Manager, Medication Access & Specialty Pharmacy Operations
Core
Lead daily operations of medication access and specialty pharmacy services to ensure patients receive timely, affordable, and clinically appropriate medications.
Role type
Manager, Specialty Pharmacy Operations & Medication Access
Builds
Operational workflows for prior authorization, benefit investigation, financial assistance, and specialty medication dispensing
Domain
Healthcare / Specialty Pharmacy / Medication Access
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Specialty pharmacy operations management, Prior authorization workflows, Benefit investigation, Financial assistance enrollment, Regulatory compliance (ACHC/URAC), Team leadership, Process improvement, Payer formulary management, Data analytics, Stakeholder collaboration
Preferred skills
None stated
Technologies
Electronic health record systems, Performance tracking dashboards
Responsibilities
Manage daily specialty pharmacy operations ensuring compliance with ACHC and URAC standards; Supervise and develop medication access pharmacy technicians and liaisons; Oversee prior authorization, benefit investigation, and financial assistance workflows; Monitor operational metrics including turnaround times and approval rates; Partner with providers and payers to resolve complex coverage issues and remove barriers to care; Lead accreditation readiness activities and corrective action implementation.
Seniority
Manager, hands-on leadership
