Medication Access Coordinator

Nebraska Medicine•Omaha, NE

3d•Hybrid

About The Position

Nebraska Medicine is seeking a talented individual to join their Outpatient Pharmacy department as a Medication Access Coordinator. This advanced pharmacy technician role is focused on helping patients start and stay on therapy by navigating insurance coverage, prior authorizations, and financial assistance programs. The position plays a critical role in removing access barriers and supporting high-quality patient care. The role is ideal for experienced pharmacy technicians looking to develop expertise in medication access, reimbursement, and payer processes. Nebraska Medicine offers flexible scheduling and hybrid remote work options, along with comprehensive, structured training. This position is part of a growing and innovative pharmacy technician career ladder with opportunities for advancement.

Requirements

Minimum of three years healthcare and/or insurance/third party reimbursement experience required.
High school education or equivalent required.
Demonstrated ability to independently assess clinical situations and make evidence-based medication decisions affecting patient care required.
Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.
Ability to solve problems independently and must be strongly vested in team management required.
Ability to multi-task and excel in a dynamic environment required.
Experience with various computer mainframe, network, web based and payer applications required.
Must register with the State of NE as a pharmacy technician required.
Must complete Pharmacy Technician Certification within one year required.

Nice To Haves

Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.
Associate's degree in business, healthcare or related field preferred.
Bi-lingual preferred.
Prior Authorization experience in specialty or retail pharmacy preferred.
340B knowledge and experience preferred.
Apexus 340B OnDemand Certificate preferred.

Responsibilities

Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits.
Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities.
Provide a Face-to Face/virtual beside oriented service that delivers comprehensive fiscal options to patients.
Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party.
Verify eligibility, pharmacy benefit provisions and support the appeals process.