Employment Type:
Full time
Shift:
Day Shift
Description:Position summary:
Provides integrated support to patients, pharmacists, and other clinicians byfacilitatingour medication adherence and prescriptionassistanceprograms and is related to the growth and maintenance of Pharmacy business operations.Works closely with patients, clinicians, and our specialty pharmacy business line to deliver a full continuum of medication adherence supportutilizingvarious tools and applications.Responsible for performing assigned tasks that require ability for independent judgment and increased competency skills relating to patient medication therapy. As a key individual providing pharmacy services, responsible for liaising between patients, pharmacies, payers, and providers with high accountability for follow through and task management.
Shift: Days, 8-hour shifts
What you will do:
- Understands andmaintainsconfidentiality with respect to patient/client care bycomplying withall applicable federal and state laws, HIPAA, HITECH, andMercyOnepolicies related to protected health information (PHI) and electronic PHI (ePHI) in all tasks, whether in a pharmacy department or clinic setting.
- Review payer reports and determineappropriate courseof action for management
- Participates in performance improvement (PI) activities as directed, including reporting variances, contributing to corrective action development, and supporting audits, whether working in a pharmacy department or clinic setting
- The role includesidentifyingopportunities for improvement, implementing solutions, and documenting results, ensuring that pharmacy services continually meet accreditation standards and regulatoryrequirement
- Is flexible and able to adapt to changes, resolve unexpected problems, and handle different tasks and responsibilities without compromising the quality of work
- Triage patients need and assign to appropriate staff
- Perform all insurance benefitinvestigation,reviewclaim rejects, overrides, etc.
- Work with patients to find financial aid (grants, manufacturing programs, discount cards etc.) to ensure they have access to the medications they need
- Provide direct support to patients to ensure that they are supported through their therapy regimen and achieve their intended outcome
- Serve as a liaison between clinicians, care coordinators, pharmacy, andassistanceprograms to ensure patient support throughout care
Qualifications:
- High School diploma or GEDrequired
- Must be at least 18 years of age
- At least three years of experience in pharmacy-related tasks, including health benefit investigations, prior authorization support, patient financialassistance, medical terminology, diagnoses, and procedures.
- CPhT(Certified Pharmacy Technician), MA (Medical Assistant), or LPN (Licensed Practical Nurse) certification preferred.
- For roles in the pharmacy department, candidates must have a Certified Pharmacy Technician (CPhT) license or be licensed as a Pharmacy Technician Trainee with certificationrequiredwithin the state’s legally mandatedtimeframes.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
