Manager Medication Access (JR226574)

Introduction To heal, to teach, to discover and to advance the health of the communities we serve. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here. Overview The Medication Access Manager leads initiatives dedicated to ensuring continuity of medication access and optimizing pharmacy-related processes for both inpatient and outpatient care. This role is responsible for overseeing daily operations, guiding strategic initiatives to reduce avoidable readmissions, and enhancing patient engagement and medication adherence – particularly for high‑risk populations. The Medication Access Manager serves as a key liaison between pharmacy services, clinical teams, and external partners, driving performance, quality improvement, and compliance across medication access workflows. This individual will also contribute to policy development, staff training, and cross‑functional collaboration to support institutional goals. Responsibilities Supervise and mentor a team of Pharmacy Specialists, providing guidance, performance feedback, and professional development. Monitor workload distribution, productivity metrics, and service quality to ensure efficient and patient‑centered operations. Lead departmental initiatives focused on improving medication access, care transitions, and readmission prevention. Develop and implement standard operating procedures and best practices for outpatient medication coordination. Prioritizes customer service by consistently demonstrating professionalism, empathy, and respect in interactions with patients, visitors, and colleagues. Serves as a knowledgeable resource on Montefiore services, ensuring timely and effective communication of patient concerns to appropriate stakeholders. Utilizes established clinical criteria to identify patients at elevated risk for hospitalization and ensures timely access to essential medications, contributing to improved health outcomes and reduced readmission rates. Performs detailed reviews of home medication lists through patient interviews and direct engagement with outpatient pharmacies to ensure accuracy and continuity of care. Maintains detailed records of patients whose discharge medications are billed to Montefiore, tracking associated 30‑day readmission rates to inform cost‑containment and quality improvement strategies. Leads efforts to identify and eliminate obstacles to prescription fulfillment by coordinating with community pharmacies, patient assistance programs, third‑party payers, and internal care teams including case managers, social workers, nurses, and physicians. Engages patients in meaningful dialogue to uncover and address any additional barriers to medication access, ensuring a holistic approach to care. Oversees the implementation of bedside medication delivery programs where applicable, enhancing patient convenience and adherence. Partner with interdisciplinary teams – including pharmacy, nursing, case management, and social work – to identify and resolve systemic barriers to medication access. Identifies opportunities for process enhancement and delivers targeted in‑services to interdisciplinary teams including case managers, social workers, pharmacy, nursing, and medical staff. Represent the department in cross‑functional meetings and committees focused on care transitions, health equity, and patient outcomes. Collaborate with external stakeholders such as community pharmacies, third‑party payers, and patient assistance programs to streamline prescription fulfillment. Oversee the completion of prior authorizations, insurance verifications, and enrollment in patient assistance programs. Actively participates in departmental meetings and quality improvement projects as assigned, supporting Montefiore’s strategic goals and patient care standards. Maintains comprehensive records of all clinical interventions, adverse drug events, and medication errors to support transparency, accountability, and regulatory compliance. Ensure timely and accurate documentation of patient interactions, interventions, adverse drug events, and medication errors. Analyze trends in medication access challenges and develop targeted solutions to address gaps in service delivery. Maintain records and generate reports on key performance indicators, including prescription costs billed to Montefiore and 30‑day readmission rates. Facilitate training and in‑services for staff and clinical partners on medication access workflows and emerging best practices. Lead and represent Montefiore in community outreach efforts, fostering public awareness and education around medication management and overall health literacy to promote health literacy and patient education around medication adherence. Support bedside medication delivery initiatives and ensure alignment with discharge planning protocols. Requirements Minimum of 3–5 years of experience in outpatient pharmacy, care coordination, or medication access roles. Minimum two years of experience in a retail/community pharmacy setting with knowledge of third‑party payer reimbursement and medication prior authorization processes. At least one year of experience in a hospital or clinical setting, with familiarity in discharge or care transition workflows. At least 1–2 years of supervisory or team leadership experience preferred. Bilingual in English and Spanish (oral and written) required. Proficiency in Microsoft Office applications and general technology use. Education: Bachelor’s degree in Pharmacy, Healthcare Administration, Public Health, or related field required. Advanced degree preferred. Licensure & Certification: Active Pharmacy Technician Certification (PTCB or equivalent national credential). NYS Pharmacy Technician license and registered required. Qualifications & Competencies: High attention to detail with strong organizational and time management skills. Ability to handle medication‑related data and documentation with accuracy. Demonstrated ability to communicate professionally and effectively across multiple teams and patient populations. Comfortable working independently while maintaining collaborative working relationships. Commitment to service excellence and continuous learning in a healthcare environment. Strong leadership and team‑building capabilities. Proficiency in data analysis, documentation, and reporting. Knowledge of insurance processes, prior authorizations, and patient assistance programs. Commitment to patient‑centered care and health equity. Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. #J-18808-Ljbffr ViziRecruiter,LLC.