Medication Assistance Coordinator, Specialty Pharmacy Services
Medication Assistance Coordinator, Specialty Pharmacy Services
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$ 50200 - 75300
1 Vacancy
Job Description
We are here for lifes journey.
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Being the heartbeat of Denver means our heart reflects something bigger than ourselves something that connects us all:
Humanity in action Triumph in hardship Transformation in health.
Department
DH PHARMACY INFUSION CTR PAV LJob SummaryUnder the general supervision of a pharmacist and in conjunction with clinical staff the Medication Assistance Coordinator is responsible for providing access to medications for patients by completing prior authorization requests (PAR) co-pay assistance programs medication assistance programs benefits investigation coordinating refill renewal requests managing PAR and prescription renewal dates and assisting patients without health insurance to connect with the Enrollment department as applicable. Clinical and technical knowledge is utilized to operate web-based applications work in Microsoft Word and Excel and analyze and audit pharmacy usage reports.
Essential Functions:
- Serve as a referral point and as the expert in submitting applications for patients to receive provided drug and co-pay assistance from pharmaceutical manufacturer assistance programs (20%)
- Coordinate applications for assistance meeting drug-specific requirements for participation including but not limited to forms patient proof of income relative clinical information and physician or provider signature (20%)
- Track each request to achieve timely approval & follow-up with appropriate individuals when not approved (15%)
- Displays effective file management by maintaining documentation and detailed records of program participation medications dispensed and value of medications provided to patients via the Medication Assistance Program (10%)
- Completes consistent documentation in the electronic health record per program standard of practice (10%)
- Effective analysis and use of management data and reports to establish standards to monitor and improve contract performance (5%)
- Works with the Enrollment Services Department (5%)
- Directly enroll eligible patients into manufacturer patient assistance and co-pay programs (5%)
- Collaborate with other departments providing pharmacy related information to nurse case managers complex case workers health coaches and patient navigators (5%)
- Work cooperatively with other staff members and clinic staff (5%)
Education:
- High School Diploma or GED Required
Work Experience:
- 1-3 years One to Three (3) years of pharmacy technician experience or equivalent experience performing prior authorizations Required
Licenses:
- PHAT-Licensed Pharmacy Technician - DORA - Department of Regulatory Agencies Required
- CPHT-Certified Pharmacy Technician - PTCB - Pharmacy Technician Certification Board Required or
- CPHT-Certified Pharmacy Technician - NHA - National Healthcare Association Required
Knowledge Skills and Abilities:
- Extensive knowledge of health care administration including Medicare managed care Medicaid and CHP eligibility and enrollment processes
- Extensive knowledge of eligibility determination systems
- Knowledge of federal and Colorado statutes legislative initiatives and regulations as well as federal State and local policies
- Excellent communication and organizational skills
- Analytical thinking problem solving and process improvement skills
- Ability to work independently and with little supervision
- Ability to disseminate program information policies rules and/or regulations
- Ability to simultaneously coordinate and manage several functions programs and projects in various stages of completion
- Ability to consistently implement program department and organizational policies and procedures
- Demonstrates exceptional interpersonal and customer service skills in all interactions with internal and external healthcare team members
- Demonstrates exceptional interpersonal and customer service skills in all interactions with patients
- Understands how state and federal laws regulations policies and procedures impact specific job responsibilities and functions
- Demonstrates actions to reasonably prevent detect and report unethical and unlawful business practices
- Proficiency with Microsoft Office required
- Proficiency with Epic preferred
Shift
Work Type
RegularSalary
$50200.00 - $75300.00 / yrBenefits
Outstanding benefits including up to 27 paid days off per year immediate retirement plan employer contribution up to 9.5% and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands travel and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made.
Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety a Public Health Institute an HMO and The Denver Health Foundation.
As Colorados primary and essential safety-net institution Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community focusing on hiring and purchasing locally as applicable serving as a pillar for community needs and caring for more than 185000 individuals and 67000 children a year.
Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community.
Applicants will be considered until the position is filled.
Required Experience:
IC
Employment Type
Full-Time
