Patient-Centric Specialty Pharmacy Coordinator

Alameda Health Sytem; Oakland (CA); Presencial; USD 55.000 - 74.000; Jornada completa

Descripción de la vacante

Alameda Health System in Oakland, CA is seeking a Pharmacy Services Coordinator for Specialty Pharmacy. The role supports the coordination of billing, delivery, and patient interactions, ensuring accurate processing of orders and timely communications with vendors and prescribers.

You will manage referrals, prior authorizations, reimbursements, and inventory for specialty medications, track outcomes, and help improve workflows within Epic Hyperspace and our clinic teams.

Formación

• Required Licenses/Certifications: Registered Pharmacy Technician with the California State Board of Pharmacy.
• Preferred Education: Bachelor’s Degree.
• Required Education: Associate’s degree.
• Preferred Qualification/Certificate: Bilingual in Spanish
• Preferred Experience: One year of recent experience supporting or directly coordinating specialty pharmacy services in an administrative and/or operation role.

Responsabilidades

• Acts as the point person for communicating the delivery needs of patients to delivery vendor including any special instructions and feedback, as well as provides tracking information and reviewing all deliver-associated charges.
• Assists with administrative and operational duties as required.
• Builds patient-centered relationships including contacting members as needed to coordinate specialty prescription orders; processes new and refill orders.
• Enrolls and tracks the status of new patient referrals and with initiation of therapy.
• Ensures pharmacy claims are being submitted accurately and correctly; reviews billing for specialty and high-cost medications to confirm appropriate reimbursement.
• Maintains accountability for day-to-day patient reimbursement activities, workload and overall workflow; provides monthly reports of patient and prescription activity to pharmacy & program management.
• Monitors, follows up with and records all insurance re-authorizations required by payers to help ensure compliance and continuity of treatment; helps to support the appeal process to overturn insurance denials and/or benefit exclusions when needed.
• Provides specialty medication inventory management including maintaining the day to day medication quantities and oversight of partial prescriptions that were dispensed.
• Works on patient's behalf to identify and assess reimbursement coverage options forthose with insurance and to coordinate and/or investigate financial options for those without insurance.
• Works with prescribers, Clinical Pharmacist Specialists and pharmacists to facilitate the process of obtaining prior authorization from third party payers in order to maximize patients' access to treatment and to coordinate/investigate financial options for those without insurance.
• Responsible for monthly data management and analysis, specific to Adult Immunology pharmacy patients, pharmaceutical costs and reimbursements.
• Coordinate courier deliveries for Adult Immunology and Outpatient Pharmacy patients.
• Processing “return to stock” medication tasks when necessary.
• Coordinate projects as they arise.
• Perform other duties as assigned.

Educación

Associate’s degree

Bachelor's Degree

Descripción del empleo

Alameda Health System in Oakland, CA is seeking a Pharmacy Services Coordinator for Specialty Pharmacy. The role supports the coordination of billing, delivery, and patient interactions, ensuring accurate processing of orders and timely communications with vendors and prescribers.

You will manage referrals, prior authorizations, reimbursements, and inventory for specialty medications, track outcomes, and help improve workflows within Epic Hyperspace and our clinic teams.