Ambulatory Pharmacy Access & Reimbursement Specialist

John Muir Health; Walnut Creek (CA); On-site; USD 52,403 - 70,739; Part time

Job summary

John Muir Health is seeking a Medication Access Specialist in Walnut Creek, California. This role is vital in facilitating patient medication access, focusing on prior authorizations, financial assistance processes, and inventory management.

The candidate should possess a high school diploma and 3–5 years' experience as a licensed Pharmacy Technician. Competence in navigating insurance verification and communication with healthcare providers is critical. The position offers part-time hours with competitive pay.

Qualifications

• 3–5 years as a licensed Pharmacy Technician in a clinical, ambulatory care, or specialty pharmacy setting.
• Demonstrated experience with prior authorizations, insurance verification, and medication access workflows.

Responsibilities

• Complete prior authorizations and manage refill protocols.
• Communicate with insurers and clinic staff regarding medication access.
• Work collaboratively with pharmacists, providers, and insurance companies to resolve access barriers.
• Coordinate with patient assistance programs for specialty medications.

Skills

Prior authorizations

Insurance verification

Patient communication

Collaboration with healthcare professionals

Education

High School Graduate or Equivalent

Completion of Pharmacy Technician Program

Tools

Pharmacy Technician Certification Board (CPhT)

California Board of Pharmacy certification

Job description

John Muir Health is seeking a Medication Access Specialist in Walnut Creek, California. This role is vital in facilitating patient medication access, focusing on prior authorizations, financial assistance processes, and inventory management.

The candidate should possess a high school diploma and 3–5 years' experience as a licensed Pharmacy Technician. Competence in navigating insurance verification and communication with healthcare providers is critical. The position offers part-time hours with competitive pay.