Specialty Pharmacy Coverage & Access Manager
Salary: $140,000–$155,000 (flexible based on experience and location) Summary:
Our client, a growing specialty pharmacy focused on rare and complex disease therapies, is hiring a pharmacist leader to oversee Coverage & Access operations.
This role leads the Coordination of Benefits and access team, ensuring patients receive high-cost specialty medications through efficient prior authorization and insurance navigation processes. What You’ll Do:
- Lead and grow a Coverage & Access team (3, expanding to 5)
- Oversee benefits verification, prior authorizations, appeals, and claims workflows
- Build SOPs, train staff, and standardize access processes
- Monitor intake metrics and optimize workflow performance
- Serve as the insurance navigation subject matter expert
- Partner with pharmacists, providers, and payers to resolve access barriers
- Support accreditation and regulatory compliance
- PharmD required
- Leadership experience
- Active NY or AZ pharmacist license
- Specialty pharmacy experience
- Prior authorization and benefits investigation expertise
- CSP preferred
- Transplant immunosuppressive therapies
- Rare and orphan diseases (HAE, PKU, alkaptonuria, primary periodic paralysis)
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