Compliance Packaging Coordinator

CencoraTown of Berlin, NY
Hybrid

About The Position

The Compliance Packager Coordinator will facilitate operational management of patients receiving compliance packaged medications across the health system. The Compliance Packager Coordinator works closely with patients and prescribers to arrange compliance packaged medications according to institutional policy and procedure. Consults with patients and providers to ensure appropriate enrollment, reconciliation, synchronization, and ongoing management of compliance packages. Assists the Compliance Packager Clinical Pharmacist in handling complex problem resolution, including communication to provider offices. Supports medication access and provider office communications as needed to grow the service line. This position is categorized as compliance critical and, as such, requires and is assigned specific responsibility for ensuring continual and proper compliance with all division, corporate and regulatory requirements. Cross coverage to support other pharmacy team members, including onsite duties, may be required.

Requirements

  • Requires a minimum of two (2)+ years directly related and progressively responsible pharmacy experience
  • Ability to communicate professionally and effectively both orally and in writing
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Exceptional interpersonal and communication skills, with ability to effectively address patient issues and collaborate with healthcare providers.
  • Familiarity with pharmaceutical products, pharmaceutical terminology, and clinical pharmacy services
  • Strong organizational skills; attention to detail
  • Familiarity with prior authorization process and insurance verification.
  • Good analytical skills.
  • Commitment to maintaining patient confidentiality and privacy.
  • Experience in using pharmacy software systems and electronic health records.

Nice To Haves

  • bachelor's degree program preferred
  • Pharmacy technician certification with a national technical certification organization, such as Pharmacy Technician Certification Board (PTCB) or other comparable national certification or comparable state certification is preferred.

Responsibilities

  • Master navigation of EMR and dispensing software system.
  • Provide excellent customer service to patients and healthcare professionals by answering inquiries, addressing pharmacy-related concerns, and triaging to pharmacist as appropriate.
  • Manage multiple clinics with diverse needs autonomously.
  • Verify patient information and insurance coverage.
  • Work with pharmacy team members and payers to resolve discrepancies and review insurance for affordability.
  • Demonstrate expertise with prior authorization process by gathering necessary documentation, completing forms, and communicating with healthcare providers and insurance companies to obtain approval for medications.
  • Display professionalism in all interactions.
  • Communicate effectively in-person, via telephone, and in other electronic communication.
  • Document pertinent patient information professionally and succinctly in patient chart, as agreed upon.
  • Act as liaison between patient, pharmacy, and other healthcare providers to ensure smooth workflow and effective communication.
  • Participate in training of new staff.
  • Oversees continuity of pharmacy processes and adherence to clinical and specialty programs and policies.
  • Participate in quality improvement projects, as deemed relevant and approved by manager.
  • Stay updated with latest developments in practice area.
  • Participate in training programs and continuing education opportunities to enhance knowledge and skills.
  • Perform related duties as assigned

Benefits

  • medical
  • dental
  • vision care
  • backup dependent care
  • adoption assistance
  • infertility coverage
  • family building support
  • behavioral health solutions
  • paid parental leave
  • paid caregiver leave
  • training programs
  • professional development resources
  • mentorship programs
  • employee resource groups
  • volunteer activities
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