Claims Treatment Specialist (Pharmacy)
Core
Utilize pharmacy expertise to provide advice on medication management, communicate with injured workers and doctors, and collaborate with prescribers to support safe and appropriate treatment in a personal injury context.
Role type
Claims Treatment Specialist (Pharmacy)
Builds
Optimized medication plans and recovery outcomes for injured workers
Domain
Personal injury / Workers compensation
Required skills
Clinical assessment of high-risk medications, medication review, negotiation with prescribers, education on medication risks, process improvement, regulatory compliance
Preferred skills
Knowledge of workers compensation legislation, experience in community/hospital/aged care settings
Technologies
AI-powered technology platforms
Responsibilities
Develop and implement strategies to optimise medication and treatment management; Assess high-risk medication use and provide clinical opinions on treatment strategies; Liaise with treatment providers to negotiate medication types, dosages, and utilisation; Educate injured workers, employers, and stakeholders on medication use and risks; Identify the need for and refer to external services like Pharmacy Reviews or Independent Medical Examinations; Provide training and support to operational team members on medication management best practices
Seniority
Mid-Senior, hands-on IC
