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Specialty Practice Pharmacy Analyst

The Ohio State University Wexner Medical Center

Scope of Position The Medication Access Pharmacist collaborates with clinic teams, specialists, prior authorization, and revenue integrity staff to ensure required clinical information is complete for submission of prior authorization requests and approval. Review off‑label regimens for appropriate clinical support. Verify provider‑signed notes. Align treatment plan dates. Escalate issues as needed. Direct patient communication, addressing insurance barriers. Deliver ABNs. Explain treatment‑related next steps. Respond to patient questions. Serve as a resource for prior authorization and medication assistance teams. Support provider education. Lead process improvement initiatives. Participate in relevant departmental or hospital committees. Position Summary This position is responsible for ensuring accurate and complete clinical information for prior authorization, assisting with appeal content and peer‑to‑peer reviews, and escalating issues for timely resolution. The Medication Access Pharmacist must demonstrate mastery of oncology treatment modalities, expected outcomes, insurance requirements, and clinic‑specific workflows, while demonstrating exceptional communication, interpersonal, and organizational skills. The role requires collaboration with providers, nursing, pharmacy, financial counselors, scheduling, and PCRMs, and a deep understanding of processes and operations within the practice area. Minimum Qualifications Bachelor’s Degree in Pharmacy required. Doctoral Degree in Pharmacy preferred. 2 years of relevant experience required. 2‑4 years of relevant experience preferred. Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post‑offer process. The university is an equal opportunity employer, including veterans and disability. #J-18808-Ljbffr The Ohio State University Wexner Medical Center

Vacancy posted 1 day ago
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