Pharmacy Coordinator Ambulatory Clinic

CommonSpirit Health; Ventura (CA); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Equipment provided for remote work

Job summary

Dignity Health Medical Foundation, a California nonprofit health system, seeks a Pharmacy Coordinator for ambulatory clinic support, focusing on access to prescribed medications and patient assistance programs. You will interact with care teams, payers, and manufacturers to secure medication access while delivering excellent customer service.

The role is remote for California residents; equipment is provided to work from home, including a laptop and dual monitors.

Qualifications

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

Responsibilities

• Interface with ambulatory care team, pharmacies, payers and drug assistance programs to secure access to medications.
• Process medication prior authorizations and support patient access to medications.
• Assist patients with understanding insurance benefits and act as liaison with assistance programs/providers.
• Manage renewals of medications and eligibility for patient assistance programs.
• Work with manufacturers to maintain up-to-date assistance program requirements.

Skills

Pharmaceutical assistance programs

Pharmacy insurance knowledge

Customer service

Education

High school diploma or GED

Associates degree preferred

CA Pharmacy Tech license preferred

Tools

Prior authorization tools

Pharmacy benefits databases

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
  • 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 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.