Specialty Pharmacy Access Tech & Care Coordinator

0090 Presbyterian System Services; United States; On-site; USD 28,000 - 47,000; Full time

Benefits offered by this job

Educational and career development

Tuition reimbursement

Scholarship opportunities

Wearable safety badge

Loan forgiveness

Malpractice insurance

EPIC system access

Job summary

Presbyterian Healthcare Services in Albuquerque, NM is seeking a Clinical Pharmacy Technician to provide advanced clinical and operational support for high-cost specialty medications. You will coordinate prior authorizations, eligibility, and financial assistance while ensuring continuity of care with pharmacists, clinics, and payers.

Responsibilities include patient enrollment, documentation, payer communications, and adherence follow-up within a regulated specialty program.

Qualifications

• High school diploma or GED plus short-term training in pharmacy law, practices standards, terminology, pharmacy math, drug preparation, dosage forms and trade/generic names.
• Pharmacy Technician National Certification (PTCB or ExCPT) required.
• Active New Mexico Board of Pharmacy.
• Pharmacy technician license required.
• Minimum 2 years of experience as a Certified Pharmacy Technician

Responsibilities

• Meets and demonstrates competency in all functions and advanced specialty pharmacy responsibilities.
• Performs comprehensive benefit investigations, insurance eligibility verification, and coverage determinations for specialty medications.
• Coordinates prior authorizations, appeals, and payer communications with providers, clinics, and insurance plans to facilitate timely medication access.
• Assesses patients for manufacturer copay assistance, foundation grants, patient assistance programs, and other financial support resources.
• Conducts 340B eligibility verification and maintains compliance with organizational and regulatory requirements.
• Coordinates specialty medication onboarding activities including patient enrollment, intake, documentation, and prescription processing.
• Collaborates with pharmacists and care teams to support disease-state specific therapy management and monitoring workflows.
• Conducts patient outreach and follow-up activities to support medication adherence, refill coordination, therapy continuation, and access to care.
• Communicates with patients, providers, manufacturers, foundations, and payers regarding medication access, financial assistance, shipment coordination, and therapy-related requirements.
• Performs data entry, documentation, and maintenance of patient records within pharmacy and electronic health record systems.
• Performs inventory management, medication acquisition tracking, returns processing, and specialty medication supply management activities.
• Assists with claims adjudication, billing resolution, and reimbursement-related activities.
• Ensures compliance with departmental, organizational, state, federal, payer, and accreditation requirements.
• Maintains knowledge of specialty disease states, treatment pathways, and payer requirements.
• Supports specialty programs serving patients with oncology, rheumatology, gastroenterology, neurology, pulmonary, infectious disease, and other complex chronic conditions.
• Acts as a primary liaison between patients, providers, pharmacists, clinics, manufacturers, and payers to facilitate therapy initiation and continuation.
• Coordinates transitions of care to prevent treatment delays and interruptions.

Education

High school diploma or GED plus short-term training in pharmacy law, practices standards, terminology, pharmacy math, drug preparation, dosage forms and trade/generic names

Pharmacy Technician National Certification (PTCB or ExCPT)

Active New Mexico Board of Pharmacy license

Pharmacy technician license

Minimum 2 years of Certified Pharmacy Technician experience

Job description

Presbyterian Healthcare Services in Albuquerque, NM is seeking a Clinical Pharmacy Technician to provide advanced clinical and operational support for high-cost specialty medications. You will coordinate prior authorizations, eligibility, and financial assistance while ensuring continuity of care with pharmacists, clinics, and payers.

Responsibilities include patient enrollment, documentation, payer communications, and adherence follow-up within a regulated specialty program.