Lead Pharmacy Access Specialist responsible for improving patient access to essential medications within Fairview Pharmacy Services.
This role oversees complex payer policy navigation, insurance benefit verification, prior authorization and appeals support, financial assistance coordination, and escalation management for difficult access cases. The position also partners with patients, payers, clinics, specialty pharmacies, manufacturers, and internal teams to reduce barriers to care and improve access workflows.
Key responsibilities include process improvement, workflow coordination, stakeholder relationship management, training and onboarding new staff, supporting high-cost medication access, and serving as a subject matter expert for pharmacy access issues.
Required Qualifications
- B.S./B.A. in business or a healthcare-related field
- 5 years of revenue cycle, financial counseling, pharmacy access services, or contracting experience in a healthcare or insurance organization
- Strong communication, interpersonal, and adaptability skills
- Ability to work independently in a fast-paced environment
Preferred Qualifications
- 7 years of revenue cycle, financial counseling, pharmacy access services, or contracting experience in a healthcare or insurance organization
- Experience in pharmacy, specialty infusion, home infusion, pharmacy medications, prior authorizations, or coordinating work with multiple stakeholders
- Minnesota Registered Pharmacy Technician credential
- Pharmacy Technician Certification Board certification
Location
Minneapolis, Minnesota, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago