At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
Job Summary
Work directly with patients, Specialty Pharmacy staff, and clinic staff to manage the specialty medication needs of Mass General Brigham patients. Understand the complex medication needs of patients and coordinate with pharmacy and medical/nursing staff to meet those needs while providing extraordinary service. Assist patients with benefit coordination and financial assistance, manage prior authorizations, and ensure patients receive their medications at the appropriate time.
Qualifications
Principal Duties and Responsibilities:Work with physicians, nurses and pharmacists to ensure that each patient receives the medications he/she needs at the appropriate time:Review medication regime with patient to determine which medications need to be dispensedProcess medication orders confirming that they are billed to all third parties correctlyMonitor patient concerns, charts and profiles to meet their medication therapy needsSupport MGBSP Patient Needs:Answer patient questions about the service, insurance issues, financial assistance needs, etcEnsure all questions are answered timely and accuratelyEnsure clinical questions are appropriately escalated to a pharmacistEnsure employee back-up coverage is trained and knowledgeableReport any Patient Safety Events according to MGB SP guidelinesCommit to Building Relationships:Quickly forge and sustain (or develop and maintain) strong relationships with pharmacists, co- workers, prescribers, nurses and patients to build/support the services we provideProvide caring service, adjusting approaches to reflect developmental level and cultural differences of population servedImprove processes to facilitate communication and service between patient, and clinic, infusion center and discharge pharmacy teams to ensure accurate and timely delivery of medicationsParticipates in MGB SP Clinical SubcommitteesAct as the insurance specialist:Understand Medicare/Medicaid regulations and billing guidelines as they pertain patient pharmacy benefitsUnderstand billing primary, secondary and tertiary insurance claimsResolve any billing issues and obtain Prior Authorizations for medications.Obtain benefit information and verify patient insurance eligibility and level of coverageCross train within PCC roles as directed to support emergent and ongoing business needs.Demonstrates Commitment to Customers:Seeks to understand and value differences between employeesTreats other employees with dignity and respectDemonstrates open, honest communication and behaviorResolves conflict in a positive mannerContributes to the productivity of the workgroupUse/s the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & CollaborationProvide immediate call support to patients, caregivers, and clinics as needed.Other duties as assignedDemonstrates Commitment to Fellow Employees:Seeks to understand and value differences between employeesTreats other employees with dignity and respectDemonstrates open, honest communication and behaviorResolves conflict in a positive mannerContributes to the productivity of the workgroupDemonstrates Commitment to Health System:Lives the values of dignity, integrity, service and compassionSupports the mission/visionSpeaks positively about Health SystemChooses to make Health System a better place
Additional Job Details (if applicable)
Remote Type
Hybrid
Work Location
31 North Avenue
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.