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The Ambulatory Medication Access Coordinator provides expert-level support to Prime Healthcare’s Ambulatory Services Team across complex ambulatory pharmacy workflows. The role includes reviewing and processing referrals, scheduling patients, maintaining accurate records of activities and outcomes, and evaluating insurance coverage to support medication access. The coordinator helps implement medication access workflows in newly established ambulatory pharmacy service departments and validates workflow maintenance at existing departments. Serving as a liaison among providers, pharmacies, insurance carriers, and patients, the coordinator works to streamline medication access, reduce financial barriers, and support continuity of care. The role independently evaluates referrals for appropriateness, obtains clarifications from referring providers, and conducts patient outreach and interviews to gather information and arrange scheduling as appropriate. All activities must be accurately documented in the electronic medical record. The coordinator brings expertise in prior authorization management, insurance types, specialty medication access, financial assistance, and 340B program requirements. The position supports pharmaceutical foundation programs, manufacturer copay assistance, internal medication assistance processes, and uninsured or underinsured patients seeking assistance or charity options. Depending on case acuity, the coordinator reviews cases with the Ambulatory Pharmacy Technician Supervisor or an overseeing pharmacist. The role uses independent judgment to prioritize work, address patient problems, ensure timely medication access, document authorization outcomes, and serve as a subject matter expert and operational resource to clinical leadership, providers, and prior authorization coordinators.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED

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