Ambulatory Medication Access Coordinator – Pharmacy Tech, Burr Ridge

University of Chicago MedicineBurr Ridge, IL
13dHybrid

About The Position

Be a part of a world-class academic healthcare system at UChicago Medicine as an Ambulatory Medication Access Coordinator in the Population Health Pharmacy Services at Burr Ridge . In this role you will be responsible for supporting value-based care metrics by performing telephonic medication adherence outreach to patients. The Population Health Pharmacy Technician will be an integral part of our interdisciplinary care team, responsible for assisting with activities and initiatives designed to promote appropriate, evidence-based medication utilization in a population health setting. This role specifically supports value-based care (VBC) contracts by focusing on improving patient outcomes, enhancing medication adherence, and closing gaps in care to ensure successful drug therapy outcomes and cost efficiency. The technician will work under the supervision of a licensed pharmacist to support a defined patient population. Eligible for a Sign-On Bonus up to $3,000 In this role, the Ambulatory Medication Access Coordinator, or AMAC, performs necessary functions to ensure optimal reimbursement for high cost, take home medications for patients receiving care in UCMC ambulatory clinics. Other areas of responsibility include pre-screening patients for viable payment sources, managing reimbursement issues associated with high-cost take-home medications, identifying opportunities for improving reimbursement from payers, compiling reports for contract optimization, completing the necessary paperwork for prior authorizations, and conducting retrospective utilization reviews on cases of payment denials or insufficient reimbursement.

Requirements

  • Associate or Bachelor’s degree
  • Current or Eligibility for Illinois Pharmacy Technician Licensure
  • 3 to 5 years of pharmacy technician experience in a retail pharmacy (Exceptional aptitude or knowledge may be considered in lieu of experience.)
  • Knowledge of and ability to use computers and a variety of computer programs including word processing, database management and spreadsheets
  • Strong oral and written communications skills
  • Ability to effectively manage conflicts and resolve problems
  • Effective interpersonal skills, including the ability to effect collaborative alliances, promote teamwork and ensure a high degree of internal and external customer satisfaction
  • Ability to function effectively in a fast-paced and changing environment with multiple priorities
  • Knowledge of and ability to perform insurance carrier/managed care review

Nice To Haves

  • Knowledge of medication reimbursement preferred
  • Knowledge of healthcare/prescription insurance billing, prior authorization, coding preferred

Responsibilities

  • Patient Outreach & Engagement: Conduct proactive telephonic or electronic outreach to patients identified as having medication-related gaps in care (e.g., non-adherence for chronic conditions like diabetes or hypertension) to assess barriers.
  • Data Management & Reporting: Screen patient profiles in the Electronic Health Record (EHR) and population health reports to identify high-risk patients who may benefit from clinical pharmacy intervention.
  • Track and document all interventions, communications, and outcomes in the appropriate database to support quality metrics and reporting requirements for VBC contracts.
  • Medication Access & Coordination: Assist patients in overcoming medication access barriers, including running test claims to verify insurance coverage, processing prior authorizations, and coordinating with local pharmacies and providers to ensure seamless medication delivery and pickup.
  • Medication Reconciliation Support: Obtain and verify accurate patient medication histories (drug, dose, route, frequency, indications, allergies) during transitions of care (e.g., hospital discharge, new patient intake) and document this information for pharmacist review.
  • Care Team Collaboration: Collaborate with pharmacists, physicians, nurses, and payers to reduce treatment gaps and address healthcare concerns, effectively coordinating prescribed care across multiple stakeholders.
  • Quality Improvement: Participate in quality improvement projects and team meetings focused on enhancing population health outcomes and promoting preventive care initiatives.
  • Performs other duties as requested by senior management

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service