Specialty Pharmacy Program Operations Specialist jobs in United States
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University of Washington · 1 day ago

Specialty Pharmacy Program Operations Specialist

University of Washington is looking for an outstanding Specialty Pharmacy Program Operations Specialist to join their Pharmacy team. The role involves managing the Specialty Pharmacy program, maximizing pharmacy reimbursement, and providing education and support related to medication assistance programs.

EducationHigher EducationUniversities
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H1B Sponsor Likelynote

Responsibilities

Be responsible for the direction and control of the UWMC Specialty Pharmacy program for assigned clinics
Maximize pharmacy reimbursement through programs that provide funding or provision of medication
Be responsible for direction and control of the Medication Assistance Program (MAP) for specialty medications, including development of processes and procedures
Provide MAP information and education to providers, patients and pharmacy and other medical center personnel
Maintain current knowledge of all aspects of industry sponsored medication assistance programs and provide routine training, support and feedback to Specialty Pharmacy Program Operations Specialists, whose job functions include referral for medication assistance
Determine patient eligibility for the MAP and work collaboratively with Patient Financial Services, Social Work and other medical center personnel to ensure clinical and financial documentation is complete for program enrollment
Obtain necessary information from patient and provider to enable justification for Medication Assistance program for initial start and renewal of specialty medications
For patients who are eligible for the MAP: manage the application process, eligibility verification, current drug list and current application forms. Maintain all required patient documentation as required by individual programs
Participate in the Specialty Committee. Develop a plan to improve, streamline, and increase the efficiency and effectiveness of the specialty pharmacy program. Work with the Specialty Pharmacy team to evaluate and further develop systems and processes including: developing a process for tracking prior authorizations and appeals, evaluating Medication Assistance Program software for documentation and tracking applications, renewals and patient communication including developing an ROI, budget proposal and implementation plan
Function as patient advocate in order to acquire medication for financially disadvantaged patients
Serve as a subject matter expert for physicians, administrators, clinical staff, pharmacy staff, and third party payers for issues regarding industry sponsored specialty medication assistance programs
Provide education of Specialty Pharmacy and MAP to pharmacy, clinics, social workers and physicians. Assist in developing marketing materials for patients and clinic staff. Develop materials explaining mail order services including enrollment forms for patients. Make presentations to clinic staff describing services provided including education about medication assistance programs and medication reimbursement issues with specialty pharmaceuticals

Qualification

Pharmacy Technician CertificationMedication Assistance ProgramThird-party Insurance BillingHealthcare DegreePatient AdvocacyCommunication SkillsTeam Collaboration

Required

Current certification as a Pharmacy Technician in Washington State
Bachelors degree in health care related or business field or 2-3 years 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

Company

University of Washington

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University of Washington is an educational institution that provides undergraduate, graduate, and research programs.

H1B Sponsorship

University of Washington has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (249)
2024 (211)
2023 (159)
2022 (171)
2021 (169)
2020 (154)

Funding

Current Stage
Late Stage
Total Funding
$215.35M
Key Investors
Avista foundationNational Institute of Allergy and Infectious DiseasesAdvanced Research Projects Agency for Health
2026-01-18Grant· $10M
2025-04-21Grant· $0.01M
2024-09-13Grant

Leadership Team

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Andrew S Allen
Adjunct Professor
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Arthur Denny
Founder
Company data provided by crunchbase