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Job description
Hybrid
nEast Boston
nFull time
nR
nThank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!
nAs one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.
nWhether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!
nInterested in this position? Apply online and create a personal candidate account!
nCurrent Employees of NeighborHealth - Please use our internal careers ( portal to apply for positions.
nTo learn more about working at NeighborHealth and our benefits, please visit out our Careers Page ( .
nTime Type:
nFull time
nDepartment:
nClinical Pharmacy
nAll Locations:
n10 Gove Street – Taylor Building
nPosition Summary:
nThe Manager, Medication Access & Specialty Pharmacy Operations is responsible for the day-to-day leadership and oversight of medication access and specialty pharmacy services at NeighborHealth. This role ensures patients receive timely, affordable, and clinically appropriate medications by leading operational workflows, supporting specialty pharmacy compliance, and overseeing a high-performing medication access team. Working closely with providers, clinical teams, payers, and operational partners, the Manager drives efficient access to therapy, removes barriers to care, and supports exceptional patient outcomes. This position plays a key role in optimizing medication access services, improving operational performance, and advancing NeighborHealth’s commitment to equitable, patient-centered care.
nLead the daily operations of medication access and specialty pharmacy services to ensure patients receive timely, affordable, and clinically appropriate medications. Oversee prior authorization, benefit investigation, financial assistance, and specialty medication workflows while maintaining compliance with accreditation and regulatory standards. Supervise and develop medication access staff, establish operational performance expectations, and drive continuous process improvement. Partner with providers, clinical teams, payers, and operational stakeholders to remove barriers to care, improve access to therapy, and support exceptional patient outcomes. Monitor operational performance metrics and implement solutions that enhance efficiency, quality, and equitable access to medications across the organization.
nThe successful candidate will be able to perform the following responsibilities:
nSpecialty Pharmacy Operations & Compliance
nnnManage daily specialty pharmacy operations to ensure compliance with organizational policies, regulatory requirements, and accreditation standards, including ACHC and URAC.
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nnMaintain and continuously improve policies, procedures, and standard operating workflows supporting medication access and specialty pharmacy services.
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nnLead operational readiness activities for specialty pharmacy accreditation programs, including ACHC and URAC documentation review, audit preparation, survey readiness, and corrective action implementation.
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nnMonitor quality, compliance, and service metrics to identify opportunities for operational improvement, risk mitigation, and ongoing accreditation compliance.
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nnCollaborate with pharmacy leadership to support ACHC and URAC accreditation activities and ensure adherence to established quality and performance standards. Medication Access Operations & Team Leadership
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nnSupervise, coach, and develop medication access pharmacy technicians and liaisons, fostering a culture of accountability, collaboration, and service excellence.
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nnOversee daily medication access operations, including workload distribution, workflow management, and prioritization of patient access needs.
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nnEnsure timely completion of prior authorizations, benefit investigations, coverage determinations, financial assistance enrollment, and other medication access activities.
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nnEstablish, monitor, and optimize operational performance metrics, productivity standards, and turnaround time expectations.
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nnServe as the primary escalation point for complex medication access issues, including denials, appeals, peer-to-peer reviews, medical exceptions, and payer-related challenges.
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nnIdentify workflow barriers and implement process improvements to reduce delays in therapy initiation and enhance the patient and provider experience.
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nnPartner with pharmacy leadership to support staffing, onboarding, training, performance management, and professional development initiatives.
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n nFormulary Management & Access Support
nnnMonitor payer formulary updates, coverage policies, and utilization management requirements across commercial, Medicaid, and Medicare plans.
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nnDevelop and maintain processes that support medication access, coverage pathway navigation, and therapeutic alternative identification when clinically appropriate.
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nnProvide guidance and support to providers and care teams regarding formulary requirements, prior authorization criteria, and medication access pathways.
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nnCollaborate with pharmacists, providers, and clinical staff to minimize disruptions in patient therapy resulting from formulary or coverage changes.
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nnSupport resolution of patient-specific medication access challenges through established workflows, escalation pathways, and payer engagement strategies.
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nnFacilitate communication of formulary and coverage updates to relevant stakeholders to promote timely and informed clinical decision-making.
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n nProvider & Interdisciplinary Collaboration
nnnPartner with providers, pharmacists, nurses, care teams, and operational stakeholders to support timely and effective medication access for patients.
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nnServe as a subject matter expert on medication access processes, payer requirements, and specialty pharmacy workflows.
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nnProvide consultation and guidance to providers and clinical teams regarding prior authorization requirements, coverage pathways, appeals processes, and access-related barriers.
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nnSupport escalation-level payer interactions, including coordination of appeals, peer-to-peer reviews, and resolution of complex coverage issues.
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nnCollaborate with informatics, technology, and operational teams to optimize electronic health record workflows, reporting tools, and medication access processes.
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nnFoster strong cross-functional partnerships that improve communication, care coordination, operational efficiency, and patient outcomes.
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n nPerformance Improvement, Analytics & Reporting
nnnMonitor, analyze, and report on key operational and quality metrics, including prior authorization turnaround times, approval and denial rates, appeal outcomes, and time to therapy initiation.
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nnDevelop and maintain dashboards, reports, and performance tracking tools to support operational oversight and decision-making.
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nnIdentify trends, workflow gaps, and opportunities for improvement through data analysis and routine performance reviews.
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nnLead operational improvement initiatives designed to enhance efficiency, service quality, patient access, and team performance.
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nnCollaborate with pharmacy leadership and operational stakeholders to implement process improvements and achieve departmental goals.
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nnSupport initiatives that promote equitable access to medications and reduce barriers to care across diverse patient populations.
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n nEducation
nnnDoctor of Pharmacy (PharmD) degree from an accredited college or school of pharmacy required.
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nnCurrent pharmacist licensure in Massachusetts, or eligibility to obtain Massachusetts pharmacist licensure, required.
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n nExperience
nnnMinimum of five (5) years of experience in specialty pharmacy, medication access services, ambulatory care pharmacy, managed care pharmacy, health-system pharmacy, or a related pharmacy practice setting required.
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nnMinimum of two (2) years of leadership, supervisory, project leadership, or operational management experience required.
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nnExperience managing medication access programs, prior authorization processes, pharmacy benefit navigation, or specialty pharmacy services required.
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nnExperience with ACHC and/or URAC accreditation standards, specialty pharmacy compliance activities, or accreditation readiness strongly preferred.
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nnExperience with workflow optimization, quality improvement, operational reporting, and performance metric management preferred.
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n nSkills/Abilities
nnnStrong knowledge of medication access services, specialty pharmacy operations, prior authorization processes, pharmacy and medical benefit navigation, and payer requirements.
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nnDemonstrated ability to lead, coach, develop, and motivate teams while fostering a culture of accountability, collaboration, and continuous improvement.
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nnStrong operational management skills with the ability to prioritize competing demands, manage complex workflows, and drive results in a fast-paced healthcare environment.
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nnExcellent verbal, written, and interpersonal communication skills, with the ability to effectively engage providers, staff, patients, payers, and external partners.
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nnAbility to analyze operational and performance data, identify trends, and implement data-driven process improvements.
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nnExperience with electronic health records, pharmacy systems, reporting tools, and other technology platforms supporting medication access and specialty pharmacy services.
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nnStrong problem-solving, critical thinking, and decision-making skills with the ability to manage complex patient access challenges and escalated issues.
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nnKnowledge of ACHC and URAC accreditation standards, specialty pharmacy quality requirements, and regulatory expectations preferred.
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nnCommitment to patient-centered care, health equity, cultural humility, and serving diverse patient populations.
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nnBilingual skills, particularly Spanish, are preferred but not required.
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n nEEO & Accommodation Statement:
nNeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to or call to let us know the nature of your request
nFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on 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.
nE-Verify Program Participation Statement:
nNeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.
nThere’s a reason NeighborHealth (formerly East Boston Neighborhood Health Center) is ranked as one of the "Top Places to Work" by The Boston Globe. It's because we're committed to maintaining a supportive and welcoming environment — for both our employees and our patients — that reflects our mission and culture. We are proud to offer benefits that support you inside and outside of work.
nWe strive to offer a variety of schedules, a diverse and inclusive workforce, and a patient-driven purpose that supports our local community. Additionally, we utilize our Education & Training Institute as a resource for our large employee workforce who seek to broaden their skill base and advance their careers. We hope you consider joining our team!
nnnMedical & Dental Coverage
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nnLife and Disability Insurance
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nnPrivileges at Boston Medical Center for Providers
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nn401(K) Retirement Plan
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nnEducational Assistance
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nnFlexible Spending & Transportation Accounts
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nnPaid Holidays, Vacations, Sick and Personal Time
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nnA Generous Staff Development Benefit
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nnExcellent Malpractice Coverage
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nnA Designated Medical Staff Office for Physician Support
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nnFree Parking
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nnAnd Much More…
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Worksite address
east boston, MA, 02228, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.