Site: Mass General Brigham Incorporated

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

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 guidelines

Commit 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 assigned

Demonstrates 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 workgroup

Demonstrates 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)

 

Pay Range

$21.78 - $31.08/Hourly

 

Grade

4

 

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

 

EEO Statement:

Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework

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.