Pharmacy Coordinator Ambulatory Clinic

Dignity Health Medical Group; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Dignity Health Medical Foundation is seeking a Pharmacy Coordinator Ambulatory Clinic to interface with ambulatory care teams, pharmacies, payers and program representatives to secure access to prescribed medications. The role involves processing prior authorizations and supporting services to improve patient access.

You will communicate with providers, patients, and pharmacists, assist with insurance benefits understanding, and manage renewals of patient assistance programs, including

Qualifications

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

Responsibilities

• Process medication prior authorizations.
• Support ambulatory care pharmacy services to improve patient access to medications.
• Assist patients with understanding their insurance benefits and act as liaison with programs/providers.
• Manage renewals of medications and eligibility of patient assistance programs.
• Work with medication manufacturers to maintain up-to-date assistance program requirements.

Skills

Pharma/Drug assistance programs

Medical insurance coverage

Customer service

Retail pharmacy experience

Compliance awareness

Education

High school diploma or GED

Associates degree preferred

Job description

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.

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

• Research and identify potential options for the patient to secure access which may include, but are not limited to:
  • 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 or drug assistance/medication management assistance programs strongly preferred

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