Precert Pharm - Specialty Coordinator

BJC HealthCare; St. Louis (MO); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare organization is seeking a detail-oriented coordinator for its oncology team. In this role, you will manage prior authorization tasks for patients receiving oral chemotherapy, enhancing your clinical and pharmacy expertise while ensuring timely medication access. This position offers the flexibility of remote work and is ideal for those looking to advance their pharmacy career.

Benefits

Medical, dental, vision insurance

Disability insurance

Pension and 403(b) plans

Tuition assistance

Paid Time Off

Qualifications

• Coordinate with staff for specialty pharmacy services.
• Complete prior authorizations and communicate with patients.

Responsibilities

• Expedite patient access to specialty medications.
• Document authorizations and verify insurance eligibility.
• Assist with prior authorization appeals.

Skills

Communication

Detail-oriented

Education

High School Diploma or GED

Associate’s degree or trade school equivalent

Tools

Pharmacy Tech Certification

Registered Medical Assistant

Job description

Additional Information About the Role

Are you looking for an opportunity to advance your pharmacy career? Our oncology team is expanding and is looking for an eager and detail-oriented coordinator to join our team! In this role, you will handle complex prior authorization tasks for patients receiving oral chemo medications. This is a great opportunity to expand your clinical and pharmacy knowledge.

• Remote / Work from home opportunity
• Mon - Fri
• 8 AM - 4:30 PM

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois, and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban, and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care, and hospice.

BJC is the largest provider of charity care, unreimbursed care, and community benefits in Missouri. It provides $785.9 million annually in community benefits, including $410.6 million in charity care and financial assistance to ensure access to medical care regardless of ability to pay. BJC also contributes through research, emergency preparedness, community outreach, health literacy, and regional economic development. Patients benefit from the latest advances in medical science via a partnership with Washington University School of Medicine, ranked among the top medical schools nationally.

Preferred Qualifications

Role Purpose

Coordinate with departmental and clinical staff to ensure coverage and reimbursement for specialty pharmacy services, including complex and high-dollar prior authorization support, copay assistance, and patient assistance services. Complete data elements efficiently and communicate effectively with patients and clinical staff to ensure timely medication receipt.

Responsibilities

1. Expedite patient access to specialty medications by coordinating with providers, payors, and clinical teams to complete prior authorizations via medical record analysis and benefit investigations.
2. Document all authorizations thoroughly, including expiration dates, appeal requirements, and follow-up actions.
3. Verify existing pre-certifications and insurance eligibility through confirmatory checks.
4. Work with case management, payors, and manufacturer assistance programs to support patients facing financial barriers.
5. Assist providers with prior authorization appeals and advise patients on pharmacy networks and alternative options.

Minimum Requirements

Education

• High School Diploma or GED

Experience

• Less than 2 years

Supervisor Experience

• No experience required

Preferred Requirements

Education

• Associate’s degree or trade school equivalent

Experience

• 2-5 years

Licenses & Certifications

• Pharmacy Tech Certification
• Registered Medical Assistant

Benefits and Legal Statement

BJC Total Rewards

We are committed to supporting your well-being with comprehensive benefits, including:

• Medical, dental, vision, life insurance, and legal services from day one
• Disability insurance paid by BJC
• Pension and 403(b) plans with company contributions
• Tuition assistance from day one
• Access to BJC Institute for Learning and Development
• Flexible Spending Accounts
• Paid Time Off covering vacation, sick leave, holidays, and personal days
• Adoption assistance

Learn more at www.bjctotalrewards.com/Benefits.

*Benefits vary by position and employment status.

This description provides a general overview of the role and is not exhaustive of all responsibilities, duties, or qualifications. BJC is an Equal Opportunity Employer.