Pharmacy Coordinator Ambulatory Clinic

CommonSpirit Health•Ventura, CA

1d•Remote

About The Position

The Pharmacy Coordinator Ambulatory Clinic supports patients in obtaining access to prescribed medications by coordinating with ambulatory care teams, pharmacies, payers, pharmacy benefit representatives, and pharmaceutical industry medication assistance programs. The role processes medication prior authorizations and performs clerical and patient-support tasks that improve medication access. It also gathers information about patients’ prescribed medications, assesses access challenges, researches assistance options, and identifies cases requiring review by an Ambulatory Care Pharmacist. The coordinator responds to referrals from providers, Ambulatory Care Pharmacists, and patients by meeting with patients to assess medication needs and identify resources. The role helps patients understand insurance benefits and serves as a liaison with medication assistance programs and providers. It also manages renewals and patient eligibility for assistance programs, conducts follow-up with patients, pharmaceutical companies, and providers, and maintains current information about manufacturer assistance-program requirements. This is a work-from-home position for California residents; equipment is provided.

Requirements

High school diploma or GED.
Demonstrable experience with pharmaceutical or drug assistance programs.
Demonstrable experience with pharmacy or medical insurance coverage.
Alternatively, demonstrable related work experience in a retail pharmacy, healthcare clinic, or hospital environment.
Excellent customer service skills.
Excellent communication skills.
Strong knowledge of pharmaceutical assistance programs and insurance coverage.

Nice To Haves

Associate degree preferred.
Clear and current California Pharmacy Technician license preferred.
Experience with medication prior authorizations or drug assistance/medication management assistance programs strongly preferred.

Responsibilities

Gather required information and prepare initial assessments based on providers’ prescribed medications, including for patients who cannot access or have difficulty continuing to access preferred medications.
Research options for securing medication access, including prior authorizations, Drug Assistance Program applications and enrollment, copay discount cards or equivalent programs, and foundation or grant funds.
Identify patients who require review by an Ambulatory Care Pharmacist.
Respond to provider, Ambulatory Care Pharmacist, and patient self-referrals by meeting with patients to assess medication needs and identify programs and resources.
Help patients understand insurance benefits, including out-of-pocket costs, deductibles, and copay expenses.
Serve as a liaison between patients and medication assistance programs or providers.
Manage medication renewals and patient eligibility for assistance programs, including follow-up with patients, pharmaceutical companies, and providers.
Work with medication manufacturers to compile and maintain current assistance-program requirements.
Process medication prior authorizations and perform clerical tasks that facilitate and improve patient access to medications.