Job Summary:

The role of a Medication Specialist is to ensure that proper authorization for treatment medication is obtained. They need to have a solid understanding of how infertility medication is covered between their medical and pharmacy plan and how using a medical benefit may impact their treatment coverage. They are responsible to enter correct medication information into the EMR. They are responsible to follow up with the patient to ensure the patient has all of the medication they need for their cycle. They serve as a liaison between the patient, practice, insurance company or pharmacy benefit manager, and the pharmacy.

Essential Job Functions:

• Counsel patients on how best to utilize their insurance and pharmacy benefit
• Manage patient expectations in regards to what they should reasonable expect to pay out of pocket for medication
• Create, submit and follow up on all medication authorizations
• Communicate to the Clinical Cycle Coordinator when patient is financially approved to proceed with treatment.

Qualifications:

• High school diploma or equivalent
• Effective Communication and Listening Skills
• Working knowledge of eIVF and other Software
• Infertility Medication authorization experience in Physician Practices is preferred
• Familiar with insurance authorization processes
• Ability to display compassion towards patients and coworkers

• Strong problem resolution skills
• Knowledge of cycle types and treatment plans.

In accordance with the New York State Department of Health (DOH) order that all hospitals and nursing homes “continuously require all covered personnel to be fully vaccinated against COVID-19.” Upon receipt of a conditional job offer, candidates who are not already vaccinated must obtain the first dose of the vaccine within three (3) calendar days of job offer and must obtain any subsequent doses in accordance with the vaccine protocol. The order allows for limited medical exemptions with reasonable accommodations, consistent with applicable law.