About The Position

This role serves as a vital link between HIMG clinics and Marshall Health Network pharmacies, focusing on managing prior authorizations, navigating patient assistance programs, and ensuring patients have access to their medications, particularly high-cost and specialty therapies. The Clinical Pharmacy Technician will handle operational workflows, communicate with patients regarding medication access, and track key performance metrics for pharmacy leadership.

Requirements

  • Must hold current National Certification or equivalent.
  • Minimum 2 years’ experience in clinical patient care management preferred.
  • Specialty Medication experience a plus.
  • Retail pharmacy experience preferred.

Nice To Haves

  • Clinical patient care management experience
  • Specialty Medication experience
  • Retail pharmacy experience

Responsibilities

  • Complete new and renewal prior authorizations, gather clinical documentation, submit payer forms, monitor determinations, and support appeal preparation.
  • Screen for and assist patients with patient-assistance programs, copay support, foundation assistance, and internal resources.
  • Serve as the primary operational link between HIMG clinics and Marshall Health Network pharmacies, confirming prescription receipt, resolving missing information, and coordinating payer-required routing.
  • Prioritize high-cost therapies, including biologics and specialty agents, and other medications with significant prior-authorization, specialty-pharmacy, or affordability requirements.
  • Provide non-clinical updates to patients regarding authorization status, required documents, pharmacy routing, assistance-program status, and next steps.
  • Track volume, approval rate, turnaround time, patient-assistance activity, estimated patient savings, internal capture, leakage reasons, abandoned prescriptions, and time to first fill.
  • Provide routine reports to Ambulatory Clinical Pharmacy leadership.
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