Clinical Pharmacy Technician - HIMG Neurology and Gastroenterology

Marshall Health; Huntington (WV); On-site; USD 42,000 - 68,000; Full time

Job summary

Marshall Health is seeking a Clinical Pharmacy Technician to manage prior authorizations, assist patients with affordability programs, and coordinate the Marshall Health Network Pharmacy workflow.

The role emphasizes high-cost specialty medications, patient communication, and data tracking to monitor approvals, savings, and turnaround times for ambulatory care. Collaboration with pharmacists and care teams is essential.

Qualifications

• Clinical Pharmacy Technician certification is required (National Certification or equivalent).
• Minimum 2 years' experience in clinical patient care management preferred.
• Specialty medication experience and retail pharmacy background are a plus.

Responsibilities

• Prior Authorization Management: Complete new and renewal authorizations, gather documentation, submit payer forms, monitor determinations, request additional information, support appeals, document outcomes.
• Patient-Assistance and Affordability Navigation: Screen for assistance programs, complete applications, obtain signatures and financial documentation, track approvals, and communicate next steps to patients.
• Marshall Health Network Pharmacy Workflow: Act as the operational link between HIMG clinics and Marshall Health Network pharmacies, coordinate routing, and ensure closed-loop communication.
• High-Cost and Specialty Medication Focus: Prioritize high-cost therapies and other medications with affordability or payer requirements.
• Patient Communication: Provide non-clinical status updates and escalate clinical questions to pharmacists as needed.
• Data Tracking and Reporting: Track volumes, approvals, turnaround times, savings, leakage, and generate routine leadership reports.

Skills

Prior Authorization Management

Patient Assistance Navigation

Pharmacy Workflow Coordination

High-Cost / Specialty Medications

Patient Communication

Data Tracking & Reporting

Education

National Certification or equivalent

Job description

Job Responsibilities:

• Prior Authorization Management Complete new and renewal prior authorizations; gather clinical documentation; submit accurate payer forms; monitor determinations; communicate requests for additional information; support appeal preparation; and document final outcomes.
• Patient-Assistance and Affordability Navigation Screen for patient-assistance programs, copay support when permitted, foundation assistance, and internal resources; complete applications; obtain signatures and financial documentation; track approvals and renewals; and communicate next steps to patients.
• Marshall Health Network Pharmacy Workflow Serve as the primary operational link between both HIMG clinics and Marshall Health Network pharmacies; confirm prescription receipt; resolve missing information; coordinate payer-required routing; support internal dispensing when eligible; and maintain closed-loop communication until medication access is completed.
• High-Cost and Specialty Medication Focus Prioritize high-cost therapies, including biologics and specialty agents, as well as other medications with significant prior-authorization, specialty-pharmacy, or affordability requirements.
• Patient Communication Provide non-clinical updates regarding authorization status, required documents, pharmacy routing, assistance-program status, and next steps. Clinical questions will be escalated to the pharmacist or prescribing team.
• Data Tracking and Reporting Track volume, approval rate, turnaround time, patient-assistance activity, estimated patient savings, internal capture, leakage reasons, abandoned prescriptions, and time to first fill. Provide routine reports to Ambulatory Clinical Pharmacy leadership.

Education:

Clinical Pharmacy Technician: Must hold current National Certification or equivalent.

Experience:

Clinical Pharmacy Technician: Minimum 2 years' experience in clinical patient care management preferred, specialty Medication experience a plus, retail pharmacy experience preferred.