Pharmacy Technician Medication Care Coordination ePA
Pharmacy Technician Medication Care Coordination ePA
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Job Description
About the Medication Care Coordination Team
The Medication Care Coordination Team (MCC) is a centralized team that works closely with 6 departments to help obtain prior authorizations (PAs) for high-cost medications quantity limits tier exceptions and non-formulary medications that are ordered by providers. The MCC team covers multiple provider offices and specialties and collaborates with insurance companies pharmacies and Corewell Health clinics to obtain the necessary information for completing a prior authorization and ensuring accurate prescription processing at the destination pharmacy.
The Medication Care Coordination pharmacy technician will support medication access and prior authorization completion across a variety of ambulatory clinics. This is a hybrid position that will include initial onsite training followed by the ability to work remotely once workflow competency is demonstrated.
ePA Scope of Work
Coordinates prior authorization and prescription processing at the destination pharmacy for non-specialty medications prescribed for patients of select Corewell Health clinics.
This position is a supportive role for the systems ambulatory clinics. The tasks for this position will include but are not limited to completing pre and/or prior authorizations assisting with patient assistance programs scheduling patients from provider referrals or other registries working with insurance companies to review coverages communicating with patients and clinical staff and managing parts of the medication use cycle. There will be additional opportunities to think innovatively and collaborate on projects with other departments and within our own department.
- Pull transcribe and organize clinical information from patient charts into third party platforms or navigators.
- Complete authorization requests in a timely and efficient manor without compromising quality to ensure patients receive their care as scheduled.
- Identify and schedule appointments for pharmacists from provider referrals quality reports and other available registries.
- Demonstrate the ability to utilize all payer websites to assist verifying patients coordination of benefits and authorization requirements.
- Assist with inventory and medication use cycle tasks if in clinic.
- Organize and track data for multiple payer programs and service lines.
- Communicate positively and effectively with patients colleagues and clinic staff.
- Adhere to all department procedures guidelines and standard work with the ability to utilize resources appropriately.
- Required High School Diploma or equivalent
- Preferred Associates Degree
- 1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred
- 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred
- 1 year of relevant experience Epic Experience Preferred
- LIC-Pharmacy Technician - STATEMI State of Michigan 90 Days required
- CRT-Pharmacy Technician Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days required
- Ideal candidate will be a Pharmacy Technician possessing Full License and Pharmacy Technician National Certification from PTCB or from NHA
- Ideal candidate will also possess Retail Pharmacy Technician experience as well as experience working with insurance companies and doing prior authorizations
- Ideal candidate will be a self-starter possessing strong communication skills and someone who is a team player
- This position will require 2-4 weeks of On-Site Training in Grand Rapids
- Once training is completed the Technician will work from home
- The team is required to come On-Site twice a year once in the Spring and once in the Fall for Continued Training
- Also may be asked to come On-Site if Additional Training is needed
How Corewell Health cares for you
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - 1810 Wealthy St SE - Grand RapidsDepartment Name
Corporate Admin - Medication Care CoordinationEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
8 a.m. to 4:30 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
IC
Employment Type
Full-Time
