Why work for Nebraska Methodist Health System
At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each delivery special conveying a difficult diagnosis with a compassionate touch going above and beyond for a patients needs or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay excellent benefits and a great work environment where all employees are valued! Most importantly our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha NE

Work Schedule: Mon-Fri daytime hours. May require flexing to off hours or weekends occasionally as projects demand.

Working under the supervision of a registered pharmacist influences and adapts IT systems to improve the effectiveness and efficiency of the medication use process.

Working collaboratively across a multi-disciplinary team responsibilities include project management analysis trouble shooting education/training of staff system maintenance and ensuring maximum functionality to enhance patient care and safety workflow assessment and optimization and pharmacy inventory management best practices.

Proactive awareness/management of medication charges and oversight of overall medication billing processes (HCPCS JW Modifiers denial investigation and prevention)

Responsibilities:

Essential Job Functions

1. Maintains the user experience for Medication management users in the clinical information systems.

• Serves as a liaison between end users and IT

• Supports data privacy confidentiality and security

• and the inter-relationship between pharmacy and other clinical departments

• Supports end users on site or remotely to investigate/trouble shoot and solve issues

• Prepares/presents/distributes educational material as indicated

• Prepares pharmacy related Knowledge Articles in the Service Now application to assist with first call resolution

• Serves as a resource for Claim coders for all medication related questions.

  • Generate and work on hold/not released claims related to a question or issue on medications.

    • Review of all encounters in queue.

    • Facilitate needed order/documentation corrections by indicated staff.

    • Identify trends and re-designed workflow/system build to reduce the trend.

2. Coordinates and prioritizes with Pharmacy Informatics Coordinator pharmacy representatives and IT analysts to maintain clinical system via change requests and charge review.

• Maintains appropriate charging controls

  • Wholesalers/distributors for price validation

  • HCPCS analysis

  • Monitor and problem solve errors

• Designs adjustment to system based upon identified trends

  • Responsible for design and enhancement related to medications.

    • JW Modifier

    • Pending charge processing.

    • Maintenance of formulary settings related to charging.

  • Performs maintenance within the pharmnet formulary tool as defined within the agreement with the Meds Process team within IT.

  • Assists with Powerplan medication changes

  • Therapeutic interchanges new and modifications

• Collects specifications for changes from end users

• Supports end users and problem solves/investigates current EMR functionality as related to the medication process to include variance reporting and identification of safety and efficiency improvements

• Processes all change requests to IT via established change control procedures

• Assures open communication regarding change requests

• Prepares/maintains change source documentation in accordance with auditor requirements Communicates to appropriate parties upon completion of work

• Prepares/presents/distributes educational material as indicated upon completion of work

• Develops and maintains skill set in database tools to facilitate daily review/work.

3. Project Management

• Leads or collaborates in projects

• Contributes to or leads design/development during projects related to medications

• Works with minimal direction and supervision for assigned tasks

• Competes assigned projects tasks according to established timeline

4. Tests application to assure appropriate functionality.

• Tests new and enhanced applications/code for primary users

• Develops and implements test plan/scripts

5. Maintains and keeps current knowledge of policy and regulations to enhance pharmacy informatics practice.

• Has working knowledge of legal and regulatory requirements related to pharmacy and the inter-relationship between pharmacy and other clinical departments

• Regular use of uCern Lights On Cerner Advance and Cerner Model Experience

Schedule:

Mon-Fri daytime hours. May require flexing to off hours or weekends occasionally as projects demand.

Job Description:

Job Requirements

Education

• Bachelors degree in health care related field or computer science or relevant equivalent work experience required.

Experience

• Minimum of 5 years experience working in a pharmacy related role to include use of information system applications required.
• Minimum of 5 years pharmacy product/medication purchasing experience required.
• Project Management experience required.

License/Certifications

• Registration with the State of Nebraska Department of Health and Human Services as a Pharmacy Technician (RPHT) required.
• Certified by Nebraska Board approved state or national pharmacy technician certification program (CPHT) required.

Skills/Knowledge/Abilities

• Advanced knowledge of pharmacy practices and processes.
• Extensive knowledge of information systems as it relates to pharmacy and the interrelationship between pharmacy and other hospital departments to troubleshoot define and resolve difficult EMR identified issues.
• Advanced knowledge of medical terminology and disease processes.
• Excellent written and verbal skills organizational skills and attention to detail.
• Advanced computer literacy including proficiency in word documentation spreadsheets report generation and data management software programs.
• Ability to work alone with minimal supervision or prompting.
• Possesses knowledge of HCPCS and NDC requirements for pharmacy billing
• Knowledge of statistics and mathematical aptitude to track and interpret performance measures
• Ability to identify and analyze data to resolve user application problems that require interpersonal and organization skills in a self-directed manner.
• Advanced project management skills with guidance of senior staff and/or management. Ability to map current and future workflows and identify gaps.
• Ability to work outside the box to create innovative solutions to old work processes.
• Ability to lead change management initiatives as identified.

Physical Requirements

Weight Demands

• Medium Light Work - Exerting up to 35 pounds of force.

Physical Activity

• Not necessary for the position (0%):
  • Climbing
  • Crawling
  • Kneeling
• Occasionally Performed (1%-33%):
  • Balancing
  • Carrying
  • Crouching
  • Distinguish colors
  • Lifting
  • Pulling/Pushing
  • Reaching
  • Standing
  • Stooping/bending
  • Twisting
  • Walking
• Frequently Performed (34%-66%):
  • Grasping
  • Keyboarding/typing
  • Repetitive Motions
  • Sitting
  • Speaking/talking
• Constantly Performed (67%-100%):
  • Hearing
  • Seeing/Visual

Job Hazards

• Not Related:
  • Chemical agents (Toxic Corrosive Flammable Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Physical hazards (noise temperature lighting wet floors outdoors sharps) (more than ordinary office environment)
  • Explosives (pressurized gas)
  • Electrical Shock/Static
  • Radiation Alpha Beta and Gamma (particles such as X-ray Cat Scan Gamma Knife etc)
  • Radiation Non-Ionizing (Ultraviolet visible light infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
  • Mechanical moving parts/vibrations
• Rare (1-33%):
  • Equipment/Machinery/Tools

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa more than 30 clinic locations a nursing and allied health college and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891 service to our communities has been a top priority. Financial assistance health education outreach to our diverse communities and populations and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race color religion sex age national origin disability veteran status sexual orientation gender identity or any other classification protected by Federal state or local law.