Pharmacy Liaison- Advanced Therapeutics, 40hr, Day

C100 UMass Memorial Medical Center, Inc.; Dawson (MA); On-site; USD 50,000 - 73,000; Full time

Benefits offered by this job

Signing bonus

Job summary

UMass Memorial Health is hiring a Pharmacy Technician to support benefit investigations, prior authorizations, and coordination of prescriptions with internal pharmacies. You will document results in the patient record and communicate with providers and patients to resolve insurance decisions and dispensing details.

The role requires MA Board of Pharmacy licensure, at least one year of related experience, and the ability to work in a hybrid or remote environment.

Qualifications

• Minimum of one year of related experience as a Pharmacy Technician.
• Must be able to follow oral and written instructions with accuracy and efficiency.
• Ability to work in a hybrid or remote environment.

Responsibilities

• Perform benefit investigation tasks such as running test claims and submitting prior authorizations.
• Document results in patient EMR and communicate with providers and patients.
• Submit prior authorizations to insurance and follow up as needed.
• Maintain inventory and coordinate prescription delivery with Home Delivery pharmacy.
• Support quality improvement initiatives within the department.

Skills

Math skills

Computer proficiency

Attention to detail

Teamwork

Education

High school diploma or equivalent

Massachusetts Board of Pharmacy license

PTCB or ExCPT certification

Job description

Are you a current UMass Memorial Health caregiver?

Exemption Status: Non-Exempt Hiring Range: $23.81 - $35.08. Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details: Monday through Friday. Scheduled Hours: 8am to 5pm. Shift: 1-Day Shift, 8 Hours (United States of America). Hours: 40. Cost Center: 10020 - 3834 ATRX Pharmacy. Union: SHARE (State Healthcare and Research Employees). This position may have a signing bonus available, a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Major Responsibilities

• Under direct supervision of operations manager, performs benefit investigation tasks such as running test claims, submitting prior authorizations, documenting on the patient chart, and completing patient outreach and follow up calls.
• Completes benefit investigations when requested by Advanced Therapeutics PharmD and APP team and appropriately documents result on patient electronic medical record.
• Submit prior authorizations to insurance via different methods including online and telephone.
• Appeal decisions as necessary and conduct follow up phone call inquiries to insurance.
• Knowledgeable in manufacturer patient savings opportunities and communicates information clearly and effectively to providers and patients.
• Performs follow up phone calls to patients as needed regarding insurance decisions, rejections, and prescription filling information.
• Maintains a perpetual inventory of appropriate medications from internal pharmacies and communicates to clinic team daily.
• Coordinates prescription delivery with patient and Home Delivery pharmacy and queues prescription up for home delivery team.
• Maintains a clean work area and assists in quality indicator monitoring.
• Participates in identifying problems or areas for improvement and assists manager with problem solving projects and improving operations; participates in Continuous Quality Improvement activities and/or teams.

Position Qualifications

License/Certification/Education: Required: High school diploma or equivalent. Current license with the Massachusetts Board of Pharmacy. Certified by one of the national governing bodies such as Pharmacy Technician Certification Board PTCB, or the National Healthcareer Association ExCPT. If the individual is not nationally certified they must become certified within 6 months of hire.

Experience/Skills: Required: Minimum of one year of related experience as a Pharmacy Technician. Position requires proficiency in math and, knowledge and ability to use a computer. Must be able to follow oral and written instructions with accuracy, efficiency, and dependability. Ability to work in a hybrid or remote environment. Positive work ethic, motivated and professional demeanor to promote teamwork in the department. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other.

Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind.

If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [e-mail].

We will make every effort to respond to your request for disability assistance as soon as possible.

At UMass Memorial Health, everyone is a caregiver. No matter their responsibilities or title, every employee or 'caregiver' fills an important role for our patients and their families every day.

Who is a caregiver? It's not just the person who delivers the care. It's all the people who make it work ... ...