Pharmacy Medication Liaison, Specialty Pharmacy Services

Denver Health • Dubuque, IA

20d

About The Position

We are recruiting for a motivated Pharmacy Medication Liaison, Specialty Pharmacy Services to join our team! We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department Ambulatory Pharmacy Job Summary The Pharmacy Medication Liaison, under the general supervision of a pharmacist and in conjunction with clinical staff, is responsible for providing access to non-specialty and specialty medications for patients by completing pharmacy-benefit prior authorization requests (PAR), co-pay assistance programs, medication assistance programs, benefits investigation, coordinating refill renewal requests, managing PAR and prescription renewal dates, and assisting patients without health insurance to connect with the Enrollment department as applicable. Clinical and technical knowledge is utilized to operate web-based applications, work in Microsoft Word and Excel, and analyze and audit pharmacy usage reports.

Requirements

• High School Diploma or GED Required
• 1-3 years One to Three (3) years of pharmacy technician experience or equivalent experience performing prior authorizations Required
• PHAT-Licensed Pharmacy Technician - DORA - Department of Regulatory Agencies Required
• CPHT-Certified Pharmacy Technician - PTCB - Pharmacy Technician Certification Board Required or CPHT-Certified Pharmacy Technician - NHA - National Healthcare Association Required
• Extensive knowledge of health care administration, including Medicare, managed care, Medicaid and CHP+ eligibility and enrollment processes
• Extensive knowledge of eligibility determination systems
• Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies
• Excellent communication and organizational skills
• Analytical thinking, problem solving, and process improvement skills
• Ability to work independently and with little supervision
• Ability to disseminate program information, policies, rules and/or regulations
• Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion
• Ability to consistently implement program, department and organizational policies and procedures
• Demonstrates exceptional interpersonal and customer service skills in all interactions with internal and external healthcare team members
• Demonstrates exceptional interpersonal and customer service skills in all interactions with patients
• Understands how state and federal laws, regulations, policies and procedures impact specific job responsibilities and functions
• Demonstrates actions to reasonably prevent, detect, and report unethical and unlawful business practices
• Proficiency with Microsoft Office required

Nice To Haves

• Proficiency with Epic, preferred

Responsibilities

• Serve as a referral point and as the expert in submitting applications for patients to receive provided drug and co-pay assistance from pharmaceutical manufacturer assistance programs (20%)
• Coordinate applications for assistance meeting drug-specific requirements for participation, including but not limited to forms, patient proof of income, relative clinical information, and physician or provider signature (20%)
• Track each request to achieve timely approval & follow-up with appropriate individuals when not approved (15%)
• Displays effective file management by maintaining documentation and detailed records of program participation, medications dispensed, and value of medications provided to patients via the Medication Assistance Program (10%)
• Completes consistent documentation in the electronic health record per program standard of practice (10%)
• Effective analysis and use of management data and reports to establish standards to monitor and improve contract performance (5%)
• Works with the Enrollment Services Department (5%)
• Directly enroll eligible patients into manufacturer patient assistance and co-pay programs (5%)
• Collaborate with other departments providing pharmacy related information to nurse case managers, complex case workers, health coaches, and patient navigators (5%)
• Work cooperatively with other staff members and clinic staff (5%)

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans
• Free RTD EcoPass (public transportation)
• On-site employee fitness center and wellness classes
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education & development opportunities including career pathways and coaching
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED