Role Description
As our Pharmacy Coordinator Ambulatory Clinic you will be responsible for interfacing with all members of the ambulatory care team, pharmacies, payers and pharmacy benefit representatives and pharmaceutical industry medication assistance programs, in order to secure access to prescribed medications.
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Process medication prior authorizations.
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Support ambulatory care pharmacy services with improving patient access to medications.
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Perform clerical tasks to facilitate and improve patient access to medications.
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Gather required information and prepare initial assessment based on their providersβ prescribed medications for patients, including those that are unable to access or have a hardship to continue to access preferred medications.
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Research and identify potential options for the patient to secure access which may include, but are not limited to:
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Prior authorization
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Drug Assistance Program (DAP) application and enrollment
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Copay discount cards or equivalent discount program
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Foundation or grant funds available
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Identify patients who require review by an Ambulatory Care Pharmacist.
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Respond to provider, Ambulatory Care Pharmacist and patient self-referrals by meeting with patients to assess their medication needs and identify programs and resources to assist with ensuring access to the medication.
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Assist patients with understanding their insurance benefits (e.g. out-of-pocket, deductible and copay expenses) and serve as a liaison between the patient and the medication assistance programs/providers.
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Manage the renewals of medications and eligibility of patient assistance programs including phone follow-up with patients, pharmaceutical companies and providers.
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Work with medication manufacturers to compile/maintain up-to-date assistance program requirements.
Qualifications
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High school diploma or GED.
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Demonstrable experience with Pharmaceutical/drug assistance programs.
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Demonstrable experience in pharmacy/medical insurance coverage.
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In lieu of the above, demonstrable related work experience in a retail pharmacy, healthcare clinic or hospital environment.
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Excellent customer service.
Requirements
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Associates degree preferred.
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Clear and current CA Pharmacy Tech license preferred.
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Experience with medication prior authorizations or drug assistance/medication management assistance programs strongly preferred.
Benefits
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This position is work from home for California residents.
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We will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.