Medication Access Coordinator

Spectrum Medical Care Center; United States; In loco; USD 30.307 - 38.572; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive medical, dental, and VIs

Company-paid life insurance

Parental leave

403(b) plan with company match

Voluntary benefits (AD&D, Cancer, etc)

Descrizione del lavoro

Spectrum Medical Care Center is seeking a Medication Access Coordinator to ensure timely access to medications, bridging insurance operations, pharmacy coordination, and inventory oversight. The role involves working with internal teams and external partners to remove barriers to treatment.

Ideal candidates bring 1–2 years in prior authorizations or pharmacy coordination, with a focus on patient advocacy and HIPAA compliance.

Competenze

• Minimum 1–2 years of experience in prior authorization, pharmacy coordination, or medical office operations.
• Bilingual (Spanish/English) preferred but not required.
• Knowledge of 340B program operations and Buy & Bill medication workflows is a plus.

Mansioni

• Submit and track prior authorizations required by insurance.
• Coordinate with pharmacies to ensure medication availability and delivery.
• Manage medication inventory and Buy & Bill processes to prevent delays.
• Coordinate updates between providers and pharmacies.
• Maintain patient records and track authorization expirations.

Conoscenze

Prior authorization experience

Pharmacy coordination

Medical office operations

Bilingual Spanish/English (preferred)

Formazione

High school diploma or equivalent

Health-related diploma or higher (preferred)

Strumenti

Fusebox inventory management

EHR / practice management systems

Descrizione del lavoro

Company Overview

Spectrum Medical Care Center is dedicated to providing best-in‑class primary and specialty healthcare to LGBTQ+ individuals and those living with HIV/AIDS in Arizona. At Spectrum Medical, we aim to create an inclusive and stigma‑free environment for everyone. We encourage patients to 'feel good here' by tailoring healthcare to their unique needs. Our services include primary care, gender‑affirming care, and HIV and STI testing and treatment.

Core Values

• Patients First, always
• Learn it. Own it. Do it
• One Team, One Community
• Relentless Improvement, Courageous Joy
• Pride in Every Person

Position Overview

The Medication Access Coordinator (MAC) is a critical member of Spectrum’s clinical operations team, responsible for ensuring patients receive timely and uninterrupted access to their medications. This role bridges insurance operations, pharmacy coordination, care navigation, and inventory management — removing barriers that stand between patients and the treatments they need. The MAC works across internal teams and external partners to ensure no patient experiences a treatment delay due to administrative, insurance, or supply chain barriers.

Cover Letter

In your cover letter, please briefly describe your experience with prior authorizations, pharmacy coordination, or medication access. We are especially interested in candidates who bring patience, persistence, and genuine advocacy for patients navigating complex insurance and pharmacy systems.

Key Responsibilities

Insurance & Medication Approvals

• Submit and track prior authorizations required by insurance companies.
• Verify insurance coverage and benefits for medications.
• Help resolve insurance denials and coverage issues.
• Assist with insurance appeals when medications are denied.
• Gather required documentation to support insurance approvals.

Pharmacy Coordination

• Work with specialty and retail pharmacies to ensure medication availability.
• Track prescription status and medication deliveries.
• Resolve issues related to refills, delays, or medication shortages.
• Schedule and coordinate medication deliveries to patients and the clinic.
• Coordinate prescription updates and medication changes with providers and pharmacies.

Inventory Management

• Manage medication inventory for all clinic medications in Fusebox.
• Complete medication reconciliation and maintain accurate medication records.
• Order medications as needed to maintain appropriate inventory levels.
• Ensure Buy & Bill medications are available for eligible patients to prevent treatment delays.
• Dispense medications daily in Fusebox to support patient care and maintain accurate inventory counts.

Care Coordination

• Work closely with the Navigation Team to address issues when patients lose insurance coverage.
• Help identify resources and solutions so patients can continue receiving medications and care.
• Collaborate with clinical and operational teams to remove barriers that could delay treatment.

Documentation & Tracking

• Maintain accurate patient records and medication tracking in Fusebox.
• Monitor authorization expiration dates and renewal requirements.
• Track medication access outcomes and identify areas for improvement.

Compliance & Quality

• Follow all HIPAA and patient privacy requirements.
• Adhere to organizational policies and procedures.
• Participate in quality improvement efforts.
• Assist with audits and reporting as needed.

Training & Development

Authorization & Payer Training

• Ongoing prior authorization and payer training — whether through internally led sessions or online courses — to keep knowledge current with insurance and formulary changes.
• Periodic group training sessions to allow the team to share scenarios, collaborate, and develop shared best practices.

Pharmacy & Medication Systems

• Training on specialty pharmacy workflows, Fusebox inventory management, and Buy & Bill processes.
• Cross‑training with pharmacy and navigation teams to support seamless patient care coordination.

Other Tasks and Responsibilities as Assigned

Qualifications

Minimum Qualifications

• High school diploma or equivalent.
• Minimum 1–2 years of experience in prior authorization, pharmacy coordination, or medical office operations.

Preferred Qualifications

• Diploma or higher in a health‑related field.
• Experience in HIV care, LGBTQ+ health, or community health settings.
• Knowledge of 340B program operations and Buy & Bill medication workflows.
• Familiarity with ADAP, Ryan White, and other patient assistance programs.

Work Experience

• Experience with EHR/practice management systems; Fusebox experience a plus.
• Experience working with LGBTQ+ communities, people living with HIV, or other underserved populations strongly preferred.
• Demonstrated experience navigating insurance denials, appeals, and specialty pharmacy workflows.

Licenses and Certifications

• Valid Driver’s License. (Required)
• Must be able to obtain an Arizona Fingerprint Clearance Card during background check process. (Required)

Required Skills, Knowledge, and Abilities

• Strong attention to detail and ability to manage multiple tasks and deadlines simultaneously.
• Ability to communicate clearly and professionally with patients, providers, pharmacies, and payers.
• Demonstrated cultural competency and commitment to reducing stigma.
• Strong written and verbal communication skills; comfortable engaging diverse groups and individuals.
• Understanding of basic HIV terminology, medication regimens, and specialty pharmacy requirements.
• Able to comply with HIPAA regulations and maintain patient confidentiality.
• Ability to work evenings and weekends as required.
• Bilingual (Spanish/English) preferred but not required.

Onsite Position

This is a full‑time onsite position.

Compensation / Benefits / Total Rewards

• Salary Range $22-28/hr DOE
• Comprehensive medical, dental, and vision insurance, eligible on the first day of the month following your start date.
• Company‑Paid Life Insurance Policy of $50,000.
• Company Paid Parental Leave
• Additional optional benefits such as: Voluntary Life/AD&D, Accident, Cancer Protection, Hospital, and Short‑Term Disability Insurance.
• 403(b) Plan with a 3% company match, eligible after first pay period.

Paid Time Off

• 120 hours of Vacation time, 4.62 hours accrued bi‑weekly starting date of hire. Available to use after the first day of employment.
• 1 week, 40 hours of Paid Sick Leave accrued bi‑weekly starting date of hire. Available to use after the first day of employment.
• 9 annual paid holidays.
• You are also entitled to carry over 80 hours of PTO into the following calendar year.

Personal Attributes

• Hungry – We expect everyone to strive for greatness and achievement.
• Inclusive – We create and promote a work environment where EVERYONE can thrive.
• Resilient – We don’t let small setbacks or major adversity stop us from achieving our goals.
• Empowered – Self motivation is our secret sauce to success.
• Curious – Curiosity can lead to greater happiness and motivation in both work and life.
• Reliable – You are accountable and you take ownership of your tasks and commitments.

Diversity, Equity, & Inclusion at Spectrum Medical Care Center

At Spectrum Medical Care Center, we believe exceptional care begins with an inclusive team. We are committed to building a workplace where every individual—regardless of background, identity, or experience—feels respected, supported, and empowered to thrive.We celebrate the diversity of our patients, staff, and communities, and we strive to create equitable opportunities for all. Our mission‑driven culture values compassion, collaboration, and continuous learning—because when every voice is heard, we deliver better care and stronger outcomes.