Pharmacy Coordinator Ambulatory Clinic

CommonSpirit Health; Rancho Cordova (CA); Remote; USD 55,000 - 85,000; Full time

Job summary

CommonSpirit Health seeks a Pharmacy Coordinator Ambulatory Clinic to support access to medications for ambulatory patients, interfacing with providers, pharmacies, payers, and assistance programs. You will process prior authorizations and help patients navigate drug assistance and insurance coverage.

This is a remote position for California residents; you will be equipped to work from home with a laptop and monitors.

Qualifications

• High school diploma or GED.
• Demonstrable experience with Pharmaceutical/drug assistance programs.
• Demonstrable experience in pharmacy/medical insurance coverage.
• In lieu of the above, demonstrable related work experience in a retail pharmacy, healthcare clinic or hospital environment.
• Excellent customer service.

Responsibilities

• Gather information and prepare initial assessment for prescribed medications and access hardship cases.
• Prior authorization.
• Drug Assistance Program enrollment.
• Copay discount programs or equivalent discount program.
• Foundation or grant funds available.
• Identify patients needing review by an Ambulatory Care Pharmacist.
• Meet with patients to assess medication needs and identify programs/resources.
• Explain insurance benefits and liaise between patients and programs/providers.
• Manage renewals of medications and eligibility for patient assistance.
• Work with manufacturers to maintain up-to-date assistance program requirements.

Skills

Pharmaceutical assistance programs

Insurance coverage knowledge

Customer service

Communication skills

Education

High school diploma or GED

Associates degree preferred

CA Pharmacy Tech license preferred

Job description

Job Summary and Responsibilities

As our Pharmacy Coordinator Ambulatory Clinic you will be responsible for interfacing with all members of the ambulatory care team, pharmacies, payers and pharmacy benefit representatives and pharmaceutical industry medication assistance programs, in order to secure access to prescribed medications.

Every day you will process medication prior authorizations, support ambulatory care pharmacy services with improving patient access to medications, and perform clerical tasks to facilitate and improve patient access to medications.

To be successful in this role, you will have excellent communication skills, a passion for customer service, and a strong knowledge of pharmaceutical assistance programs and insurance coverage.

As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.

This position is work from home for California residents.

• Gather required information and prepare initial assessment based on their providers’ prescribed medications for patients, including those that are unable to access or have a hardship to continue to access preferred medications
  • Prior authorization
  • Drug Assistance Program (DAP) application and enrollment
  • Copay discount cards or equivalent discount program
  • Foundation or grant funds available
• Identifies patients who require review by an Ambulatory Care Pharmacist
• Respond to provider, Ambulatory Care Pharmacist and patient self-referrals by meeting with patients to assess their medication needs and identify programs and resources to assist with ensuring access to the medication.
• Assist patients with understanding their insurance benefits (e. g. out-of-pocket, deductible and copay expenses) and serve as a liaison between the patient and the medication assistance programs/providers.
• Manages the renewals of medications and eligibility of patient assistance programs including phone follow-up with patients, pharmaceutical companies and providers.
• Work with medication manufacturers to compile/maintain up-to-date assistance program requirements.

Job Requirements

Required

• High school diploma or GED
• Demonstrable experience with Pharmaceutical/drug assistance programs
• Demonstrable experience in pharmacy/medical insurance coverage
• In lieu of the above, demonstrable related work experience in a retail pharmacy, healthcare clinic or hospital environment
• Excellent customer service

Preferred

• Associates degree preferred
• Clear and current CA Phamacy Tech license preferred
• Experience with medication prior authorizations strongly preferred

#DHMFPharmCoorAmb

Where You'll Work

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health – one of the largest health systems in the nation – with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state‑of‑the‑art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well‑trained and highly skilled, qualities that are vital to maintaining excellence in care and service.