Specialty Pharmacy Job Description

Specialty Pharmacy Job Description

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Specialty pharmacy provides leadership and oversight to the specialty accounts receivable collections, i.e., pre/post service billings as well as package billings and collections.

Specialty Pharmacy Duties & Responsibilities

To write an effective specialty pharmacy job description, begin by listing detailed duties, responsibilities and expectations. We have included specialty pharmacy job description templates that you can modify and use.

Sample responsibilities for this position include:

Develop working relationships with internal and vendor teams, that will interact with SP’s and be responsible for escalating trends and issues
Monitors, audits and reports daily team and individual performance statistics and assists with extrapolation of data from system applications to develop reports regarding productivity trends
Collaborates with end users to determine needs and requirements, features, and functionality to meet their needs
Provides the expected benefits as part of initiative ROI analyses and helps the Service Lead prepare documentation necessary for investment approvals
Gather, consolidate and track all Patient Hub, Specialty Pharmacy, Prescriber, Plan, Payer data
Completes patient counseling in compliance with clinical program protocols and adhere to and counsel patients in compliance with REMS programs
Reviews patient demographics and prescriptions issued by physician, or other authorized prescriber to assure appropriate therapy for the patient, accuracy of dose and determine formulas, ingredients, and medications/administration supplies needed for optimal patient outcomes
Reviews and/or takes orders from doctor's offices or other authorized prescribers
Performs On-Call activities as required
Answering inbound and conducting outbound calls

Specialty Pharmacy Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Specialty Pharmacy

List any licenses or certifications required by the position: PTCB, CPHT, BCPS, PMP, BPS, CPR, BLS, PGY1, GED, CSP

Education for Specialty Pharmacy

Typically a job would require a certain level of education.

Employers hiring for the specialty pharmacy job most commonly would prefer for their future employee to have a relevant degree such as Associate and Bachelor's Degree in Pharmacy, Education, Business, Healthcare, Technical, Associates, Pharmacy Technician, Social Services, School of Pharmacy, Science

Skills for Specialty Pharmacy

Desired skills for specialty pharmacy include:

Applicable state and federal controlled substance laws
Pharmacy function
Challenges facing customers
Hepatitis C
Microsoft Office
Trends
Retail and alternate care industries
Collections and customer payment history as necessary to assist Accounts Receivable as from time-to-time
Customer invoicing
Display of market/customer business curiosity

Desired experience for specialty pharmacy includes:

Working knowledge within Specialty Pharmacy
Programming ability preferable SQL
Pharmacy or contract experience
Assist in transitioning interested patients to home delivery service
Ability to synthesize market and customer feedback and translate into new product solutions
Required A Bachelor's Degree in Pharmacy

Specialty Pharmacy Examples

1

Specialty Pharmacy Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of specialty pharmacy. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for specialty pharmacy
  • Cultivate relationship with Health Care Partners Account team
  • Act as primary point-of-contact for accounts, customer liaison for the pharmacy
  • Convey the DaVita Rx Specialty Pharmacy value proposition to all involved parties
  • Provide customer service support including issue resolution
  • Partner with Marketing to design educational tools and presentations for a variety of audiences
  • Primary responsibilities include the following
  • Implements and executes the assigned SP segment specific GPO value proposition and sales strategy
  • Determines and executes the SP account specific value proposition and sales strategy
  • Work with data aggregator vendor to maintain, implement and improve electronic data exchange files used to share information with SPs
  • Initiate patient transition from inpatient/residential sites of care to outpatient treatment
Qualifications for specialty pharmacy
  • Pharmacy experience a plus
  • Up to 10% travel mostly local and occasional visits to a division
  • Our company is committed to equal employment opportunity
  • Preferred 2+ years of experience in pharmacy operations, managed care, hospitals and /or retail environments
  • Preferred experience with PDX, ARx and Enterprise
  • Bachelor of Science, RN, or RPh, with five years biopharmaceutical experience or with three years specialty pharmacy experience
2

Specialty Pharmacy Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of specialty pharmacy. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for specialty pharmacy
  • Supervises the activities of pharmacists and support staff assigned to the store
  • Reviews and interprets all physicians orders for processing, rationality, dosage form, allergies, interactions, incompatibilities
  • Collaboration with other functional areas to support sales, operational and financial objectives of the Specialty Pharmacy services group as it relates to day-to-day pharmacy operations
  • Serves as primary liaison between Orlando Specialty Pharmacy and other Specialty Pharmacies in the network, coordinating problem resolution, staffing/support and other concerns as needed
  • Providing analytics for the HPS Specialty Strategies Team
  • Becoming a subject matter expert in specialty drug utilization
  • Generating reports to track spend and utilization of targeted specialty drugs
  • Communicating high level summary results to the HPS Specialty Strategies Team
  • Reviewing and summarizing medical claims
  • Developing new and improved processes with documentation to support best practices
Qualifications for specialty pharmacy
  • 3+ years of health care contracting experience
  • Past experience in specialty pharmacy highly desirable
  • Ability to manage multiple projects and priorities independently
  • In-depth understanding of Managed Markets marketplace benefit design or reimbursement issues and experience with biologics and biosimilars preferred
  • Occasionally lift and/or carry 100 lbs
  • Frequently lift and/or carry 50 lbs
3

Specialty Pharmacy Job Description

Job Description Example
Our company is growing rapidly and is looking for a specialty pharmacy. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for specialty pharmacy
  • Participate in the development, implementation, and evaluation of policies and procedures for the Specialty Pharmacy Program
  • Assist the Specialty Pharmacy team in the development of new policies and procedures, and assure timely review and revision of procedures as the program expands
  • Assure that all program policies and procedures meet state and federal regulations
  • Provide education to providers, nurses, and pharmacy staff when new policies and procedures are developed
  • Follow UW Medicine security and confidentiality policies and procedures
  • Maintain high and current professional standards and credentials through study materials and education to stay abreast of the continuous changes in the healthcare industry
  • Direct the development and implementation of operations information systems, intellectual property regarding operating systems and processes, clinical services and patient care support to achieve optimal patient outcomes and drive physician loyalty and pharmacy decision support
  • Interfaces with management companies such as the Lash Group and patient assistance foundations the actual manufacturer partner for issues that relate to the day-to-day functionality of the Program
  • Counts, packages, and labels unit for inspection by pharmacist
  • Maintains strong knowledge of pharmacy policies and government regulations and performs dispensing duties accordingly
Qualifications for specialty pharmacy
  • Stand and/or walk at least 6 hours in an 8-hour work day
  • Bachelor’s Degree in Business, Computer Information Systems, Mathematics, Statistics, or other quantitative focus
  • Familiar with regulatory standards and guidelines (ie
  • Current certification as a Pharmacy Technician in Washington State
  • Bachelor’s degree in healthcare-related or business field or 2-3 years of experience as a pharmacy technician
  • Knowledge of third-party insurance billing practices, federal and state regulations with regard to billing and reimbursement, internal billing structure, and pharmacy billing procedures
4

Specialty Pharmacy Job Description

Job Description Example
Our growing company is searching for experienced candidates for the position of specialty pharmacy. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for specialty pharmacy
  • Partner with Marketing Operations to develop marketing plans to support the launch of program extensions
  • Assist in prior authorizations process
  • Enroll under/uninsured patients to appropriate patient assistance programs
  • Acts as liaison between insurance company, patients, and physicians office
  • Communicates information updating patients and providers on the status of completing the prescription fill
  • Process Specialty Pharmacy medications within established guidelines, while providing detailed documentation
  • Evaluate and monitor the quality of patient access services and ensure service level metrics are met for all programs within key strategic SP partners
  • Lead SP contracting negotiations with contracting, operations, and identified national and independent SP customers
  • Ensure actionable insights from SP channel/customers and their business environment to provide a basis for profitable partnering, through close and frequent contact with identified key SP accounts and market access stakeholders
  • Ensure compliance guidelines are established and followed specific to all SP customers and lead AEs and others within the organization, to ensure full compliance
Qualifications for specialty pharmacy
  • Capable of standing for several hours at a time and lifting 25 – 30 lbs
  • Capable of performing repetitive tasks accurately
  • Handle cold temperatures/work in refrigerated work space
  • Ability to obtain Pharmacy Technician Certification (CPhT) through the Pharmacy Technician Certification Board and must be registered within 1 year from hire date to complete the certification
  • Pharmacy Technician Certification (CPhT) through the Pharmacy Technician Certification Board (If you already have a CPhT, you will be required to furnish proof of such certification on your hire date and maintain the certification)
  • Telephone experience in a customer service environment is preferred
5

Specialty Pharmacy Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of specialty pharmacy. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for specialty pharmacy
  • Assist in the development, implementation, and ongoing evaluation of the Health Plan's Specialty pharmacy offerings
  • Maintain certification with the State of Maine to administer drugs and immunizations
  • Neat professional appearance in accordance with Miller Drug Dress Policy
  • Accept, fill and dispense prescriptions in a professional courteous manner
  • Extensive knowledge of pharmacy operating system
  • Fulfill all professional and legal obligations for counseling of patients and for conferring with practitioners
  • Accept orders from physician's offices in an efficient, courteous manner
  • Direct practitioners in product selection when required
  • Provide guidance for clinical operational aspects of the specialty program
  • Conduct oversight of clinical decision making aspects
Qualifications for specialty pharmacy
  • 1+ years of retail sales, health care office or administrative experience required
  • Prior experience in Pharmaceutical Sales or Specialty Pharmacy sales preferred
  • Perform periodic consultations with practitioners in the field
  • Further organizational object to have qualified clinicians that are accountable to Miller Drug for decisions affecting our patients
  • Ensure that the pharmacy is operated in accordance with all rules, regulations, and laws
  • Self-motivated to grow the specialty pharmacy business

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