Pharmacy Specialist

University of Arkansas System•Little Rock, AR

About The Position

The Pharmacy Specialist uses clinical experience and knowledge to apply drug coverage protocols to prior authorization requests. The role processes calls about drug therapy, prescription drug program benefit design, and prior authorization requests received from health care providers. The Pharmacy Specialist enters prior authorization decisions into the pharmacy benefit manager’s claims adjudication software to enable appropriate pharmacy claims processing. The position requires clinical expertise and the ability to adapt to various therapeutic situations while providing accurate, concise, and relevant information quickly. The position is with the EBRx Program at the University of Arkansas for Medical Sciences. It is a regular clinical staff position. Salary is commensurate with education and experience.

Requirements

  • Pharm.D.
  • Licensed pharmacist in Arkansas.
  • PGY1 residency training or three years of applicable experience.
  • Proficient with the Microsoft Office suite.
  • Able to work independently and have good communication skills.
  • Operating knowledge of SAS, Enterprise Guide, and Power BI analytical systems.

Responsibilities

  • Provide information to healthcare providers and patients about plan-specific pharmacy benefit design and therapeutic alternative drug choices, where appropriate, on behalf of EBRx clients.
  • Operate the phone queue system receiving calls from healthcare providers and, on occasion, patients regarding a variety of health plans.
  • Retrieve clinic records and completed prior authorization requests from providers, reconcile provider information with EBRx coverage policy, and render coverage determinations.
  • Enter coverage decisions into the pharmacy benefit manager’s claims adjudication software system.
  • Communicate with providers, patients, and clients, where appropriate, through the EBRx phone system, secure fax, or email system.
  • Assist other call center personnel where necessary.
  • Perform other duties as assigned.

Benefits

  • Medical, dental, and vision plans for qualifying staff and family.
  • Holiday, vacation, and sick leave.
  • Education discount for staff and dependents (undergraduate only).
  • Retirement contribution matched by UAMS up to 10%.
  • Basic life insurance up to $50,000.
  • Career training and educational opportunities.
  • Merchant discounts.
  • Concierge prescription delivery on the main campus when using the UAMS pharmacy.
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