Specialty Pharmacy Clinical Liaison

NorthBay Health • Vacaville, CA

7d

About The Position

At NorthBay Health, The Specialty Clinic Liaison serves as the primary point of
contact between specialty clinics, referring providers, and the NorthBay
Specialty Pharmacy. This role is responsible for coordinating patient referrals
to NB Specialty Pharmacy, facilitating communication, supporting clinic
operations, and ensuring a seamless patient experience. The liaison works to
strengthen provider relationships, improve referral processes, and support
patient access to specialty medications and specialty pharmacy services.

At NorthBay Health, we are guided by our values: Nurturing Care; Own It;
Respect; Build Trust; and Hardwire Excellence. These principles lead us to our
TRUE NORTH and inspire us to provide exceptional care.

These values serve as the foundation of everything we do, guiding us to deliver
individualized care with integrity and accountability. We are committed to
fostering a culture of collaboration, where every team member is valued and
empowered to contribute their best to the health and well-being of those we
serve.

This is an exciting time to join NorthBay Health.

As an independent, nonprofit health system north of the San Francisco Bay Area,
in the Napa/Solano Region, we are expanding our footprint across Solano, Yolo,
and Napa counties to meet the evolving needs of our communities. With two
acute-care hospitals—including a Level II Trauma Center and a modern maternity
unit with a Level III Neonatal Intensive Care Unit (NICU)—along with a
comprehensive cancer center, multiple urgent care facilities, and a growing
network of primary and specialty clinics, we are investing in the future of care
across the region.

NorthBay Health we are home to advanced clinical programs and nationally
recognized cardiovascular, neuroscience, and orthopedic services, as well as
comprehensive surgical and outpatient specialties. Our commitment to excellence
is reflected in our Magnet with Distinction designation for nursing (one of only
12 organizations nationwide) and recognition from U.S. News & World Report as
“High Performing” in multiple clinical areas, including maternity care, heart
failure, and stroke. NorthBay Medical Center has earned the High Performing
designation in maternity care for four consecutive years.

As the only locally governed health system in the region, we remain deeply
rooted in our communities while growing into a trusted regional healthcare
leader. If you are seeking meaningful work, collaborative teams, and the
opportunity to help shape the future of healthcare in Northern California, you
will find it at NorthBay Health.

Join us with our commitment to excellence, to achieve our vision to be the
trusted healthcare partner of choice for the communities we serve.

To learn more about NorthBay Health's benefits, diversity statement and
community please visit https://www.northbay.org/careers/
[https://www.northbay.org/careers/index.cfm]

Responsibilities

• Patient Access & Financial Coordination: to reduce therapy delays and abandonment rates.
• Identify specialty medication referrals in real time to capture the RXs preventing leakage
• Conduct benefits investigation.
• Obtain prior authorizations (PAs) and submit clinical documentation.
• Coordinate appeals for denials.
• Enroll patients in copay assistance programs and foundation grants.
• Provide cost transparency to providers and patients.
• Track time-to-therapy metrics.
• Provider & Clinic Support to streamline provider experience and increase confidence in specialty pharmacy services
• Serve as the primary point of contact between clinic and specialty pharmacy.
• Participate in clinic huddles and case discussions.
• Troubleshoot pharmacy-related workflow issues.
• Informing providers on insurance coverage changes/formulary and coverage criteria’s
• Patient Education & Onboarding to improve patient engagement and adherence.
• Introduce specialty pharmacy services at point of care.
• Explain prior authorization and insurance steps.
• Coordinate first-fill counseling with pharmacist.
• Set refill expectations and adherence support processes.
• Operational Workflow Management to drive measurable performance improvements.
• Monitor referral capture rates.
• Track turnaround times.
• Maintain dashboards for:
• Conversion rate
• Denial rate
• Time to first fill
• Clinic capture rate
• Ensure compliance with payer and accreditation requirements (URAC, ACHC).
• Relationship & Growth Development to strengthen long-term clinic partnerships and grow specialty volume.
• Identify expansion opportunities (new providers, new service lines).
• Support value-based care initiatives.
• Provide quarterly business review (QBRs).
• Collaborate on population health initiatives.

What This Job Offers

• Education Level: No Education Listed