee performance of quality assurance and improvement activities, investigating and responding to problems for continuous improvement.• Collaborate closely with clinic and revenue cycle leaders to ensure robust program performance, optimizing patient access to medications while maintaining financial sustainability.
Management and Oversight:• Lead, mentor, and manage a team of medication access team members, ensuring exceptional support to patients and healthcare providers.• Interact with technicians, pharmacists, support staff, and others to address and resolve issues impacting service provision.• Ensure adherence to departmental, hospital, and regulatory guidelines to provide safe and efficient patient-centered care.• Manage the recruitment and onboarding process, including interviewing, orientation, performance evaluations, and disciplinary actions as required, while overseeing payroll and task delegation.• Collaborate with pharmacy leadership to identify process improvement opportunities, enhance operational efficiency, and contribute to the growth of pharmacy services.
Miscellaneous:• Plan and present at quarterly staff meetings, providing relevant training for pharmacy technical and support staff.• Manage departmental projects aligned with departmental goals, regulatory compliance, quality enhancement, patient safety, and operational efficiency.• Develop project charters, plans, documents, and reports, and assemble project teams in collaboration with pharmacy leadership and staff members.• Other duties, as assigned.
Job RequirementsQualifications /Training:• Minimum of three years of health system or applicable healthcare related experience, required.• Prior experience working in a specialty or infusion pharmacy setting, particularly in medication access, prior authorization, or patient access programs, preferred.• Proven experience in a supervisory or team lead role, showcasing strong leadership, communication, and team management skills, preferred. • Proficiency in using pharmacy management software, preferred.
Licenses/Certifications/Registrations/Education:• High school diploma or equivalent, required.• Baccalaureate degree, preferred.• Completion of an RN or pharmacy technician training program, preferred.• Eligible for licensure to practice under applicable discipline in the state of South Carolina, preferred.• RN or CPhT or ExCPT and CSPT, preferred.
Physical Requirements: Refer to Occupational Risk Assessment
Note: This job description outlines the primary responsibilities and qualifications required for the position. It is not exhaustive and may be subject to changes, additions, or amendments as deemed necessary by McLeod Health.
Florence, SC, United States