Implementation Jobs in Boston, MA (NOW HIRING)

Welcome to Clearway Health-At Clearway Health, we've been recognized as a Great Place to Work for fouryears in a row-and we're just getting started. We're redefining specialty pharmacy by improving access to care, delivering personalized support, and helping patients navigate complex medication needs. Our award-winning culture is built on empowering our people to grow, contribute, and make a difference every day. If you're driven to create meaningful change and thrive in a collaborative, purpose-driven environment, you'll fit right in. If you're looking for a role where you can truly make an impact, keep reading below!

Position Summary:

The Implementation Specialist at Clearway Health will work with new partnership hospitals to integrate and launch new pharmacy services. The Implementation Specialist is deployed to the client at the onset of the partnership andis responsible forproviding handson, in person, integrated care for patients with high medication cost.You'llbe responsible fordelivering safe and efficient specialty services while training the incoming new team members including Pharmacy Technicians and Pharmacy Liaisons.Whennot integratedata new hospital partnership, you will be assigned work from an existing liaison that requiresadditionalsupport, or other special projects in support of company or departmental initiatives.

This position requires extensive airand/or auto travel to and from the client sites (domestic only). The Implementation Specialist is expected to travel from several weeks to up to one year for each client site. Frequency and mode of travel will depend on the distance from the individual's remote home base to theclient'ssite.The Implementation Specialist is a full-time travelling position; the qualified candidate must be willing to travel, which will include overnight and extended stays at aclient'slocation.Estimated durations of travel will be 3-4 months per project.

EssentialResponsibilities / Duties:

Implementation Specialistsareresponsible forthe filing and renewing of any primary state pharmacy technician license registration. The Implementation Specialistis required tohave a valid driver's license with currentauto insurance. Clearway willreimburseany state pharmacy technician license registrationfees(besides their home state) and travel expenses.

Implementation & Change Management:

• Provide hands-onexpertise, resources, and knowledge to new hospital sites as part of a new client partnership agreement

• Own in partnership with our People & Culture team the on-boarding experience and client satisfactionof new hires

• Build, develop and/ormaintainingon-site provider and pharmacy relationships by providing exceptional pharmacy care to patients

• Developsrelationships with local insurances, drug representatives, and external care providers to create a holistic care model foreverypatient

• Owning of identification and address of Clinic and/or Pharmacy workflow inefficiencies:Identifykey barriers, create workflow maps, proposenew ideas, gain agreement from staff, and execute changes to promote workflow efficiencies (PA workflows, pharmacy workflows, escalation protocols, communication methods, patient flows)

• Integrating specific and centralized processes for safe and efficient fulfillment of specialty pharmacy services at client sites; including training materials and education

• Refinement of workflows and processes post launch to deliver Clearway Health experience to patients

• Training of on-site client staff liaisons toensurelocal model is consistent with every site and ensure all liaisons meet competency requirements

Provider Relations-The Implementation Specialistis responsible formaking initial contact with the clinical team. This includes butnotlimited to:

• Attending a provider or all staffmeetings.

• Shadow a member of each group (pharmacy staff, front desk, MA, RN, and MD) to evaluate the efficiency and flow of the program's current state.

• Identifyclinic sponsors to obtain feedback/gaps with past, present, and future workflows.The purposeis to mimic what is working and providesolutionsto improve and expand patient caremodels.

• Train and Shadow new Pharmacy Technician Liaisons and Pharmacists in all duties, roles, and responsibilities

• Track and report status to management along with any issues: escalate to leadership any risks and barriers to success includingidentifyingand managing individual staff presenting challenges with adopting new protocols

• As a member of the clinical team, work seamlessly alongside hospital clinicians to serve patients both face-to-face and over the phone.

• Communicate with Specialty Pharmacy Management, Medical Directors, and Practice Managers to provide support for new and ongoing hospital initiatives

• Monitor staff to ensure that all required documentation is properly completed for billing purposes to include electronic orders and paperwork related to medications ordered

• Utilize drug pricing provided by pharmacy and reconcile reimbursement to make sure it is within range

• Communicate directly with patients toassistthem in the awareness of their medications

• Achieve operationalobjectivesby inputting data, performing adjudication on testclaimsand preparing action plans for follow- up

Patient Relationship Development and Client Performance
-Responsible formanaging and growing patient base by recruitment and retention of specialty pharmacy services

• Patient enrollment functions, including following up on provided leads for new business in clinic, and generatingleads through provider relationships or direct customer service engagements

• Retention of patients through excellent service

• Navigation of patient EMR (electronic medical record) to effectively answer questions and/or provide documentation as needed for prior authorizations

• Resolve patient care issues and situational awareness around when to involve managers and/ or clinicians

Certificates, Licenses, or Registrations:

• Must be registered and in good standing with any State Board of Pharmacy.

• Implementation Specialist must have current active National Certification verified by PTCB.

• Must have a valid driver's license with current auto insurance.

Experience:

• 3+years of pharmacy experiencerequired.

• Experience developing and documenting specialty pharmacy workflows, SOPs, and training materials to support new program launches and operational consistency, preferred.

• Familiarity with specialty pharmacy operations and compliance standards (e.g., payer requirements, Prior Authorization processes, and accreditation standards such as URAC or ACHC) preferred.

• Experience managing implementation timelines, milestones, and issue resolutionto ensure projects launch on schedule and meet operational and client expectations.

• Pharmacy leadership experience preferred

Knowledge & Skills:

• Excellent English oral and written communication skills required; as well as ability to communicate professionally over the phone.

• Excellent interpersonal skills to relate to hospital healthcare personnel working cooperatively and collaboratively to resolve situations and problems, as well as effectively communicating and displaying leadership within and outside of the department.

• Cultural sensitivity, understanding, and comfort with a wide range of social,racial,and ethnic populations.

• Must practice discretion and confidentiality as position deals withhighly sensitiveandprivate data.

• Ability to understand, explain, and actively promote the hospital'sobjectivesthrough direct coordination and commitment to the program's goals.

• Demonstrates a desire and capacity to expandexpertise, develop newskills,and grow professionally.

• Highlyproficient in MicrosoftOffice,particularly Excel, Word, and Outlook. Ability to quickly learn other relevant applications that support management of patient care and assignedresponsibilities;and ability to extract necessary information.

• 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.

• Capacity to work independently by managing workload and meeting established goals in afast-pacedenvironment

• Knowledge of transplant, hepatitis C, infectious diseases (including HIV),oncologyand/or other specialty medication therapies preferred.

• Bilingual or multi-lingual skills (beyond that of English)appropriate tothe patient population served is a plus.

• 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,CoverMyMeds

Special Working Conditions (On-call, Travel, Shift, Coverage):

• Clearway Health Specialty Pharmacies, serving patients in hospitals, health systems, and communities, may require employees at client sites to work on company-recognized holidays.

• Must be willing to travel up to 80%.

This information is being provided to promote pay transparency and equal employment opportunities at Clearway Health. The current annual compensation range for this position is $70,000 - $85,000. The actual rate within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. In addition to a competitive base salary, this role is eligible to participate in the company's bonus program as part of its comprehensive and rewarding benefits package. This opportunity offers a compelling combination of compensation and performance-based incentives designed to recognize and reward contributions.

The above statements in this job description are intended to depict the general nature and level of work assigned to theemployee(s) in this job. The above is not intended torepresentan exhaustive list of accountable duties and responsibilitiesrequired. External and internal applicants, as well as position incumbents who become disabled as defined under the Americans with Disabilities Act, must be able to perform the essential job functions (as listed) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case-by-case basis.