Pharmacy Liaison

Renown Health; Reno (NV); On-site; USD 42,000 - 52,000; Full time

Job summary

Renown Health in Reno, NV is seeking a Pharmacy Technician to coordinate formulary-related tasks within the insurance plan, including prescription rider setups, prior authorizations, and communications with members and providers.

This role supports patient-facing workflows in outpatient pharmacy, liaising with providers, patients, office staff and pharmacy staff to streamline approvals, financial assistance, and documentation.

Qualifications

• 3–5 years of experience in a managed care organization or equivalent with pharmacy/managed care background.
• Current and unrestricted Pharmacy Technician License in the state of Nevada strongly preferred.
• Must have working-level knowledge of English (reading, writing, speaking).
• Computer/timing skills to complete online learning and use MS Office applications.

Responsibilities

• Coordinate internal activities on Rx changes, including prior authorizations and letters to members and providers.
• Serve as liaison with leadership on formulary issues and clerical management.
• Coordinate patient-facing and internal pharmacy workflows to facilitate prior authorizations and financial assistance.
• Communicate with members, providers, office staff, and pharmacy staff to improve patient experience around medications.
• Provide excellent customer service via inbound calls from members and physicians.

Skills

Customer service

Coordination

Communication

Prior authorizations

Multitasking

Team liaison

MS Outlook

Excel

Word

Tools

MS Outlook

Excel

Word

Job description

Position Purpose

In the insurance plan, this position is responsible for coordinating internal activities on required Rx changes i.e., prescription rider set‑ups, prior authorizations and letters to members and providers. Works as liaison with leadership on assigned formulary issues, procedural management issues (formulary) and clerical management.

In outpatient pharmacy settings, this position is responsible for coordinating patient‑facing and internal pharmacy workflows to facilitate prior authorizations and financial assistance for pharmacy medications. Works as liaison with providers, patients, office staff and pharmacy staff to improve patient experience around medications.

Nature and Scope

This position shall coordinate, implement, and monitor assigned activities relating to the formulary medications. It is responsible for processing, communicating, documenting, and tracking requests for medications or formulary exceptions, copay exceptions, prior authorizations, patient financial assistance and appeals processes related to drug formulary and drug utilization management with leadership and peers.

This position communicates with the Pharmacy Supervisor/Manager of Pharmacy Services, members, providers, and internal staff on a regular basis. The position will also receive inbound calls from members and physicians providing excellent customer services in regard to troubleshooting any pharmacy related issues.

Overtime, flexible hours, and weekend shifts may be required intermittently to support work volumes.

This position does not provide patient care.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Education: Must have working-level knowledge of the English language, including reading, writing, and speaking English.

Experience: 3‑5 years' experience in a managed care organization or equivalent with pharmacy/managed care background.

License(s): Current and unrestricted Pharmacy Technician License in the state of Nevada strongly preferred.

Certification(s): None.

Computer / Typing: Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job‑specific competencies, access online forms and policies, complete online benefits enrollment. 1+ year of experience with MS Outlook, Excel, & Word including basic functions; email/calendar, moving through and understanding excel documents, knowing tabs, saving/editing documents.