URAC – Drug Testing Required POSITION SUMMARY: Boston Medical Center (BMC) provides a specialty pharmacy service to serve the complex medication needs of its chronic patients. BMC Specialty Pharmacy will provide patients who require specialty drugs a comprehensive service program that includes an on-site pharmacy staffed with a care team that includes Pharmacists, Pharmacy Technicians and Pharmacy Liaisons. The cornerstone of BMC's Specialty Pharmacy approach is an unparalleled level of integration with the clinical team coupled with highly personalized service, thus driving better outcomes at lower cost. The Pharmacy Patient Liaison is a unique role that provides integrated support to patients and pharmacists by providing a 'hands-on' approach to total quality patient care. This position is essential to the growth and sustainability of the specialty pharmacy business and plays a central role in supporting the health system’s operating margin. This hybridized role is a unique combination of patient service delivery and business performance. The Pharmacy Patient Liaison works closely with patients to deliver a full continuum of medication adherence support by utilizing BMC's various tools and applications. The Pharmacy Patient Liaison is responsible for providing technician pharmacy services with an emphasis on performing assigned tasks that require working independently and increased competency relating to patient medication therapy. Position: Prior Authorization Liaison - Specialty Pharmacy Department: Specialty Pharmacy Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Pharmacy Patient Liaison Responsibilities - Navigate Electronic Medical Records (EMR) and manage documentation, prior authorizations, and financial assistance processes accurately and efficiently - Communicate effectively across clinical and administrative teams and with patients to support hospital initiatives, medication access, and patient care - Exercise sound judgment to resolve complex patient care issues and escalate appropriately to ensure safety and quality - Manage workload independently in a fast-paced environment while demonstrating strong technical proficiency and problem-solving skills - Train, mentor, and support new staff to uphold operational standards and maintain high-quality service delivery - Document and triage patient interactions and pharmacy-related concerns to ensure safe, coordinated care and medication adherence - Foster trusting relationships with providers, care teams, ancillary staff, and patients to enhance collaboration, transitions of care, and patient retention Prior Authorization Responsibilities - Assess and extract clinical documentation to meet payer criteria for drug approvals - Cultivate payer relationships and stay current on payer requirements within assigned areas to optimize patient outcomes and maximize medication access - Proactively identify barriers to medication access and develop solutions to improve patient adherence - Evaluate, monitor, and pursue financial assistance opportunities to reduce patient out-of-pocket costs - Manage financial assistance applications and support processes throughout the patient’s medication journey Must adhere to all of BMC’s RESPECT behavioral standards. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS REQUIRED EDUCATION AND EXPERIENCE: - Requires a high school diploma (or state accepted equivalency) - Must have a minimum of 4 years of pharmacy experience - Pharmacy Interns must be in their 2nd year - As part of the employment screening process, to be compliant with URAC requirements, employees hired into this role must pass a drug screen. PREFERRED EDUCATION AND EXPERIENCE: - AA or BA - Knowledge of transplant, hepatitis C, infectious diseases (including HIV), oncology and/or other specialty medication therapies - Bilingual or multi-lingual skills (beyond that of English) appropriate to the patient population served - Experience with submission of prior authorization requests to third party payors - Familiarity with 340B drug program and ACO hospital models - Knowledge of QS1/NRx, EPIC, Salesforce, Navinet CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED: Must be currently registered as a Pharmacy Technician or Pharmacy Intern with the Board of Pharmacy in Massachusetts. Must have/maintain national technician certification through PTCB or exCPT. KNOWLEDGE, SKILLS & ABILITIES (KSAs): - Excellent English oral and written communication skills required; as well as ability to communicate professionally over the phone. - Excellent interpersonal skills to provide superb personalized customer service and to instill confidence and to advocate for patients; ability to explain required information to customers in a comprehensible manner. - Other professional skills and qualities: organized, strong attention to detail, ability to self-direct through multitasking and prioritizing, dependable, empathetic, focused on quality service, goal oriented. - Cultural sensitivity, understanding, and comfort with a wide range of social, racial and ethnic populations. - Must practice discretion and confidentiality as position deals with highly sensitive and private data. - Ability to understand, explain, and actively promote the hospital’s objectives through direct coordination and commitment to the program’s goals. - Flexibility to adapt to changes in the departmental needs including but not limited to: offering assistance to other team members, adjusting assignments, etc. - Highly proficient in Microsoft Office particularly Excel, Word, and Outlook. Ability to quickly learn other relevant applications that support management of patient care and assigned responsibilities; and ability to extract necessary information. Compensation Range: $26.92- $37.74This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Position Purpose: The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician's offices, and pharmacies. This role makes outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided from clinical pharmacists. - Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests - Offers options including submission of a prior authorization request - Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards - Logs, tracks, resolves, and responds to all assigned inquiries and complaints while meeting all regulatory, CMS, and Centene Corporate guidelines in which special care is required to enhance Centene relationships, while meeting and exceeding all performance standards - Maintains expert knowledge on all pharmacy benefits and formularies, including CMS regulations as they pertain to this position - Responsible for knowing and interpreting pharmacy and medical benefits - Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination updates) - Actively involved in the initiation and providing status for prior authorization/coverage determination, appeal / redetermination phone calls - Responsible for ensuring outstanding attention to detail - Identify root cause issues to ensure enterprise solutions and communicate findings as needed to ensure first call resolution - Assists with special projects as assigned - Performs other duties as assigned - Complies with all policies and standards Education/Experience: High School Diploma / GED and 1 year of Job Specific call center/customer service. Pay Range: $15.87 - $27.25 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Customer Care Representative II Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation. Start date: April 20th Training: Monday-Friday, 8:30AM-5:00PM Eastern. Mandatory attendance during first 90-day training period with no absences. Work Schedule: Schedule will be assigned after training. Full-time, Monday - Friday, 9-hour shift (including breaks and lunch) between the hours of 8:30AM - 8:00PM Eastern. Benefits information: We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: - Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours - Best-in-class well-being programs - Annual, no-cost health assessment program Blueprint for Wellness® - healthyMINDS mental health program - Vacation and Health/Flex Time - 6 Holidays plus 1 "MyDay" off - FinFit financial coaching and services - 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service - Employee stock purchase plan - Life and disability insurance, plus buy-up option - Flexible Spending Accounts - Annual incentive plans - Matching gifts program - Education assistance through MyQuest for Education - Career advancement opportunities - and so much more! Demonstrates skill and passion to deliver an exceptional and consistent customer experience of a moderate complexity, while utilizing multiple customer communication channels, which may include voice, mail, email, chat, AI related inquiries, etc. Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

• Utilize a ticketing-based platform to efficiently manage and track customer inquiries. • Review search packages & reports to provide accurate assistance to our customers. • Respond to incoming calls and deliver timely and professional support. • Maintain compliance with Company policies and good housekeeping practices. • Other duties as assigned.