Medication Use Lead

Community Health Systems; United States; On-site; USD 65,000 - 95,000; Full time

Job summary

Community Health Systems is seeking a Medication Use Lead to coordinate daily workflows for medication assistance and patient support programs. You will guide team members handling pharmaceutical assistance, reimbursement support, and utilization review to ensure compliant operations.

The role collaborates with pharmacy, clinical, financial, and operational partners to optimize access processes, monitor performance, and uphold regulatory standards.

Qualifications

• Minimum high school diploma or GED.
• 3–5 years as a Pharmacy Technician in hospital or healthcare setting.
• Experience with medication assistance programs or reimbursement programs preferred.
• Experience coordinating teams, training, or workflow oversight preferred.

Responsibilities

• Provide day-to-day operational guidance and workflow coordination for team members.
• Monitor work queues and prioritization for timely processing of activities.
• Escalate complex cases, issues, and compliance concerns related to medication assistance and reimbursement workflows.
• Assist onboarding and coaching of new team members; ensure regulatory requirements are followed.
• Conduct quality monitoring and workflow audits to ensure accuracy and compliance.
• Assist leadership in monitoring performance metrics, productivity, and outcomes.
• Collaborate with pharmacy, patient financial services, and clinical stakeholders to address issues.
• Support implementation of workflow improvements and operational initiatives.
• Communicate trends and opportunities to leadership.
• Maintain regular attendance and comply with policies.

Skills

Medication assistance

Reimbursement workflows

Claims review

Team coordination

Analytical skills

Education

High school diploma or GED

Certified Pharmacy Technician (CPhT)

Job description

Job Summary

The Medication Use Lead supports operational coordination and daily workflow oversight for medication assistance and patient support programs. This role provides guidance to team members responsible for medication access activities such as pharmaceutical assistance programs, reimbursement support, and medication utilization review. The Medication Use Lead helps ensure operational workflows are executed effectively, productivity and quality standards are maintained, and regulatory and program requirements are followed. This role collaborates with pharmacy, clinical, financial, and operational stakeholders to support medication access initiatives and maintain compliant program operations.

Essential Functions

• Provides day-to-day operational guidance and workflow coordination for team members supporting medication assistance and patient support program activities.
• Monitors work queues and case prioritization to ensure timely processing of medication assistance and reimbursement support activities.
• Serves as an escalation point for complex cases, operational issues, and compliance concerns related to medication assistance and reimbursement workflows.
• Supports onboarding and training of new team members and provides ongoing coaching to ensure consistent application of program procedures and regulatory requirements.
• Conducts quality monitoring and workflow audits to ensure accuracy, regulatory compliance, and adherence to established operational standards.
• Assists leadership in monitoring operational performance metrics, productivity levels, and program outcomes.
• Collaborates with pharmacy teams, patient financial services, and clinical stakeholders to address operational issues and support effective medication access processes.
• Supports implementation of workflow improvements, process updates, and operational initiatives designed to enhance program performance.
• Communicates operational trends, challenges, and improvement opportunities to leadership.
• Participates in cross-training and operational coverage activities to ensure continuity of program operations.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• 3-5 years of experience as a Pharmacy Technician in a hospital or healthcare setting required
• Experience working with medication assistance programs, reimbursement support programs, or healthcare revenue cycle operations preferred
• Experience providing team coordination, training, or workflow oversight preferred

Knowledge, Skills and Abilities

• Knowledge of medication assistance programs, pharmaceutical manufacturer assistance programs, and reimbursement processes.
• Understanding of healthcare reimbursement workflows and payer requirements related to medication utilization and access programs.
• Ability to review claims information, billing documentation, and case materials for accuracy and compliance.
• Ability to coordinate team workflows, prioritize work activities, and support operational productivity goals.
• Strong communication and collaboration skills when working with pharmacy teams, clinical staff, and operational partners.
• Ability to identify operational issues, escalates concerns appropriately, and support problem resolution.
• Strong organizational and analytical skills with the ability to manage multiple operational priorities.

Licenses and Certifications

• Certified Pharmacy Technician (CPhT) required