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Marshall Health is seeking a Clinical Pharmacy Technician to manage prior authorizations, patient assistance, and affordability navigation in the Neurology pathway.
The role coordinates between Neurology and Marshall Pharmacy, prioritizes CGRP therapies, and tracks patient savings, approvals, and time to first fill. Non-clinical updates are provided to patients with clinical questions escalated as needed.
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.
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.
Serve as the primary operational link between Neurology and Marshall Pharmacy; 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.
Prioritize CGRP therapies and other high-cost neurologic medications with significant prior-authorization, specialty-pharmacy, or affordability requirements. The workflow may expand to additional medications as operational needs are identified.
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.
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 Neurology, Ambulatory Clinical Pharmacy leadership, and Marshall Pharmacy.
Clinical Pharmacy Technician: Must hold current National Certification or equivalent.
Clinical Pharmacy Technician: Minimum 2 years' experience in clinical patient care management preferred, specialty Medication experience a plus, retail pharmacy experience preferred.
Internal applicants must call HR at ext. 11653 to determine eligibility before applying.