Manager Medication Access

Montefiore Medical Center

Corporate Drive, NY

JOB DETAILS
SALARY
$69,200–$86,500 Per Year
SKILLS
Adverse Events, Best Practices, Case Management, Certified Case Manager (CCM), Certified Pharmacy Technician (CPhT), Communication Skills, Cost Control, Cross-Functional, Customer Support/Service, Detail Oriented, Discharge Plans, Documentation, English Language, Establish Priorities, Genetics, Healthcare, Healthcare Administration, Healthcare Reimbursement, Hospital, Insurance, Leadership, Literacy, Medical Billing, Medical Records, Medications, Mentoring, Military, Multilingual, Nursing, Operations, Organizational Skills, Outpatient Care, Patient Care, Patient Care Authorizations, Patient Education, People Management, Performance Management, Performance Metrics, Pharmacy, Policy Development, Prescription Drugs, Procedure Implementation, Public Health, Quality Management, Quality Metrics, Quality of Care, Record Keeping, Regulatory Compliance, Reporting Skills, Retail, Risk, Service Delivery, Social Work, Spanish Language, Staff Training, Standard Operating Procedures (SOP), Standards Development, Standards of Care, Strategic Planning, Team Player, Third-Party Payer, Time Management, Trend Analysis
LOCATION
Corporate Drive, NY
POSTED
26 days ago

City/State:

Yonkers, New York

Grant Funded:

No

Department:

RX - Clinical And Educ

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8:30 AM-5 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Range:

$69,200.00-$86,500.00

Job Summary:

The Medication Access Manager leads initiatives dedicated to ensuring continuity of medication access and optimizing pharmacy-related processes for both inpatient and outpatient care. This role is responsible for overseeing daily operations, guiding strategic initiatives to reduce avoidable readmissions, and enhancing patient engagement and medication adherence - particularly for high-risk populations.

The Medication Access Manager serves as a key liaison between pharmacy services, clinical teams, and external partners, driving performance, quality improvement, and compliance across medication access workflows. This individual will also contribute to policy development, staff training, and cross-functional collaboration to support institutional goals.

Essential Responsibilities:

  • Supervise and mentor a team of Pharmacy Specialists, providing guidance, performance feedback, and professional development.

  • Monitor workload distribution, productivity metrics, and service quality to ensure efficient and patient-centered operations.

  • Lead departmental initiatives focused on improving medication access, care transitions, and readmission prevention.

  • Develop and implement standard operating procedures and best practices for outpatient medication coordination.

  • Prioritizes customer service by consistently demonstrating professionalism, empathy, and respect in interactions with patients, visitors, and colleagues. Serves as a knowledgeable resource on Montefiore services, ensuring timely and effective communication of patient concerns to appropriate stakeholders.

  • Utilizes established clinical criteria to identify patients at elevated risk for hospitalization and ensures timely access to essential medications, contributing to improved health outcomes and reduced readmission rates.

  • Performs detailed reviews of home medication lists through patient interviews and direct engagement with outpatient pharmacies to ensure accuracy and continuity of care.

  • Maintains detailed records of patients whose discharge medications are billed to Montefiore, tracking associated 30-day readmission rates to inform cost-containment and quality improvement strategies.

  • Leads efforts to identify and eliminate obstacles to prescription fulfillment by coordinating with community pharmacies, patient assistance programs, third-party payers, and internal care teams including case managers, social workers, nurses, and physicians.

  • Engages patients in meaningful dialogue to uncover and address any additional barriers to medication access, ensuring a holistic approach to care.

  • Oversees the implementation of bedside medication delivery programs where applicable, enhancing patient convenience and adherence.

  • Partner with interdisciplinary teams - including pharmacy, nursing, case management, and social work - to identify and resolve systemic barriers to medication access.

  • Identifies opportunities for process enhancement and delivers targeted in-services to interdisciplinary teams including case managers, social workers, pharmacy, nursing, and medical staff.

  • Represent the department in cross-functional meetings and committees focused on care transitions, health equity, and patient outcomes.

  • Collaborate with external stakeholders such as community pharmacies, third-party payers, and patient assistance programs to streamline prescription fulfillment.

  • Oversee the completion of prior authorizations, insurance verifications, and enrollment in patient assistance programs.

  • Actively participates in departmental meetings and quality improvement projects as assigned, supporting Montefiore's strategic goals and patient care standards.

  • Maintains comprehensive records of all clinical interventions, adverse drug events, and medication errors to support transparency, accountability, and regulatory compliance.

  • Ensure timely and accurate documentation of patient interactions, interventions, adverse drug events, and medication errors.

  • Analyze trends in medication access challenges and develop targeted solutions to address gaps in service delivery.

  • Maintain records and generate reports on key performance indicators, including prescription costs billed to Montefiore and 30-day readmission rates.

  • Facilitate training and in-services for staff and clinical partners on medication access workflows and emerging best practices.

  • Lead and represent Montefiore in community outreach efforts, fostering public awareness and education around medication management and overall health literacy to promote health literacy and patient education around medication adherence.

  • Support bedside medication delivery initiatives and ensure alignment with discharge planning protocols.

Experience Requirements:

  • Minimum of 3-5 years of experience in outpatient pharmacy, care coordination, or medication access roles.

  • Minimum two years of experience in a retail/community pharmacy setting with knowledge of third-party payer reimbursement and medication prior authorization processes.

  • At least one year of experience in a hospital or clinical setting, with familiarity in discharge or care transition workflows.

  • At least 1-2 years of supervisory or team leadership experience preferred.

  • Bilingual in English and Spanish (oral and written) is preferred.

  • Proficiency in Microsoft Office applications and general technology use.

Education:

  • Associate degree in Pharmacy, Healthcare Administration, Public Health, or related field required. Bachelor degree is preferred.

Licensure & Certification:

  • Current NYS Pharmacy Technician license and registered required.

  • Valid Pharmacy Technician Certification (PTCB or equivalent national credential)

Qualifications & Competencies:

  • High attention to detail with strong organizational and time management skills.

  • Ability to handle medication-related data and documentation with accuracy.

  • Demonstrated ability to communicate professionally and effectively across multiple teams and patient populations.

  • Comfortable working independently while maintaining collaborative working relationships.

  • Commitment to service excellence and continuous learning in a healthcare environment.

  • Strong leadership and team-building capabilities.

  • Proficiency in data analysis, documentation, and reporting.

  • Knowledge of insurance processes, prior authorizations, and patient assistance programs.

  • Commitment to patient-centered care and health equity.

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

About the Company

M

Montefiore Medical Center

About Montefiore Medical Center

Commitment to Excellence

As the academic medical center and University Hospital for Albert Einstein College of Medicine, Montefiore Medical Center is nationally recognized for clinical excellence—breaking new ground in research, training the next generation of healthcare leaders, and delivering science-driven, patient-centered care.

Montefiore is ranked among the top hospitals nationally and regionally by U.S. News & World Report. For more than 100 years we have been innovating new treatments, new procedures and new approaches to patient care, producing stellar outcomes and raising the bar for medical centers in the region and around the world. As we build on this momentum, we continue to advance the practice of medicine and set the standard for excellence.

Enduring Mission and Distinguished History

The mission of Montefiore is to heal, to teach, to discover and to advance the health of the communities we serve.

From its beginning in 1884, as a facility for the care of patients with tuberculosis and other chronic illnesses, to the new millennium, Montefiore has been at the forefront of patient care, research and education and steadfast commitment to its community.

Our Services

We provide coordinated, compassionate and leading-edge care designed to reach people when and where they need it most. Through highly integrated teams of physicians, nurses, social workers, mental health professionals and other caregivers, we have created an innovative, seamless system of care focused around the patient.

Notable Centers of Excellence

At the intersection of Einstein science and Montefiore medicine is our commitment to scientific inquiry. This commitment has resulted in the creation of the Montefiore-Einstein Centers of Excellence in cancer care, cardiovascular services, transplantation and children’s health, where nationally recognized investigators and multidisciplinary clinical teams collaborate to develop and deliver advanced, innovative care.

Advanced Specialty and Surgical Care

We offer advanced, multidisciplinary care across specialties, delivering one standard of excellence for all. Our interventions are designed to help patients understand and manage their illness, advocate for their health, access the right treatments and receive the vital social support they need to flourish. On multiple fronts, Montefiore is developing more effective and less invasive approaches to complex problems from procedures to repair diseased hearts, protocols to treat complex cancers and medical devices designed to meet the needs of growing children.

Primary Care

With nearly 50 primary care locations throughout the New York metropolitan area, we are focusing on accessible, patient-centered primary and preventive care provided by leading physicians in the areas of family and internal medicine, pediatrics, obstetrics and gynecology, and a team of experts in nursing, health education, nutrition and pharmacy.

Providing Care Without Walls

Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people in locations easiest for them. Through Montefiore’s School Health Program (MSHP), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings.

Through the formation of highly integrated teams of physicians, nurses, social workers, mental health professionals, care managers and other caregivers, we provide care around the patient, when and where they need it.

Research and Education

Montefiore's partnership with Einstein advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Together, the two institutions are among 38 academic medical centers nationwide to be awarded a prestigious Clinical and Translational Science Award (CTSA) by the National Institutes of Health.

The second-largest medical residency program in the country, with 1,251 residents and fellows across 89 programs, Montefiore provides the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country — one where the population is global, the disease burden is high, and the need for quality care is great.

The partnership is further strengthened by the dual appointments of faculty and physicians across both organizations—enhancing synergies and collaborations for research, teaching and patient care.

Comprehensive Care Management

Since 1996, Montefiore has developed advanced models of care management to help patients, especially those with chronic diseases such as diabetes, heart failure and mental illness, achieve better health and improved wellbeing in a cost effective way. Montefiore goes beyond fragmented fee-for-service payments, assuming total responsibility for the quality and costs of care for some of our sickest patients.

Through CMO, Montefiore Care Management, we use a global prepayment or similar strategies to manage care for 200,000 individuals over the continuum, including hospital care, rehabilitation, outpatient care, professional services, home care, mental health counseling, community-based services, remote patient monitoring and many other programs.

Our leadership in coordinating care across multiple settings has earned us federal recognition from the Centers for Medicare and Medicaid Services as a Pioneer Accountable Care Organization. Montefiore's ACO is one of only 32 organizations in the nation, as well as the only one in New York State, to operate under this new model of providing Medicare beneficiaries with higher quality care, while reducing expenditures through enhanced care coordination.

Learn More

  • Mission, Vision and Values – Montefiore’s unique path of growth into the future and the clinical excellence and outstanding customer care that will get us there.
  • History and Milestones – Proud traditions guiding our mission and the moments that helped shape Montefiore into a premier academic medical center.
  • Commitment to the Community – Community health, education and neighborhood development.
  • Leadership – Executives and clinical chairs leading Montefiore’s advancements.
  • Physicians – Widely acclaimed medical professionals and specialists who provide our patients with the highest standards of care.
  • Nursing Staff – Highly competent and compassionate professionals committed to improving the health of their patients.
  • Ways to Give – Philanthropic opportunities and other ways to support Montefiore Medical Center.
COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
WEBSITE
http://www.montefiore.org/