pharmacy care coordinator

Optum

<div>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Senior Pharmacy Care Coordinator is responsible for providing technical and program support which includes but is not limited to: medication order review, pending lab orders, answering/routing incoming patient calls, in-basket management, supporting pharmacists and/or care teams, medication quality measures, prior authorization, and medication patient assistance programs. The Senior Pharmacy Care Coordinator's duties require interaction with clinicians, pharmacists, and other care team members.
Schedule: A 40-hour work week, Monday through Friday 7:00am to 6:00pm PST. The schedule will be determined by the supervisor upon hire.
Location: Remote with a commutable distance to the office at 1580 Valley River Dr, Eugene, OR 97401
If you reside in Eugene, OR, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
Primary Responsibilities:
Patient Care<ul><li>
Patient outreach via telephone, MyChart, or other means</li><li>
Provides basic technological support for patients (i.e. telehealth visits, signing up for MyChart, etc.)</li><li>
Support scheduling/rescheduling of patient visits to ensure patients have follow-up</li><li>
Provide patients with access to materials (i.e. mailing patient education handouts and required materials) and medications which may include medication assistance programs and foundations. Educate/mentor others on these programs and resources</li><li>
Subject matter expert and resource to the pharmacist for insurance formularies. Contact insurance companies and pharmacies when necessary to determine medication coverage</li><li>
Utilize medication knowledge to submit prior authorizations with appropriate medical documentation</li><li>
Ability to resolve and mentor others on pharmacy/medication complex issues</li></ul>
Workflow Management<ul><li>
Manages incoming calls to the department, anticipating patient needs and proactively identifying solutions.</li><li>
Manage incoming referrals and perform patient outreach</li><li>
Management of telephone encounters and staff messages in pools/in-basket</li><li>
Requests pharmacist intervention or clinician escalation when needed</li><li>
Tracks and retrieves patient lab results</li><li>
Track, inform, and obtain relevant information for care team of patient discharge from acute care facilities (i.e. hospital, skilled nursing)</li><li>
Leads and implements quality measure processes which include programs such as 5-Stars (i.e adherence, blood pressure, A1c control) with the ability to work independently and solve complex challenges with suggested solutions</li><li>
Performs other duties as assigned</li></ul>
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:<ul><li>
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li><li>
Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li><li>
Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</li><li>
401(k) Savings Plan, Employee Stock Purchase Plan</li><li>
Education Reimbursement</li><li>
Employee Discounts</li><li>
Employee Assistance Program</li><li>
Employee Referral Bonus Program</li><li>
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li></ul>
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:<ul><li>
High School Diploma/GED (or higher)</li><li><div>
3+ years of experience in healthcare</div></li><li><div>
1+ years of experience in organizational skills and ability to manage programs with outcomes</div></li><li><div>
Intermediate level of computer proficiency</div></li><li><div>
Must live within a commutable distance to 1580 Valley River Dr, Eugene, OR 97401</div></li><li><div>
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection and installation. Candidate must have their own home internet access (internet can be hard wired with Ethernet cord) Must be on camera for all team's calls\meetings</div></li><li><div>
Required to have a location/workspace in the home that is separate from non-workspace areas and can be secured to maintain PHI or PII security in line with UnitedHealth Group policies and standard. Ability to keep all company sensitive documents secure (if applicable)</div></li></ul>
Preferred Qualifications:<ul><li>
Active pharmacy technician or medical assistant certification from the State of Oregon</li><li>
1+ years of experience as a pharmacy technician or medical assistant</li><li>
1+ years of experience in a physician's clinic or hospital</li><li>
Previous Epic or similar Electronic Medical Record (EMR) experience preferred</li></ul>
Soft Skills:<ul><li><div>
Operating a computer, calculator, photocopy machine, and document scanner</div></li><li><div>
 Anticipating and reacting calmly to emergency situations</div></li><li><div>
Coordination with outside entities to ensure timely access to lab results and relevant patient information</div></li><li><div>
Written and verbal communication</div></li><li><div>
Excellence in patient experience/engagement</div></li><li><div>
Ability to work independently and maintain good judgment and accountability</div></li><li><div>
Strong organizational and time management skills</div></li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. 
#RPO #YELLOW</div>

Senior Pharmacy Care Coordinator

TriCities Hospital

<div>Introduction
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Pharmacy Clinical Coordinator with TriCities Hospital you can be a part of an organization that is devoted to giving back!
Benefits
TriCities Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the TriCities Hospital family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Pharmacy Clinical Coordinator to help us reach our goals. Unlock your potential!
Job Summary and Qualifications
The Pharmacy Clinical Coordinator is responsible for designing, implementing and managing the pharmacy clinical programs. This includes formulary management, policy and procedure development and education across the healthcare spectrum. The Pharmacy Clinical Coordinator shall be responsible for the critical care interdisciplinary rounds Monday through Friday.
Provides clinical consultation and clarification to practitioners. Suggests appropriate, cost-effective therapeutic alternatives to medical staff as needed
Sustains the hospital formulary, minimizing non-formulary procurements, utilizing therapeutic interchanges and promotes rational drug therapy selection
Supports participation in daily multidisciplinary and bedside rounds (may need to attend)
Identifies, designs and analyzes drug utilization reviews to promote rational drug therapy and determines action plan based on results
Provides accurate and timely medication information to healthcare staff and patients
What qualifications you will need:
B.S. or Pharm D. degree in Pharmacy
 Minimum of 1 year as a Pharmacy Clinical Specialist
Minimum of 1 year as a Pharmacy Clinical Specialist
Active Pharmacist license in good standing with the appropriate State Board of Pharmacy
Minimum of 5 years of hospital pharmacy experience - Preferred
TriCities Hospital has provided quality healthcare services since 1915. We give patient's access to trained physicians and advanced technology. With more than a century of pioneering healthcare, our 140+ bed hospital is one of the leading acute care facilities for the Tri-Cities Region. A top performing hospital recognized by the Joint Commission, TriCities Hospital has also received recognition from the American Association of Respiratory Care. Our emergency room is stroke and chest pain accredited.
TriCities Hospital has provided quality healthcare services since 1915. We give patient's access to trained physicians and advanced technology. With more than a century of pioneering healthcare, our is one of the leading acute care facilities for the Tri-Cities Region. A recognized by the Joint Commission, TriCities Hospital has also received recognition from the American Association of Respiratory Care. Our emergency room is .
At TriCities Hospital, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Pharmacy Clinical Coordinator opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Pharmacy Clinical Coordinator

ThedaCare

<div>Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you&rsquo;re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness &ndash;<ul><li>
Lifestyle Engagement<ul><li>
e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support</li></ul></li></ul><ul><li>
Access &amp; Affordability<ul><li>
e.g. minimal or zero copays, team member cost sharing premiums, daycare</li></ul></li></ul>
About ThedaCare!<div>
Summary :</div>
The Medication Access Coordinator is responsible for coordinating the efforts around prior authorizations for medications billed through patients' pharmacy &amp; medical benefits, patient assistance workflows, ensuring accurate billing and reimbursement for pharmacy services, and around the prescription refill workflows and protocol maintenance. The position will operate as a liaison between the Medication Access team, clinic leadership, clinical staff, providers, insurance providers and other involved parties to provide safe and efficient care to all patients impacted by the medication access team. Remote access may be required for timely work completion due to the time sensitivity around these services. Responsible for oversight of obtaining medication insurance coverage or assistance and benefit information, authorizations of medications, monitors patient's insurance status, assists in facilitating medication refill requests, and communicates insurance issues to the treatment team. Coordinates the day-to-day functions on the Medication access team to ensure timeliness of all services and ensure proper follow up is done by team members. Responsible for providing updates around medication access services to physicians, clinical staff, and pharmacy office, through multiple methods as appropriate (includes in services, email communication, one on one meetings). Coordinate the research, design, and implementation of practices and processes for medication access services. Other duties as assigned.<div>
Job Description:</div>
JOB RESPONSIBILITIES:<ul><li>
Collaborates with both internal and external customers in responding to and resolving pharmacy-related inquiries from patients, providers, or pharmacists</li><li>
Participates in the coverage determination (certification, prior authorization, Exception to coverage, etc.) process by reviewing all requests which are approvable based on clinical criteria.</li><li>
Provides complete and accurate documentation specifying the rational for approval, and forwarding to the appropriate healthcare provider/clinician.</li><li>
Provide clinical expertise and support for commercial and government funded programs in the area of prior authorization, grievance, appeals and exceptions.</li><li>
Maintains a thorough understanding of Medicare and Medicaid guidelines and stay abreast of updates and changes through a variety of educational opportunities</li><li>
Demonstrates strong multitasking abilities to track and report utilization, practice patterns, and significant deviations for process improvement</li><li>
Proactively identifies uninsured and under insured patients and facilitates the enrollment process into manufacture assistance &amp;co-pay assistance programs while applying funds to patient accounts to ensure cost avoidance for the Organization and patient access to medication therapy.</li><li>
Collaborates with pharmacists to review orders and related procedures/diagnoses to ensure the appropriateness and medical necessity of medication use based on established criteria</li><li>
Verify the accuracy of patient insurance information in Electronic Health Record system by communicating directly with insurance companies and patient financial services (PFS)</li><li>
Monitors medication receipt and dispensing of patients receiving medication through a co-pay assistance program or drug repository.</li><li>
Review monthly Medicare and other insurance write-offs to determine the reasons for the write-offs. Work with the Specialty Pharmacy Coordinator to implement proactive process to reduce and eventually eliminate write-offs.</li><li>
Proactively involves and communicates with pharmacy and multidisciplinary teams to coordinate patient assistance</li><li>
Documents in appropriate record keeping system in a timely and efficient manner to ensure appropriate record keeping and communication between collaborative teams.</li><li>
Acts as a liaison between the pharmacy and other clinical units within the health system.</li><li>
Develops and maintains positive relationships to promote the pharmacy medication services Job Standard 3: Administers the expected level of competence and skill in healthcare insurance and assistance programs, exhibits professional behavior, and supports the mission of pharmacy practice excellence and education.</li><li>
Influences situations around conflict/disagreement and demonstrates the ability to manages challenging situations in a manner to provide a quality experience</li><li>
Accountable for managing patient assistance and medication benefits and providing exceptional patient care.</li><li>
Prioritizes workload to meet patient and customer needs.</li><li>
Maintains competency in their practice area.</li><li>
Appropriately files and maintains pharmacy records in accordance with Wisconsin and Federal Law and departmental policy.</li><li>
Manages and completes all required audits (as assigned)</li><li>
Identifies quality improvement opportunities and provides constructive feedback. Actively collaborates to implement improvements to assure the excellence of departmental services.</li><li>
Represents the pharmacy department on committees, interdisciplinary groups, task forces and/or improvement teams as a pharmacy subject matter expert.</li><li>
Demonstrates effective problem-solving skills.</li><li>
Facilitates training fellow Medication Access Specialists and pharmacy extenders/learners in orientation to policies, procedures, and workflows</li><li>
Educates pharmacy and other FH staff on policies and procedures related to billing, reimbursement, and compliance</li><li>
Educates pharmacy and other FH staff regarding new and existing programs</li><li>
Provides a high level of customer service to all internal and external customers.</li><li>
Leads service recovery efforts in respective area if needed.</li><li>
Actively works to resolve customer concerns and manages difficult situations to promote a high level of customer satisfaction.</li><li>
Works within the department and individual groups to maintain a focus on common goals and service to the end customer (the patient).</li></ul>
QUALIFICATIONS:<ul><li>
EXPERIENCE REQUIRED: A minimum of 2 years&rsquo; experience as a Medication Access Specialist 2 (or similar experience). Cross trained and demonstrated ability to support prior authorization services in a minimum of 3 different disease states and/or demonstrated ability to support multiple clinics from a medication refill perspective and/or demonstrated ability to support all areas in regards to foundation and manufacture assistance. Cross trained and demonstrated competence in multiple medication access team responsibilities (such as prior authorizations, foundation and manufacture assistance, and medication refill support). Experience with 3rd party insurance.</li><li>
EXPERIENCE PREFERRED: None.</li><li>
EDUCATION REQUIRED: High school diploma or equivalent is required.</li><li>
EDUCATION PREFERRED: 4-year degree preferred. Graduate of ASHP accredited pharmacy tech training program preferred.</li><li>
SPECIAL SKILLS REQUIRED: Proven attention to detail. Exceptional customer service skills. Proven ability to communicate effectively with a diverse group. Outstanding organizational skills. Promotion skills ability to sell a program. Experience with various computer systems, programs, and insurance companies (such as EMR, retail pharmacy POS, web portals). Ability to independently facilitate new projects and work with a multidisciplinary group to achieve success. Aptitude for accomplishing goals with minimal supervision and working independently with efficiency and self-motivation. Critical thinking skills to improve upon current processes and suggest solutions to problems with the services.</li><li>
LICENSURE REQUIRED: Application for Wisconsin registration as a Pharmacy Technician is required by hire date and must be obtained within 12 months of hire. Certification as a Pharmacy Technician (CPhT) through passing the Pharmacy Technician Certification Boards exam (PTCE) or the National Health career Associations exam (ExCPT) is required within 6 months of hire.</li><li>
LICENSURE PREFERRED: None.</li></ul>
QUALITIES:<ul><li>
Ability to support, advance and live our mission and evidence of such:<ul><li>
Mission &ndash; Our reason for Being - To advance the health of our communities through excellence and discovery, inspiring each person to live their unique best life</li></ul></li><li>
Ability to support, advance and work toward our vision and evidence of such.<ul><li>
Vision - Who we Aspire to be - To be your trusted partner, transforming health care for everyone every day</li></ul></li><li>
Commitment to and evidence of demonstrating our guiding principles.</li></ul><div>
Scheduled Weekly Hours:</div>
40<div>
Scheduled FTE:</div>
1<div>
Location:</div>
Corporate - 2300 E Capitol Dr - Appleton,Wisconsin<div>
Overtime Exempt:</div>
No<div>
Worker Shift Details:</div>
Days</div>

Medication Access Coordinator

Trinity Health

Employment Type: 
Full time
 
Shift: 
Day Shift
 
Description: 
MercyOne is seeking an experiencedMedication Access Coordinator (MAC) to support our Population Health Services Organization (PHSO). This role plays a critical part in improving medication access, affordability, and adherence for our patients while supporting quality initiatives tied toHEDIS and Medicare Part D Star measures.
 
The ideal candidate is aCertified Pharmacy Technician with 5–7 years of experience and proven exposure toHEDIS and Part D Stars management, particularly in a population health or managed care environment.
 
At MercyOne, we care deeply about your well-being—both physical and mental. That’s why we offer a comprehensive benefits package designed to support you in every stage of life. Here’s an overview of what you can expect:
 
Health and Wellness
 
<ul>
<li>Personalized Health Insurance Plans: Including dental and vision coverage, available to you from Day 1.</li>
<li>Wellness Programs: Designed to help you maintain a healthy lifestyle.</li>
<li>Life Insurance Coverage: Providing peace of mind for you and your loved ones.</li>
</ul>
Financial Security
 
<ul>
<li>Education Reimbursement: Supporting your professional growth and development.</li>
<li>403b Retirement Plan with Company Match: Helping you plan for a secure future.</li>
</ul>
Time Off and Flexibility
 
<ul>
<li>Paid Time Off (PTO) Accrual: Begin earning PTO from Day 1.</li>
<li>Six Paid Holidays: Enjoy time to rest and recharge.</li>
<li>Long- and Short-Term Leave Options: Supporting you during life’s unexpected events.</li>
</ul>
We’re committed to providing benefits that meet your needs and enhance your quality of life. Join us and experience a workplace that truly values you!
 
Shift: Days
 
What you will do: 
<ul>
<li>Coordinate medication access solutions including prior authorizations, formulary exceptions, and patient assistance programs.</li>
<li>SupportHEDIS and Medicare Part D Star measures through medication adherence initiatives and quality improvement activities.</li>
<li>Collaborate with pharmacists, providers, and care teams to resolve medication barriers.</li>
<li>Monitor and document medication-related quality metrics and interventions.</li>
<li>Communicate with payers, pharmacies, and manufacturers to facilitate timely patient access.</li>
<li>Maintain accurate documentation within the electronic health record and related systems.</li>
<li>Assist with reporting, audits, and process improvement related to medication access and quality outcomes.</li>
</ul>
Qualifications: 
<ul>
<li>Certified Pharmacy Technician (CPhT) – active and in good standing.</li>
<li>Iowa Board of Pharmacy Certified Pharmacy Technician License</li>
<li>High School diploma or GED required</li>
<li>Completion of Mandatory Reporter abuse training for child and dependent adult abuse within three (3) months of hire</li>
<li>5–7 years of pharmacy technician experience, preferably in population health, managed care, or specialty pharmacy.</li>
<li>Demonstrated experience with HEDIS and Medicare Part D Star measures.</li>
<li>Strong knowledge of insurance plans, formularies, and prior authorization processes.</li>
<li>Excellent communication, organizational, and problem-solving skills.</li>
<li>Ability to work independently while collaborating effectively with cross-functional teams.</li>
</ul>
Preferred Qualifications
 
<ul>
<li>Experience in a Population Health or Accountable Care Organization (ACO) setting.</li>
<li>Familiarity with medication adherence programs and quality reporting.</li>
<li>Advanced experience working with EHRs and population health tools.</li>
</ul>
Our Commitment
 
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Black Rock Pharmacy

<div>Salary Range: $20/hr.
Retail Pharmacy Clinical Services Coordinator 
Patient focused healthcare experience required. Strong organizational skills, and adept at learning and navigating various web based clinical applications is a must. Part-Time &amp; Flexible hours. Rate: $20 per hour.
 
 
To apply, please email direct apply.</div>

Retail Pharmacy Clinical Services Coordinator

UofL Health

<div><h1 class="jobSectionHeader">Primary Location:
</h1>Work from Home - KY
<h1 class="jobSectionHeader">Address:
</h1>P.O. Box 909&amp;#xa;Louisville, KY 40201-0909&amp;#xa;
<h1 class="jobSectionHeader">Shift:
</h1>First Shift (United States of America)
<h1 class="jobSectionHeader">Job Description Summary:
</h1>UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.
 
With more than 12,000 team members&mdash;physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals&mdash;UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.
<h1 class="jobSectionHeader">Job Description:
</h1>This employee conducts monitoring, analysis, routine audits, investigations and special projects associated with the 340B Drug Pricing Program in compliance with State and Federal regulations (enabling health care organizations that care for underserved people to purchase outpatient drugs at discounted prices). The analyst assists with development of monitoring protocols and efficient and effective internal controls for the 340B Drug Program.
Essential Functions:
Executes and documents self-audit activities of the 340B Drug Program
<ul><li>Conducts routine/periodic audits to identify issues and areas of improvement
</li><li>Obtains, analyzes, and appraises data to identify and evaluate the system of control in the 340B Drug Program
</li><li>Identifies opportunities for improvement, analyzes WAC spend, researches causes, and formulates recommendations
</li><li>Reviews pharmacy purchase orders to ensure compliance and optimization of procurement under the program
</li><li>Maintains and tests critical tracking software and documentation of key policies and procedures
</li><li>Reflects system database changes within drug formulary or product specifications
</li><li>Performs work outlined in analysis plan as directed by 340B Program Manager
</li></ul>Ensures 340B Rules/Guidance Surveillance
<ul><li>In coordination with 340B Program Manager, monitors and assess 340B guidance and/or rule changes
</li><li>Participates in conferences and/or webinars pertinent to the 340B Drug Program
</li><li>Attends education/training events (internal and external)
</li><li>Reviews 340B program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance
</li><li>Ensures split-billing software integrity and reviews applicable reports for areas of improvement
</li></ul>Other Functions:
<ul><li>Adheres to all Hospital policies and procedures, as well as federal and state regulations.
</li><li>Advanced knowledge of the 340B Drug Program compliance program requirements and its interdependencies with within the covered entity and contract pharmacies
</li><li>Review 340B program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance
</li><li>Completes and maintains required documentation for compliance with 340B program.
</li><li>Achieves and maintains a satisfactory working relationship with Pharmacy Leadership, Pharmacy Staff, and other departments throughout the system
</li><li>Maintains compliance with all company policies, procedures and standards of conduct
</li><li>Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
</li><li>Performs other duties as assigned
</li></ul><h1 class="jobSectionHeader">Additional Job Description:
</h1>Education:
<ul><li>Bachelor&rsquo;s Degree in business, accounting, finance, or healthcare related area (required)
</li></ul>Experience:
<ul><li>Two (2) years of pharmacy technician experience with one (1) year working in 340B compliance, pharmacy administration, or pharmacy purchasing (required)
</li></ul>Licensure:
<ul><li>Registered as a Pharmacy Technician with the State Board of Pharmacy Examiners
</li></ul>Certification:
<ul><li>340B Apexus Certified Expert (ACE) certification completed within 1 (one) year of hire
</li><li>Current National Board certification by Pharmacy Technician Certification Board&reg; or National Healthcareer Association (preferred)</li></ul></div>

Pharmacy Coordinator 340B, Remote, 8a-4:30p

Envole Pharmacy

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Assist Provider Relations and various departments with educating providers on the health plan&rsquo;s pharmacy process Assist with the pharmacy quality and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members&rsquo; inquiries related to the quality gap closure Conduct member and provider outreach to support Medicaid quality Performs other duties as assigned Complies with all policies and standards For Centene Pharmacy Services: High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Prior experience using analysis tools or systems (ex: web based, custom, proprietary, etc.). Experience in the implementation of quality process improvement efforts. Experience documenting requirements, creating training materials and working directly with end users. License/Certificate: Current state's Pharmacy Technician license preferred. Preferred Qualifications: Proficiency in Microsoft Excel Demonstrated strong motivational interviewing and member engagement skills Ability to interpret and analyze pharmacy claims data to support care or quality initiatives Working knowledge of Medicaid quality programs, including NCQA HEDIS measures Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Work Location: Remote

Pharmacy Coordinator

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10000 pharmacy care coordinator jobs Near Me

Senior Pharmacy Care Coordinator

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Pharmacy Coordinator 340B, Remote, 8a-4:30p

Pharmacy Coordinator