Specialist, Medication Access
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Job Location:
Kirtland, OH - USA
Monthly Salary:
Not Disclosed
Posted on:
24 days ago
Vacancies:
1 Vacancy
Job Summary
SCOPE OF ROLE
Reporting to Associate Director Clinical Pharmacy the Specialist Medication Access will provide support for clinical teams and patients relating to prescription medication access. The Specialist Medication Access will assist with analyzing and determining necessary documentation components that support medical necessity of medication regimens. The Specialist Medication Access will assist and support other Medication Access and clinical team members by serving as an operational subject matter expert regarding medication logistics.
HOW YOULL SUCCEED
- Interface with insurance providers and applicable web-based portals to initiate and complete medication prior authorizations in a timely and efficient manner.
- Complete timely documentation in the patient electronic health record.
- Communicate documentation requirements relating to medications with clinical teams.
- Provide in conjunction with Associate Director Clinical Pharmacy training to new members of the Medication Access team.
- Efficiently and effectively respond to incoming communications from patients colleagues and other collaborators including but not limited to telephone calls emails and other methods of electronic messages with a high level of customer service.
- Support excellent care by assisting patients with connection(s) to necessary services.
- Identify improvement opportunities and offer solutions to drive growth improve efficiencies and advance patient care.
- Support pharmacy operations by performing duties as a pharmacy technician in centralized pharmacy when needed.
- Other duties as assigned.
KNOWLEDGE & EXPERIENCE
- High School Diploma or GED required.
- Minimum 2 years previous healthcare experience as an Ohio licensed Registered or Certified Pharmacy Technician Medical Assistant or Licensed Practical Nurse required. Enrollment in and completion of Signature Healths Pharmacy Technician Training Program will be required for non-pharmacy technician candidates.
- Administrative experience in prior authorization submission preferred.
- Valid unencumbered professional license or certification in relevant field required.
- American Heart Association (AHA) Basic Life Support (BLS) certification required.
- Demonstrated proficiency in basic computer skills (i.e. Microsoft Windows Outlook Teams Word PowerPoint Excel)
WORKING CONDITIONS
- Work is normally performed in a typical interior/office/clinical work environment.
- While hours of operation are generally standard flexibility to work evenings and extended hours may be required.
- Requires periods of sitting standing telephone and computer work.
- Hearing: adequate to hear clients or patients in person over the telephone or through telehealth technology.
- Speaking: adequate to speak to clients or patients in person over the telephone or through telehealth technology.
- Vision: Visual acuity adequate to perform job duties including reading information from printed sources and computer screens.
- Physical effort required: occasional lifting and carrying items weighing up to 15 pounds unassisted.
- Possible exposure to blood borne pathogens while performing job duties.
- Frequent bending reaching and repetitive hand movements standing walking squatting and sitting with some lifting pushing and pulling exerted regularly throughout a regular workday.
- Sufficient dexterity to operate a PC and other office equipment.
This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however if requested reasonable accommodations may be made to enable you to perform the essential functions of this job absent undue hardship. Signature Health may revise this Success Profile at any time with or without advanced notice.
All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are considered but not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer all applicants must successfully pass a pre-employment drug screen.
Required Experience:
IC
Key Skills
- Active Directory
- Identity & Access Management
- LDAP
- SAFe
- Assistive Technologies
- Authentication
- Pediatrics Experience
- NVDA
- Sailpoint
- SSH
- SSO
- Oracle
About Company
Signature Health, Inc. is a community-based agency dedicated to providing a wide range of services to adults, children, adolescents and families who are experiencing mental health and/or substance abuse problems. Promising immediate access to clients and referral sources, Signature He ... View more
