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Marshall Health in West Virginia seeks a Clinical Pharmacy Technician to manage prior authorizations, assist patients with financial programs, and coordinate pharmacy workflows within the ambulatory setting. You will gather documentation, submit payer forms, and track outcomes, working closely with pharmacists and the clinical team.
The role emphasizes high-cost medications, patient communication, and data reporting to leadership.
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 both Rivers 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.
Prioritize high-cost therapies, including biologics and specialty agents, as well as other medications with significant prior-authorization, specialty-pharmacy, or affordability requirements.
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 Ambulatory Clinical Pharmacy leadership.