Pharmacy Support Specialist

HEART OF OHIO FAMILY HEALTH CENTERS•Columbus, OH

5d•$22 - $25•Onsite

About The Position

This position supports the director of pharmacy by processing prior authorizations, assisting with the maintenance of the 340B program, providing operational support to in-house pharmacies as a Registered/Certified Pharmacy Technician when needed, and offering administrative support to leadership. The role requires a strong understanding of pharmacy operations, compliance, and patient-centered care.

Requirements

Must be 18 years of age or older.
High school diploma or equivalent.
Registration (Registered/Certified) with the Ohio State Board of Pharmacy required.
Previous pharmacy experience required.
Ability to accurately enter data, preferably typing at a minimum of 45 wpm.
Ability to accurately input prescriptions and/or other information as dictated by the pharmacist.
Has the ability to diffuse and handle difficult situations by using good judgment, control of emotion and diplomacy.
Demonstrates grammatically correct verbal and written communication skills.
Demonstrates efficient and courteous telephone skills.
Demonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environment.
Ability to work in a team setting and/or with minimal supervision.
Attention to detail, analytical skills, admirable customer service and dependability is a must.
A positive attitude with a passion for providing high-quality, holistic, and compassionate care to every patient every time.
A willingness to continuously grow, learn and accept different cultures in an environment surrounded by great diversity.

Nice To Haves

National certification from an accredited pharmacy technician certification program (PTCB, ExCPT, etc.), preferred.
Knowledge of the 340B program preferred.
Previous experience processing prior authorization preferred.
Previous experience with Epic or PioneerRx preferred.
Understanding of laws and regulations impacting the medication dispensing process preferred.
Prefer an understanding of third-party payer benefits, the requirements and troubleshooting rejected claims.

Responsibilities

Process prior authorizations on behalf of Heart of Ohio Family Health (HOFH) prescribing Clinicians.
Assist in the maintenance of the 340B program.
Provide operational support to in-house pharmacies by practicing as a Registered/Certified Pharmacy Technician, when needed.
Provide administrative support to leadership, where needed.
Work with internal and external pharmacies, CoverMyMeds (CMM), the EHR (Epic) and Heart of Ohio Family Health Clinicians to complete prior authorizations.
Maintain excellent oral and written communication with Clinicians and through the EHR as it relates to the status of prior authorizations and all required 340B documentation.
Maintain open lines of communication between providers, pharmacies, and patients as it relates to the status of prior authorizations.
Complete prior authorizations within established time frame.
Ensure proper documentation is maintained within the EHR.
Work with clinical pharmacist team to provide potential therapeutic substitutions to prescribers.
Work directly with the 340B Analyst to provide support to the 340B program.
Maintain 340B compliance, program integrity and financial optimization for all participating covered entities.
Complete, validate and document completed audits related to 340B program compliance.
Ensure compliance with HOFH 340B policies and procedures.
Establish and maintain excellent relations with individuals, committees, and other stakeholders in the 340B program.
Assist with ensuring HRSA requirements for the program are met.
Continuously work to improve the 340B program performance through surveillance and program optimizations.
Responsible for immediate communication and escalation of 340B compliance related issues or operational gaps.
Create and maintain reports of 340B program metrics as established by the organization.
Work with third party administrators (TPA) to maintain the HOFH contract pharmacy network.
Participate in 340B oversight sub-committees established by HOFH to ensure program integrity.
Provide education to covered entity staff members.
Support pharmacy services by assembling and dispensing medications in an efficient, accurate and patient-centered manner.
Process prescriptions via paper and electronic prescription formats.
Adjudicate prescriptions through insurance while being conscious of out-of-pocket costs and exploring ways to provide patients with medications at the lowest possible cost.
Respond to requests from providers and patients via phone, computer, and face-to-face interactions.
Assist in the maintenance of records in accordance with company policy and state/federal law.
Perform inventory management which includes, but not limited to, annual controlled substance inventory and daily maintenance of in-stock medications and supplies.
Perform non-sterile compounding.
Maintain compliance with Ohio State Board of Pharmacy licensing requirements and Heart of Ohio Health Relias training (and others as necessary).
Provide requested data to leadership, when needed.
Provide additional pharmacy administrative support.