Job DescriptionJob DescriptionThe Internal Sales Support Representative provides vital operational and administrative support to the specialty sales teams, ensuring efficient prescription follow-ups and seamless communication with cross-functional departments. This role acts as the main point of contact for managing prescription voids and information requests while offering on-call support for sales representatives. The representative contributes to team success through active participation in meetings, trainings, and collaborative initiatives.Responsibilities include but are not limited to:Support Sales Team with case management administrative processes such as: dispense reports, missing documents, scripts, refills among critical document for a flawless Rx transactional journey. Serve as an operation consultant for field team while providing critical direction for better Rx transaction management.Collaborate with sales representatives to identify opportunities for reducing interruptions in patient treatments by leveraging zero refill, info-needed, voids, and other relevant reports.Identify opportunities to streamline operational workflows, particularly those impacting sales teams, and propose enhancements for efficiency.Required:Bachelor’s degree in business, or a related field; or equivalent work experience.Pharmacy Technician license is optional.At least 1-2 years’ experience in specialty pharmacy or relevant experience in healthcare is preferred.Experience in marketing, sales, or project management is required.**EEOC F/M/D/V***
Job DescriptionJob DescriptionThe Internal Sales Support Representative provides vital operational and administrative support to the specialty sales teams, ensuring efficient prescription follow-ups and seamless communication with cross-functional departments. This role acts as the main point of contact for managing prescription voids and information requests while offering on-call support for sales representatives. The representative contributes to team success through active participation in meetings, trainings, and collaborative initiatives.Responsibilities include but are not limited to:Support Sales Team with case management administrative processes such as: dispense reports, missing documents, scripts, refills among critical document for a flawless Rx transactional journey. Serve as an operation consultant for field team while providing critical direction for better Rx transaction management.Collaborate with sales representatives to identify opportunities for reducing interruptions in patient treatments by leveraging zero refill, info-needed, voids, and other relevant reports.Identify opportunities to streamline operational workflows, particularly those impacting sales teams, and propose enhancements for efficiency.Required:Bachelor’s degree in business, or a related field; or equivalent work experience.Pharmacy Technician license is optional.At least 1-2 years’ experience in specialty pharmacy or relevant experience in healthcare is preferred.Experience in marketing, sales, or project management is required.
Job DescriptionJob DescriptionJOB SUMMARY & RESPONSABILITIES:The Specialty Pharmacist Supervisor perform functions to dispense prescription medications to patients in keeping with providers’ prescription orders, provide expert counsel to patients regarding the safe use of prescription medications, and ensure that pharmacy prescription services are provided in compliance with regulatory, policy and procedure requirements for accuracy, safety, and security, while providing excellent customer service; making decisions based on precedent and working within the limits of established policy.Responsibilities include, but are not limited to the following:Provide oversight for the pharmacy and lead daily pharmacy operation.Supervise, train, and clinically support the pharmacy technicians and pharmacist staff in their daily job function.Conduct performance evaluations and provide feedback to team members.Provide technical, policy, and regulatory guidance to pharmacists, technicians, and others to ensure that all medications are accurately dispensed, recorded, labeled and stored for pick up or delivery and that all reimbursements for prescription medications are accurately processed and recorded.Ensure excellent customer service by addressing patient inquiries and concerns promptly and professionally.Collect and analyze data for staff pharmacist quality measurement for periodically one on one.Collaborate with other pharmacists with the maintenance of workflow, assigning technicians and other pharmacy associates to tasks required to maintain order and ensure efficient, compliant pharmacy operation.Dispense and oversee the filling of prescriptions to ensure that each patient receives the medications exactly as prescribed by medical providers. Ensure effective communications with providers, patients, and associates to provide patient focused superior accuracy, safety and security.Ensure proper storage and recording of medications and supplies.Ensure cleanliness of storage areas and perform or oversee inventory audit.Work closely with healthcare teams to optimize medication regimens for patients with complex, chronic, or rare conditions.Provide patient consultations regarding safe use and storage of prescription medications, relevant health factors, and to respond to inquiries. Consult with prescribing physicians as questions warrant.Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements.Participate on meetings with the pharmacist team to communicate issues, obtain consensus, resolve problems, and maintain specified level of knowledge pertaining to new developments, and requirements.Prepare the daily tasks according to the workflow load, pharmacy staff and pharmacy metrics.Perform other related duties as assigned.REQUIRED PROFESSIONAL EXPERIENCE & PROFESSIONAL COMPETENCIES:Education, Experience and Skills: BS Pharm or PharmD with current license in Good Standing in Puerto Rico is required. Several years of experience in a specialty pharmacy setting, with a track record of progressive responsibility.Previous supervisory or management experience preferred.Current, unrestricted clinical license.Excellent written and verbal communication skills with patients and other healthcare providers.Strong leadership and team management skills.Detail-oriented with strong organizational abilities.Strong problem-solving skills and the ability to make informed decisions. ***EEOC F/M/D/V***
Job DescriptionJob DescriptionJOB SUMMARY & RESPONSABILITIES:The Staff Pharmacist – Specialty Pharmacy is the professional in charge of supervising the Pharmacy Department (prescription area) in the absence of the Managing Pharmacist. They are responsible for leading the functions of the pharmacy technicians in the unit where they work. They must be capable of handling different situations with employees, visitors, and resolving issues in a framework of professionalism using judgment and common sense to make decisions. They must comply with all laws and regulations applicable to the pharmacy.Responsibilities include, but are not limited to the following:Ensure the dispensing of medical prescriptions within a correct and appropriate framework as per applicable regulations.Provide and maintain pharmaceutical services. E.g., Adherence Programs, Vaccination, etc.Assist the managing pharmacist in the daily tasks of the prescription area, including supervising the employees during their work shift.Educate patients on the appropriate use of their medications.Handle and resolve issues, complaints, and questions from patients promoting customer trust and loyalty.Ensure compliance with applicable laws, regulations, and corporate policies.Ensure proper handling of the controlled substances inventory.Use the prescription drug monitoring program (PDMP) to ensure the appropriate dispensing of controlled substance prescriptions.Interact with physicians to obtain additional information about patients and their prescriptions.Maintain the cleanliness, neatness, efficiency, and safety of the prescription area.Ensure excellent patient service by all pharmacy staff.Model and provide leadership and development for pharmacy staff.REQUIRED PROFESSIONAL EXPERIENCE & PROFESSIONAL COMPETENCIES:Education and Experience: Bachelor's degree (BS Pharm) Doctorate in Pharmacy (Preferred)Professional license, membership, registration, and diplomas.Minimum 1 year of experience in Community Pharmacy (Preferred)Required Skills:Ability to resolve matters with purpose and a sense of urgency.Ability to preserve the confidentiality of information related to the patient and the company.Commitment to patient service.Ability to organize and prioritize multiple tasks.Excellent oral and written communication skills.Ability to handle stressful situations and remain calm.Ability to handle multiple tasks for extended periods of work.Proficient in computer use.
***EEOC F/V/D/M***
Job DescriptionJob DescriptionJOB SUMMARY & RESPONSABILITIES:The Staff Pharmacist – Specialty Pharmacy is the professional in charge of supervising the Pharmacy Department (prescription area) in the absence of the Managing Pharmacist. They are responsible for leading the functions of the pharmacy technicians in the unit where they work. They must be capable of handling different situations with employees, visitors, and resolving issues in a framework of professionalism using judgment and common sense to make decisions. They must comply with all laws and regulations applicable to the pharmacy.Responsibilities include, but are not limited to the following:Ensure the dispensing of medical prescriptions within a correct and appropriate framework as per applicable regulations.Provide and maintain pharmaceutical services. E.g., Adherence Programs, Vaccination, etc.Assist the managing pharmacist in the daily tasks of the prescription area, including supervising the employees during their work shift.Educate patients on the appropriate use of their medications.Handle and resolve issues, complaints, and questions from patients promoting customer trust and loyalty.Ensure compliance with applicable laws, regulations, and corporate policies.Ensure proper handling of the controlled substances inventory.Use the prescription drug monitoring program (PDMP) to ensure the appropriate dispensing of controlled substance prescriptions.Interact with physicians to obtain additional information about patients and their prescriptions.Maintain the cleanliness, neatness, efficiency, and safety of the prescription area.Ensure excellent patient service by all pharmacy staff.Model and provide leadership and development for pharmacy staff.REQUIRED PROFESSIONAL EXPERIENCE & PROFESSIONAL COMPETENCIES:Education and Experience: Bachelor's degree (BS Pharm) Doctorate in Pharmacy (Preferred)Professional license, membership, registration, and diplomas.Minimum 1 year of experience in Community Pharmacy (Preferred)Required Skills:Ability to resolve matters with purpose and a sense of urgency.Ability to preserve the confidentiality of information related to the patient and the company.Commitment to patient service.Ability to organize and prioritize multiple tasks.Excellent oral and written communication skills.Ability to handle stressful situations and remain calm.Ability to handle multiple tasks for extended periods of work.Proficient in computer use.
***EEOC F/V/D/M***
Job DescriptionJob DescriptionIn general, a Pre-Authorization Coordinator will be responsible for the following tasks: Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial. Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits; Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient Assistance Programs (PAP). Referring to PAP, as appropriate. Conduct benefit coordination on behalf of patients, when applicable Determine patient eligibility Request authorization modifications, as needed. Index documents in patients’ records in a timely manner Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external); Meet management’s production standards, whether quantitative or qualitative Minimum requirements: Associate Degree Diploma with valid license as Pharmacy Technician is required. Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits. Experience working with pre authorization processes or health plans is preferred. **EEOC F/M/D/V***
Job DescriptionJob DescriptionIn general, a Pre-Authorization Coordinator will be responsible for the following tasks: Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial. Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits; Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient Assistance Programs (PAP). Referring to PAP, as appropriate. Conduct benefit coordination on behalf of patients, when applicable Determine patient eligibility Request authorization modifications, as needed. Index documents in patients’ records in a timely manner Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external); Meet management’s production standards, whether quantitative or qualitative Minimum requirements: Associate Degree Diploma with valid license as Pharmacy Technician is required. Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits. Experience working with pre authorization processes or health plans is preferred. **EEOC F/M/D/V***
Job DescriptionJob DescriptionJOB SUMMARY & RESPONSABILITIES:The Clinical Case Management Associate is responsible for performing telephonic and face to face contact with patients of Alivia Specialty Pharmacy. He or she will evaluate the health care and educational needs of the patients regarding medications and will communicate recommendations to prescribers as necessary. Among other duties, the Clinical Case Management Associate will ensure patient’s understanding of medication regimens and will recognize and provide next steps for patients reporting adverse reactions or concerns with specialty medications. From time to time, the Clinical Case Management Associate may be required to conduct some field work to visit HCP’s and Patients or to accompany Management in carrying out some work-related activities.Responsibilities include, but are not limited to the following:Assesses, monitors and evaluates medication care plans, services and outcomes to maximize patient’s health/outcomes. Identifies patient's health and educational needs.Communicates with providers regarding patient's medication complications or needs.Provides guidance to patients on adverse medication reactions within scope and refers to pharmacist as necessary.Completes REMS product training and provides counseling for patients on subsequent cycles of available REMS products.Provides medication counseling for patients starting new medication regimens.Interacts continuously with patient, family, physician(s), and other providers utilizing clinical knowledge and expertise to determine medical history and current status.Reports critical incidents and information regarding quality-of-care issues.Assist Operations/Clinical Department associates with clinical support for prior authorization, billing or other administrative functions, during periods of high volume, to maintain workflow and meet customer service imperatives.Provide support as on-call clinician as required. Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.Performs other duties as assigned.
Education and Experience: Bachelor’s Degree in Nursing.Current/Active Professional Certification/License in Good Standing.3 years of experience in patient nursing and/or direct patient care. (preferred)2 years of experience in Specialty Pharmacy. (preferred)Knowledge of CPR+. (preferred)Knowledge and experience in the areas of Neurology /Multiple sclerosis, Rheumatology, Dermatology, Gastroenterology, Infectious Disease, Asthma, Oncology, or Pediatrics. (preferred)Ability to communicate effectively in English and Spanish. (preferred)
***EEOC F/M/D/V***
Job DescriptionJob DescriptionRESUMEN DEL PUESTO Y RESPONSABILIDADES:El Asociado de Manejo de Casos Clinicos es responsable de realizar contacto telefónico y presencial con los pacientes de Alivia Specialty Pharmacy. Evaluará las necesidades de atención médica y educación de los pacientes en relación con los medicamentos y comunicará las recomendaciones a los prescriptores según sea necesario. Entre otras funciones, el Asociado de Asociado de Manejo de Casos Clinicos garantizará la comprensión de los regímenes de medicación por parte de los pacientes y reconocerá y proporcionará los siguientes pasos para aquellos que reporten reacciones adversas o inquietudes relacionadas con medicamentos especializados. Ocasionalmente, el Asociado puede llevar a cabo trabajo de campo para visitar a profesionales de la salud (HCP) y pacientes o acompañar a la gerencia en actividades laborales relacionadas.Responsabilidades incluyen, pero no se limitan a:Evaluar, monitorear y analizar los planes de cuidado de medicación, servicios y resultados para maximizar la salud y resultados del paciente.Identificar las necesidades educativas y de salud del paciente.Comunicarse con los proveedores respecto a complicaciones o necesidades relacionadas con la medicación del paciente.Brindar orientación a los pacientes sobre reacciones adversas a los medicamentos dentro de su alcance y referir al farmacéutico cuando sea necesario.Completar entrenamiento de productos REMS y proporcionar orientación a los pacientes sobre ciclos subsiguientes de medicamentos disponibles bajo REMS.Ofrecer asesoría a los pacientes que inician nuevos regímenes de medicación.Interactuar de manera continua con el paciente, su familia, médicos y otros proveedores utilizando conocimientos y experiencia clínica para determinar antecedentes médicos y estatus actual.Reportar incidentes críticos e información relacionada con problemas de calidad en la atención.Brindar apoyo clínico a los asociados de los departamentos de Operaciones/Clínico en procesos como autorizaciones previas, facturación u otras funciones administrativas durante periodos de alto volumen, para mantener el flujo de trabajo y cumplir con las exigencias de servicio al cliente.Brindar apoyo como clínico en llamadas de guardia según sea necesario.Garantizar el cumplimiento con todas las regulaciones y directrices estatales y federales en las actividades diarias.Realizar otras tareas asignadas.Educación y Experiencia:Título universitario en Enfermería.Certificación/Licencia profesional vigente y en buen estado.3 años de experiencia en enfermería y/o cuidado directo de pacientes. (preferido)2 años de experiencia en Farmacia Especializada. (preferido)Conocimiento de CPR+. (preferido)Conocimiento y experiencia en las áreas de Neurología/Esclerosis Múltiple, Reumatología, Dermatología, Gastroenterología, Enfermedades Infecciosas, Asma, Oncología o Pediatría. (preferido)Habilidad para comunicarse de manera efectiva en inglés y español. (preferido)
EEOC F/M/D/V
Job DescriptionJob DescriptionEstamos en búsqueda de un RCM Data Specialist para unirse a nuestro equipo. Esta persona será responsable de gestionar y auditar la facturación de planes en el portal de Avizzor, asegurando la asignación correcta a los "Queques" correspondientes y el seguimiento de los casos en estatus de "Accepted".Responsabilidades:Auditar la facturación en la sección "Draft" de Avizzor y enviarla a las aseguradoras correspondientes.Revisar que cada factura esté acompañada de los documentos de soporte requeridos. En caso de faltar algún documento, buscarlo en CPR+ y adjuntarlo.Validar que los cargos totales de las facturas coincidan entre CPR+ y Avizzor. Reportar discrepancias a su Supervisor.Asegurar que la fecha de servicio coincida con la del "Delivery Ticket" y la fecha de receta con la indexada.Verificar que la información de la receta esté completa y sea acorde a lo facturado.
Requisitos:Diploma Cuarto AñoCertificación como facturador de planes médicos (preferible) o equivalente a 1 años de experiencia en facturación.Habilidades organizativas y atención al detalle.Excelentes habilidades de comunicación verbal y escrita.Capacidad para gestionar múltiples tareas y adaptarse a cambios rápidos.Capacidad para trabajar de manera independiente y en equipo.
***EEOC F/M/D/V***
