Remote Pharmacy Benefits Liaison – Advanced Therapeutics

C100 UMass Memorial Medical Center, Inc.; Dawson (MA); Hybrid; USD 36,000 - 56,000; Part time

Job summary

UMass Memorial Health is seeking a Pharmacy Technician to support benefit investigations, prior authorizations, and patient outreach. This role will assist in coordinating prescriptions, maintaining inventory, and communicating with providers and patients while adhering to company standards.

Per diem as needed with hours between 8am–5pm; the position may involve part-time scheduling and requires Massachusetts Pharmacy Board licensure, PTCB/ExCPT certification, and at least 1 year of related

Qualifications

• High school diploma or equivalent.
• Current license with the Massachusetts Board of Pharmacy.
• Certified by one of the national governing bodies such as PTCB or ExCPT.
• If not nationally certified they must become certified within 6 months of hire.
• Minimum of one year of related experience as a Pharmacy Technician.
• Proficiency in math and ability to use a computer.
• Ability to work in a hybrid or remote environment.
• Positive work ethic and professional demeanor to promote teamwork in the department.
• We are an equal opportunity employer with non-discrimination.

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.

Skills

Math proficiency

Computer skills

Detail-oriented

Teamwork

Education

High school diploma or equivalent

Tools

Massachusetts Board of Pharmacy

PTCB / ExCPT certification

Job description

UMass Memorial Health is seeking a Pharmacy Technician to support benefit investigations, prior authorizations, and patient outreach. This role will assist in coordinating prescriptions, maintaining inventory, and communicating with providers and patients while adhering to company standards.

Per diem as needed with hours between 8am–5pm; the position may involve part-time scheduling and requires Massachusetts Pharmacy Board licensure, PTCB/ExCPT certification, and at least 1 year of related