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 pharmacy coordinator to manage complex prior authorization tasks for patients receiving oral chemotherapy. This remote role offers an opportunity to enhance your clinical knowledge while ensuring timely medication access. Join a dedicated team focused on patient care and support.

Benefits

Comprehensive benefits including medical, dental, and vision

Life insurance and disability

Pension and 403(b)

Qualifications

• Coordinates with staff for specialty pharmacy services.
• Handles prior authorization tasks and patient assistance.

Responsibilities

• Expedite patient access to specialty medications.
• Document authorizations accurately in patient records.
• Collaborate with case management and payors.

Skills

Detail-oriented

Communication

Education

High School Diploma or GED

Associate or Trade School certification

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 through its 14 hospitals and multiple community health locations, offering 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, providing $785.9 million annually in community benefits, including $410.6 million in charity care and financial assistance. BJC also contributes to research, emergency preparedness, community outreach, health literacy, and economic development.

Patients benefit from access to advanced medical science and technology through a partnership with Washington University School of Medicine, ranked among the top medical schools nationally.

Preferred Qualifications

Role Purpose

Coordinates 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. Responsible for timely data entry and communication to facilitate prompt and affordable medication receipt.

Responsibilities

1. Expedite patient access to specialty medications by coordinating with provider offices, payors, and clinical teams to complete prior authorizations using medical record analysis and benefit investigations.
2. Document all authorizations accurately in the patient record, including expiration dates, appeals, and follow-up requirements.
3. Verify existing pre-certifications and insurance eligibility.
4. Collaborate with case management, payors, and manufacturer assistance programs to support medication access when affordability is an issue.
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

• <2 years

Supervisor Experience

• No Experience required

Preferred Requirements

Education

• Associate or Trade School certification

Experience

• 2-5 years

Licenses & Certifications

• Pharmacy Tech Certification
• Registered Medical Assistant

Benefits and Legal Statement

BJC Total Rewards

We offer comprehensive benefits to support your well-being, including medical, dental, vision, life insurance, disability, pension, 403(b), and more. Details can be found 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. BJC is an Equal Opportunity Employer.