Medication Access Manager

POSITION OVERVIEW

We are seeking a strategic, hands-on medication access pharmacy leader to own medication access services for our Harbor Health infusion, primary care, and specialty clinics. As the Medication Access Manager, you will proactively identify and resolve operational risks, workflow inefficiencies, and medication access barriers that impact patients and providers.

POSITION DUTIES & RESPONSIBILITIES

Infusion Clinic (40%)

• Review the daily schedule for authorization, insurance, financial, medication, or other issues that could affect treatment.

• Discuss manufacturer copay assistance with eligible patients, obtain consent, and complete enrollment documentation.

• Perform drug-administration reconciliation for self-pay and specialty-pharmacy claims to help prevent duplicate billing.

• Review potential missing claims and maintain documentation for the revenue cycle management team to investigate and correct.

• Order medications for upcoming treatments and maintain the inventory spreadsheet used by the practice manager when reviewing invoices and approving payments.

• Collaborate with our pharmaceutical distributor, Group Purchasing Organization (GPO), and pharmaceutical account managers regarding product availability, contracting, pricing/rebate considerations, manufacturer updates, and other changes that may affect the clinic.

Multi-Specialty Clinic (40%)

• Support specialists including cardiology, endocrinology, and rheumatology with high complexity prior authorizations.

• Build workflows and manage programs that support improved medication access for primary care and specialty programs.

• Identify and sign up members for patient assistance programs.

• Own first pass prior authorization (PA) approval rates and time to treatment.

• Partner with clinic operations to improve medication access.

• Evaluate medication access and pharmacy support operations to identify opportunities for enhanced efficiencies, productivity, and service quality.

Cross-Functional Collaboration & Strategy (20%)

• Serve as the primary liaison between internal teams and external stakeholders, maintaining consistent and transparent communication to foster strong, aligned partnerships.

• Partner cross-functionally with product, clinical, network, actuarial and other stakeholders to ensure integrated care approaches.

• Contribute to organizational initiatives, including participation on clinical committees, providing education, quality review, and other mission-aligned activities.

DESIRED PROFESSIONAL SKILLS & EXPERIENCE

Required

• Bachelor's degree required; four (4) years of relevant experience may be considered in lieu of a degree.

• Active CPhT certification through either PTCB or NHA obtained within 12 months of hire.

• Minimum 3 years of pharmacy experience working with healthcare providers on strategic and operational initiatives.

• Strong teamwork capabilities while maintaining ability to function independently.

• Sound judgment, flexibility to shift priorities, and commitment to confidentiality.

Preferred

• Experience working with electronic medical record (EMR) systems to support clinical and operational workflows, specifically athenahealth.

• Experience working within commercial health plans and/or innovative health insurers (e.g., startup or growth-stage plans).

WHAT WE OFFER

• Competitive base salary and benefits package

• Comprehensive medical, dental, and vision benefits

• 401(k)

• Generous PTO and paid holidays

• Collaborative and dynamic work environment within an innovative, integrated payvider model

• Professional development and growth opportunities

• A transparent and unique culture focused on member-centered care

COMPANY OVERVIEW

At Harbor Health, we're transforming healthcare in Texas through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!

EQUAL EMPLOYMENT OPPORTUNITY

Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.