Pharmacy Care Coordinator II

BHS Baptist Healthcare System; Richmond (KY); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health Insurance

Vision Insurance

Dental Insurance

Life Insurance

Short/Long-Term Disability Insurance

Tuition Reimbursement

Paid Time Off

Job summary

Baptist Health is seeking a Pharmacy– Specialty Pharmacy Care Coordinator in Kentucky for full-time days. The role supports high-touch, complex therapies, coordinating with clinics, insurers, and social workers.

The position involves benefits investigations, prior authorization, copay assistance, patient outreach, and accurate EHR documentation to optimize care and access to medications.

Qualifications

• High School or GED required.
• Registration with Kentucky Board of Pharmacy upon hire date.
• Pharmacy technician certification required.
• Basic life support (BLS) certification required.

Responsibilities

• Support ambulatory clinic teams to obtain medication authorization.
• Perform benefits investigations and assist with prior authorization.
• Identify copay assistance options for patients.
• Coordinate patient outreach to ensure continuity of care.
• Document in Electronic Health Records and monitor renewals.

Skills

Teamwork

Leadership

Flexibility

Pharmacy terminology

Education

High School or GED

Kentucky Board of Pharmacy registration upon hire

National Pharmacy Technician Certification

BLS certification

Tools

Electronic Health Records (EHR)

Job description

Summary Job Description

Pharmacy– Specialty Pharmacy Care Coordinator FULL TIME - DAYS/1ST SHIFT

Job Description

The Specialty Pharmacy Care Coordinator acts as an extension of the ambulatory clinic teams to support patient access to high touch, complex medication therapies. This position is based in a centralized specialty pharmacy call center setting under pharmacist supervision. The Specialty Pharmacy Care Coordinator functions in a multi-skilled environment which requires the application of teamwork, leadership and flexibility. Works in collaboration with insurance companies, nursing, and social workers to obtain appropriate authorization for medications including registration with drug specific manufacturer programs when applicable. Performs tasks related to prescription billing including completing benefits investigations, assisting with the prior authorization process, and locating copay assistance options for patients to ensure affordability of specialty medications. Assists with call center intervention outcomes tracking to monitor value of services. Coordinates telephonic patient outreach for new and enrolled patients to ensure continuity of care and optimize patient outcomes. Completes benefit investigations to verify patient eligibility for prescribed specialty medications. Maintains current knowledge of payer formularies and reimbursement. Engages in personal development to stay updated with pharmacy trends related to role and practice setting. Supports third party prior authorization process and obtain appropriate overrides to improve speed to therapy for new patients. Maintains accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy. Triages patient or caregiver clinical questions, medication related concerns, and third-party insurance denials to the pharmacist for intervention as appropriate. Utilizes Electronic Health Record to maintain communication between departments and ensure accurate documentation of patient care activities. Serves as the primary point of contact with patients related to specialty medication needs and shows empathy and compassion to patients and caregivers. Facilitates enrollment of patients in patient assistance programs to maximize copay savings and assist with gathering appropriate documentation. Utilizes technology to organize daily outreach tasks to complete prescription refills, delivery coordination, and claim processing on time. Demonstrates commitment to the quality, philosophy, and values of BaptistHealth by maintaining compliance with established policies and procedures, organizational objectives, process improvement, and safety standards.

Essential Qualifications

High School or GED Required No Experience Required - 1 year Preferred. Registration with Kentucky Board of Pharmacy upon hire date National Pharmacy Technician Certification required BLS required.

Benefits

• Full-Time 32 weekly hours (0.8 FTE) - 40 weekly hours (1.0 FTE)
• Health, Vision, Dental and Pet Insurance
• Life Insurance
• Short Term and Long-Term Disability and Life Insurance
• Identity Theft Protection
• Tuition Reimbursement up to $6,000 annually
• Company paid Maternity and Paternity Leave
• 5 days of Paid Time Off available upon hire
• Bereavement Leave (includes pets)
• PTO Sell Back Program
• Compassionate Leave Sharing Program (PTO Donation)
• Employee Support Fund, for employees in need of emergency financial support
• Retirement with Company Match

Employer Introduction

Baptist Health is an Equal Employment Opportunity employer. Founded in 1924 in Louisville, Kentucky, BaptistHealth is a full‑Spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed and independent physicians, and more than 470 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and NewAlbany, Indiana. BaptistHealth also operates two joint venture hospitals: the 410‑bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky with Deaconess Health System based in Evansville, Indiana, and the Baptist Health Rehabilitation Hospital, a 40‑bed inpatient rehabilitation facility with Encompass Health, based in Birmingham, Alabama. BaptistHealth employs more than 24,000 people in Kentucky and surrounding states. BaptistHealth is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health’s employed provider network, Baptist Health Medical Group, has more than 1,820 employed providers offering care in 78 specialties, including approximately 862 physicians and 958 advanced practice clinicians. BaptistHealth’s physician network also includes more than 2,000 independent physicians.

Notice of Non-Discrimination and Accessibility to Services

Persons with hearing and speech impairments can contact BaptistHealth facilities by using the Kentucky Relay Service, a toll‑free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.

EEO Statement

Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law.

Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team.

Please note that BaptistHealth is a drug‑free workplace and employment with BaptistHealth is subject to post offer, pre‑employment drug testing.