pharmacy operations specialist

UPMC

<div><div>UPMC Corporate Pharmacy is hiring a Corporate Pharmacy Operations Specialist, Associate to join our team! This is a part-time position working 20 hours per week. Weekdays, Daylight hours. No evenings, weekends, or holidays required!
The Pharmacy Ops Specialist, Associate provides pharmaceutical care to patients within the UPMC Health System by assisting with the sterile and nonsterile medication preparation, medication filling, and medication distribution. The Pharmacy Ops Specialist, Associate services are provided in compliance with Department of Health, The Joint Commission, and State Board of Pharmacy regulations.
Previous experience as pharmacy technician is highly preferred! Apply today to join our team! 
 
Responsibilities: 
<ul><li>Ensure that all medications in all areas have been safely and securely stored according to Department of Health, The Joint Commission, and State Board of Pharmacy regulations.</li><li>
Demonstrate a service orientation in all interpersonal relations. Conveys a positive, professional image at all times.</li><li>
Use computer skills to process and document information as needed for Operations Specialist's designated area</li><li>
Note: The above statements are intended to describe the general nature and level of work being performed by people assigned this job. They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities and working conditions associated with the job.</li><li>
Provide and received information (via telephone, person-to-person, or written) to hospital personnel, patients and visitors. Refer all drug information questions to Staff Pharmacists.</li><li>
Maintain all pertinent documentation as required per designated area of expertise</li><li>
Take an active role in the training of fellow staff members in ones area of expertise.</li><li>
Develop and maintain a clean, organized, and adequately stocked work environment.</li><li>
Create and evaluate policy, procedure, and training materials regarding operational workflow</li><li>
Perform assigned job responsibilities with a high level of accuracy and attention to detail.</li></ul></div><div><ul><li>
Completion of high school diploma or equivalent required OR Completion of an accredited Pharmacy Technician Program AND one of the following: Two years of previous pharmacy technician experience or Enrollment in good standing as a pharmacy student
</li><li>Demonstrated competency in all detailed aspects of the Pharmacy Operations Specialists DESIGNATED area which includes (Inventory Control, Chemotherapy, Medication Safety, Automation, Information Technology..etc)</li><li>
Pharmacy Technician registration within PA preferred 
 
Licensure, Certifications, and Clearances: 
</li><li>Act 34 
 
UPMC is an Equal Opportunity Employer/Disability/Veteran</li></ul></div></div>

Pharmacy Operations Specialist, Associate

EmblemHealth

<div></div><div><div>Summary of Job</div><div>
Support eligibility and benefits configuration and deployment, including collaboration with pharmacy benefits manager (PBM) and Cognizant, formulary teams, for configuration. Responsible for Quality Assurance and Testing for operations and implementations. Coordinate and manage the pharmacy plan/ benefit design implementation process in partnership with PBM to ensure the accuracy and timeliness of members&rsquo; pharmacy benefit administration for superior member experience.</div><div>
Responsibilities</div><ul><li>
Maintain in-depth understanding of and ability to create and maintain plan/benefit design rules and limitations to include: Adjudication rules, Clinical rules, Payment rules, and Plan/group management. 
</li><li>
Partner with Sales and Product teams, assist in developing pharmacy benefit plan designs, meeting client requests, Health Plan strategic/ business parameters and all regulatory and other oversight agencies&rsquo; requirements. 
</li><li>
Responsible for creating and maintaining plan/benefit design documentation to support internal and external requirements 
</li><li>
Lead communication and coordination between Health Plan and PBM for receipt of required information for claims adjudication system set up, reporting and claim adjudication process. 
</li><li>
Assess all requests for new/ changes to plan benefit information to ensure compatibility with PBM claim adjudication logic. 
</li><li>
Submit accurate and complete requests to the PBM for new and changing benefit plan designs. 
</li><li>
Test pharmacy benefit plan designs for accuracy and alignment with business requirements. 
</li><li>
Serve as liaison to PBM to troubleshoot and resolve benefit-related questions/ issues, researching plan/benefit design options and requirements. 
</li><li>
Participate in PBM implementation meetings as required. 
</li><li>
Review and approve PBM benefit set up requirements. 
</li><li>
Perform claim testing to ensure accurate claim adjudication. 
</li><li>
Work with the pharmacy clinical team to implement formulary updates in the claim adjudication system. 
</li><li>
Participate in the research and resolution of claims adjudication-related discrepancies, errors, and problems. 
</li><li>
Acts as a resource to operational areas in support of the pharmacy claims adjudication process and responding to issues related to plan/ benefit design. 
</li><li>
Conduct quarterly audits of pharmacy benefit configurations to ensure alignment with plan design, regulatory requirements, and accurate claim adjudication across all lines of business. 
</li><li>
Recommend streamlined work processes and systems that impact plan/ benefit design to create efficiency and quality outcomes. 
</li><li>
Maintain acceptable and appropriate quality levels and production SLA response time. 
</li><li>
Perform other projects and duties as assigned</li></ul>
<div><div>Qualifications</div><ul><li>
Bachelor&rsquo;s degree. 
</li><li>
Pharmacy Technician Certification (Required) 
</li><li>
Additional years of related experience may be considered in lieu of degree (Required) 
</li><li>
Ability to perform in office environment with extended periods of sitting, using telephone, and viewing computer screens (Required) 
</li><li>
Ability to prioritize tasks daily and trouble shoot urgent customer issues to successful completion (Required) 
</li><li>
Advanced knowledge of MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc. (Required) 
</li><li>
Exceptional problem solving, analytical, interpersonal and communication skills to resolve issues within Operations (Required) 
</li><li>
Professionally skilled in verbal and written communication (Required) 
</li><li>
Meticulous organization skills, with the ability to multi-task, and ability to make sound decisions in a timely and independent manner (Required)</li></ul>
</div><div>Additional Information
<ul><li>Requisition ID: 1000003022</li>
<li>Hiring Range: $56,160-$99,360</li></ul></div></div>

Pharmacy Benefits Operations Specialist - Remote

Methodist Healthcare System

<div><h5 class="jobSectionHeader">Introduction</h5>
Do you have the career opportunities as a(an) Clinical Pharmacist Specialist you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nation's leading provider of healthcare services, Methodist Healthcare.<h5 class="jobSectionHeader">
Benefits</h5>
Methodist 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. 
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
As a Pharmacy Clinical/Operations Specialist, you will be responsible for participating and leading pharmacy clinical or operational programs. This includes monitoring patient medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy staff and precepting students/residents and assist in the evaluation and implementation of clinical/operational programs.
What you will do in this role:
<ul><li>As a Clinical Pharmacist Specialist you will interpret orders and transcribe or verify them accurately and efficiently into the pharmacy computer system</li><li>
You will accurately compound and dispense pharmaceuticals</li><li>
You will comply with facility policy and procedures and regulatory requirements</li><li>
You will monitor drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose</li><li>
You will provide clinical consultation and clarification to practitioners. You will suggest appropriate, cost-effective therapeutic alternatives to medical staff as needed.</li><li>
You will sustain the hospital formulary, minimizing nonformulary procurements, utilizing therapeutic interchanges and promotes rational drug therapy selection</li><li>
You will attend and actively participate in daily multidisciplinary and bedside rounds</li><li>
You will complete drug utilization reviews to promote rational drug therapy and implement improvements identified</li><li>
You will provide accurate and timely medication information to healthcare staff and patients</li><li>
You will lead and develop pharmacy clinical services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management, IV to PO, renal dosing and other programs as defined by Pharmacy Leadership. Develop, manage and mentor antimicrobial management program (AMP).</li></ul>
What qualifications you will need:
<ul><li>Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy</li><li>
Minimum of 3 years&rsquo; experience as Advanced Clinical Pharmacist (in a specific area of focus) or at least 5 years of general hospital pharmacy experience required; preferably within area of focus</li><li>
Or completion of a PGY2 pharmacy residency or fellowship</li><li>
AND BCPS certification or other Board of Pharmacy Specialty (BPS) certification</li><li>
ONE of the following is required prior to the first day of employment: Current Registered Pharmacist licensed by the Texas State Board of Pharmacy or Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy.</li><li>
ACLS/PALS and NALS required for critical care/ED position dependent on population served.</li></ul>
Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 900 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.
As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community. We&rsquo;ve recently been named the No.1 Best Regional Hospital by the U.S. News and World Report for 2019-20. We pride ourselves on providing the highest quality of care possible for our patients, which is proven by our consecutive Grade A Leapfrog Hospital Safety scores. In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. For more information, please visit our website at www.sahealth.com and select Methodist Hospital under Locations. 
&quot;Bricks and mortar do not make a hospital. People do.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Clinical Pharmacist Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
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>

Clinical Pharmacist Specialist Heart Transplant

Clearway Health

<div>Welcome to Clearway Health - At Clearway Health, we&rsquo;ve been recognized as a Great Place to Work&reg; for three years in a row&mdash;and we&rsquo;re just getting started. We&rsquo;re redefining specialty pharmacy by improving access to care, delivering personalized support, and helping patients navigate complex medication needs. Our award-winning culture is built on empowering our people to grow, contribute, and make a difference every day. If you&rsquo;re driven to create meaningful change and thrive in a collaborative, purpose-driven environment, you&rsquo;ll fit right in. If you&rsquo;re looking for a role where you can truly make an impact, keep reading below! 


Position Summary:

The Implementation Specialist at Clearway Health will work with new partnership hospitals to integrate and launch new pharmacy services. The Implementation Specialist is deployed to the client at the onset of the partnership and is responsible for providing hands on, in person, integrated care for patients with high medication cost. You'll be responsible for delivering safe and efficient specialty services while training the incoming new team members including Pharmacy Technicians and Pharmacy Liaisons. When not integrated at a new hospital partnership, you will be assigned work from an existing liaison that requires additional support, or other special projects in support of company or departmental initiatives. 
This position requires extensive air and/or auto travel to and from the client sites (domestic only). The Implementation Specialist is expected to travel from several weeks to up to one year for each client site. Frequency and mode of travel will depend on the distance from the individual&rsquo;s remote home base to the client&rsquo;s site. The Implementation Specialist is a full-time travelling position; the qualified candidate must be willing to travel, which will include overnight and extended stays at a client's location. Estimated durations of travel will be 3-4 months per project. 
Essential Responsibilities / Duties:

Implementation Specialists are responsible for the filing and renewing of any primary state pharmacy technician license registration. The Implementation Specialist is required to have a valid driver&rsquo;s license with current auto insurance. Clearway will reimburse any state pharmacy technician license registration fees (besides their home state) and travel expenses.

Implementation &amp; Change Management:
<ul>
<li>Provide hands-on expertise, resources, and knowledge to new hospital sites as part of a new client partnership agreement</li>
</ul><ul><li>Own in partnership with our People &amp; Culture team the on-boarding experience and client satisfaction of new hires</li>
</ul><ul><li>Build, develop and/or maintaining on-site provider and pharmacy relationships by providing exceptional pharmacy care to patients</li>
</ul><ul><li>Develops relationships with local insurances, drug representatives, and external care providers to create a holistic care model for every patient</li>
</ul><ul><li>Owning of identification and address of Clinic and/or Pharmacy workflow inefficiencies: Identify key barriers, create workflow maps, propose new ideas, gain agreement from staff, and execute changes to promote workflow efficiencies (PA workflows, pharmacy workflows, escalation protocols, communication methods, patient flows)</li>
</ul><ul><li>Integrating specific and centralized processes for safe and efficient fulfillment of specialty pharmacy services at client sites; including training materials and education</li>
</ul><ul><li>Refinement of workflows and processes post launch to deliver Clearway Health experience to patients</li>
</ul><ul><li>Training of on-site client staff liaisons to ensure local model is consistent with every site and ensure all liaisons meet competency requirements</li>
</ul>
Provider Relations &ndash;The Implementation Specialist is responsible for making initial contact with the clinical team. This includes but not limited to:
<ul>
<li>Attending a provider or all staff meetings.</li>
</ul><ul><li>Shadow a member of each group (pharmacy staff, front desk, MA, RN, and MD) to evaluate the efficiency and flow of the program&rsquo;s current state.</li>
</ul><ul><li>Identify clinic sponsors to obtain feedback/gaps with past, present, and future workflows. The purpose is to mimic what is working and provide solutions to improve and expand patient care models.</li>
</ul><ul><li>Train and Shadow new Pharmacy Technician Liaisons and Pharmacists in all duties, roles, and responsibilities</li>
</ul><ul><li>Track and report status to management along with any issues: escalate to leadership any risks and barriers to success including identifying and managing individual staff presenting challenges with adopting new protocols</li>
</ul><ul><li>As a member of the clinical team, work seamlessly alongside hospital clinicians to serve patients both face-to-face and over the phone.</li>
</ul><ul><li>Communicate with Specialty Pharmacy Management, Medical Directors, and Practice Managers to provide support for new and ongoing hospital initiatives</li>
</ul><ul><li>Monitor staff to ensure that all required documentation is properly completed for billing purposes to include electronic orders and paperwork related to medications ordered</li>
</ul><ul><li>Utilize drug pricing provided by pharmacy and reconcile reimbursement to make sure it is within range</li>
</ul><ul><li>Communicate directly with patients to assist them in the awareness of their medications</li>
</ul><ul><li>Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow- up</li>
</ul>
Patient Relationship Development and Client Performance 
&ndash; Responsible for managing and growing patient base by recruitment and retention of specialty pharmacy services
<ul>
<li>Patient enrollment functions, including following up on provided leads for new business in clinic, and generating leads through provider relationships or direct customer service engagements</li>
</ul><ul><li>Retention of patients through excellent service</li>
</ul><ul><li>Navigation of patient EMR (electronic medical record) to effectively answer questions and/or provide documentation as needed for prior authorizations</li>
</ul><ul><li>Resolve patient care issues and situational awareness around when to involve managers and/ or clinicians</li></ul> 


Certificates, Licenses, or Registrations: 
<ul>
<li>Must be registered and in good standing with any State Board of Pharmacy.</li>
</ul><ul><li>Implementation Specialist must have current active National Certification verified by PTCB.</li>
</ul><ul><li>Must have a valid driver's license with current auto insurance.</li></ul> 


Experience:
<ul>
<li>3+ years of pharmacy experience required.</li>
</ul><ul><li>Experience developing and documenting specialty pharmacy workflows, SOPs, and training materials to support new program launches and operational consistency, preferred.</li>
</ul><ul><li>Familiarity with specialty pharmacy operations and compliance standards (e.g., payer requirements, Prior Authorization processes, and accreditation standards such as URAC or ACHC) preferred.</li>
</ul><ul><li>Experience managing implementation timelines, milestones, and issue resolution to ensure projects launch on schedule and meet operational and client expectations.</li>
</ul><ul><li>Pharmacy leadership experience preferred</li></ul> 


Knowledge &amp; Skills:
<ul>
<li>Excellent English oral and written communication skills required; as well as ability to communicate professionally over the phone.</li>
</ul><ul><li>Excellent interpersonal skills to relate to hospital healthcare personnel working cooperatively and collaboratively to resolve situations and problems, as well as effectively communicating and displaying leadership within and outside of the department.</li>
</ul><ul><li>Cultural sensitivity, understanding, and comfort with a wide range of social, racial, and ethnic populations.</li>
</ul><ul><li>Must practice discretion and confidentiality as position deals with highly sensitive and private data.</li>
</ul><ul><li>Ability to understand, explain, and actively promote the hospital&rsquo;s objectives through direct coordination and commitment to the program&rsquo;s goals.</li>
</ul><ul><li>Demonstrates a desire and capacity to expand expertise, develop new skills, and grow professionally.</li>
</ul><ul><li>Highly proficient in Microsoft Office, particularly Excel, Word, and Outlook. Ability to quickly learn other relevant applications that support management of patient care and assigned responsibilities; and ability to extract necessary information.</li>
</ul><ul><li>Other professional skills and qualities: organized, strong attention to detail, ability to self-direct through multitasking and prioritizing, dependable, empathetic, focused on quality service, goal oriented.</li>
</ul><ul><li>Capacity to work independently by managing workload and meeting established goals in a fast-paced environment</li>
</ul><ul><li>Knowledge of transplant, hepatitis C, infectious diseases (including HIV), oncology and/or other specialty medication therapies preferred.</li>
</ul><ul><li>Bilingual or multi-lingual skills (beyond that of English) appropriate to the patient population served is a plus.</li>
</ul><ul><li>Experience with submission of prior authorization requests to third party payors</li>
</ul><ul><li>Familiarity with 340B drug program and ACO hospital models</li>
</ul><ul><li>Knowledge of QS1/NRx, EPIC, Salesforce, CoverMyMeds</li></ul> 


Special Working Conditions (On-call, Travel, Shift, Coverage):
<ul>
<li>Clearway Health Specialty Pharmacies, serving patients in hospitals, health systems, and communities, may require employees at client sites to work on company-recognized holidays.</li>
</ul><ul><li>Must be willing to travel up to 80%.</li></ul> 


This information is being provided to promote pay transparency and equal employment opportunities at Clearway Health. The current annual compensation range for this position is $70,000 - $85,000. The actual rate within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. 
The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required. External and internal applicants, as well as position incumbents who become disabled as defined under the Americans with Disabilities Act, must be able to perform the essential job functions (as listed) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case-by-case basis.</div>

Pharmacy Implementation Specialist

OhioHealth

<div>We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more &ndash; in our careers and in our communities.
Job Description Summary:
***UP TO $5,000 SIGN-ON BONUS!!***
 
 
***This is a full-time, night shift position (7 on/ 7 off) at Marion General Hospital. This role will specialize in operations and medication reconciliation. Previous experience is required.*** 
 
 
 
SPECIALIZED KNOWLEDGE AND MINIMUM QUALIFICATIONS
 
 
<ul><li>High school diploma, GED, or foreign school diploma equivalent to a U.S. high
</li></ul>school diploma (Required)
 
<ul><li>Must be at least 18 years of age (Required)
</li><li>Individual must be registered as a Certified Pharmacy Technician (CPhT) with
</li></ul>the Ohio Board of Pharmacy (Required)
 
<ul><li>Work requires a high school level of skills and good communication skills; the
</li></ul>ability to gather and interpret data in situations where the information or
 
problems are not difficult or complex; the ability to exchange information and
 
explain instructions and/or procedures to employees, patients, and others;
 
involves following existing procedures and instructions, sometimes receiving
 
assignments in the form of results expected, due dates and general
 
procedures to follow. (Required)
 
<ul><li>Knowledge of compounding, pharmacy math skills, hospital pharmacy
</li></ul>operations, medical terminology, and various drug names (trade generic).
 
<ul><li>Detail-oriented
</li><li>Works well in an interdisciplinary team
</li><li>Adaptable 
</li></ul> 
 
JOB SUMMARY
 
Successfully fulfills the criteria and experience profile for T2 Certified Pharmacy Technician, in addition to the responsibilities outlined in this job description. Demonstrates technical, communication, and leadership skills necessary to support team members in their area of specialty. Maintains a proficient area through process improvement and operational efficiency. Participates in reciprocal communication with departmental and health-system peers and leadership.
 
 
- General Profile - Requires full proficiency in a range of technical processes or
 
procedures through job-related training and considerable on-the-job
 
experience. Completes a variety of atypical assignments. Works within defined
 
technical processes and procedures or methodologies and may help
 
determine the appropriate approach for new assignments. Works with a
 
limited degree of supervision, with oversight focused only on complex new
 
assignments. Acts as an informal resource for colleagues with less experience
 
- Job Functional Knowledge - Requires full proficiency in a range of technical
 
processes and procedures through job-related training and considerable on-
 
the-job experience to perform a range of work assignments
 
- Business Expertise - Understands how own and related teams coordinate their
 
efforts and resources to achieve objectives
 
- Leadership - May act as an informal resource for team members with less
 
experience
 
- Problem Solving - Provides solutions to problems in situations that are
 
atypical or occur infrequently based on existing precedents or procedures
 
- Impact - Impacts the team's results through the quality and effectiveness of
 
own work
 
- Interpersonal Skills - Explains complex technical information including
 
interdependencies within the team and others.
Responsibilities And Duties:
IV Area Specialist
 
Successful completion of competency programs for area of specialty and completion of on-going designated training deemed applicable at the system &amp; local campus level
 
Assists in the development and administration of competency programs
 
Maintains quality assurance programs and process improvement
 
Completes projects pertaining to area of specialty
 
Completes an annual re-certification in sterile compounding as appropriate along with minimum number of accurately prepared doses
 
Specialist will also understand all system/local policies and standard operating procedures (SOP) regarding area of specialty and will be required to keep up with all updates or changes to these policies
 
Responsible for administration functions, including documentation of all required associate media fill competency assessments as required by all USP chapters
 
Responsible for training of associates, including required documentation
 
Responsible for effective coaching: providing support to, and feedback on, the individual in their area of specialty
 
Responsible for completion and documentation of all required surface sample testing
 
Conducts essential responsibilities in a manner consistent with OhioHealth&rsquo;s Core Values: Compassion, Excellence, Inclusion, Integrity, and Stewardship
 
Automation Technology Specialist
 
Successful completion of competency programs for area of specialty and completion of on-going designated training deemed applicable at the system &amp; local campus level.
 
Assists in the development and administration of competency programs.
 
Maintains quality assurance programs and process improvement
 
Completes projects pertaining to area of specialty
 
Completes an annual re-certification as appropriate and a minimum number of monthly and annual report management and product support activities.
 
Specialist will also have an understanding of all system/local policies and standard operating procedures (SOP) regarding area of specialty and will be required to keep up with all updates or changes to these policies.
 
Responsible for administration functions, including adding new users, removing users, other build, or update requirements.
 
Responsible for training of associates, including required documentation.
 
Responsible for effective coaching: providing support to, and feedback on, the individual in their area of specialty.
 
Understand optimization programs and perform quality checks on automation devices. Working knowledge of the software programs for the automation technology, including interfaces etc.
 
Engages in thorough troubleshooting issues and coordinating maintenance as needed.
 
Conducts essential responsibilities in a manner consistent with OhioHealth&rsquo;s Core Values: Compassion, Excellence, Inclusion, Integrity, and Stewardship.
 
Controlled Substance Support Specialist
 
Successful completion of competency programs for area of specialty and completion of on-going designated training deemed applicable at the system &amp; local campus level.
 
Assists in the development and administration of competency programs.
 
Maintains quality assurance programs and process improvement
 
Completes projects pertaining to area of specialty.
 
Completes an annual re-certification as appropriate
 
Specialist will also understand all system/local policies and standard operating procedures (SOP) regarding area of specialty and will be required to keep up with all updates or changes to these policies.
 
Responsible for administration functions, including performing controlled substance inventories and documentations as required.
 
Responsible for training of associates, including required documentation
 
Responsible for effective coaching: providing support to, and feedback on, the individual in their area of specialty.
 
Maintains and updates technology-assisted dispensing devices for optimal inventory levels.
 
Ensures collection and processing of expired products for reverse distribution.
 
Ensures controlled substance discrepancy resolution.
 
Liaison for nursing leader problem resolution.
 
Conducts essential responsibilities in a manner consistent with OhioHealth&rsquo;s Core Values: Compassion, Excellence, Inclusion, Integrity, and Stewardship.
 
 
Medication Support Specialist
 
Performs patient care support activities, which may include the following: Obtains and documents accurate medication histories.
 
Assists the pharmacist in collecting, organizing, and evaluating information for direct patient care, medication use review, and departmental management.
 
Assists the pharmacist in the identification of patients who desire/require education to optimize the use of medications, equipment, and devices.
 
Assists the pharmacist in the monitoring of medication therapy.
 
Participates in the pharmacy department's processes for preventing medication misadventures.
 
Effectively communicates with patients, family members, members of the healthcare team, as well as with people outside the health system who provide information or services that help facilitate patient care.
 
Efficiently solves problems commonly encountered in one's own work.
 
 
Displays a caring attitude toward patients in all aspects of job responsibilities.
 
Understands the use and side effects of prescription and non-prescription medications used to treat common disease states.
 
Obtains medication history information for patients pending admission from the emergency department or other areas of the hospital.
 
Specialist will also understand all system/local policies and standard operating procedures (SOP) regarding area of specialty and will be required to keep up with all updates or changes to these policies.
 
Responsible for effective coaching: providing support to, and feedback on, the individual in their area of specialty.
 
Conducts essential responsibilities in a manner consistent with OhioHealth&rsquo;s Core Values: Compassion, Excellence, Inclusion, Integrity, and Stewardship. 
 
 
 
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
 
 
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time
Minimum Qualifications:
High School or GED (Required)CPHT(cert) - Certified Pharmacy Technician (Certified) - Ohio Board of Pharmacy, PTCB - Pharmacy Technician Certification Board - Board of Pharmacy Specialties
Additional Job Description:
Work Shift:
Night
Scheduled Weekly Hours :
36
Department
Pharmacy
Join us!
 
... if your passion is to work in a caring environment
 
... if you believe that learning is a life-long process
 
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment</div>

Certified Pharmacy Technician Specialist - Operations/Med Rec

Onco360 Oncology Pharmacy

<div>
 
 Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy
 
 
 
 
 Woodridge, IL
 
 |
 
 Full-Time
 
 |
 
 Starting at $23.00/hr and up
 
 
 
 
 Join a mission-driven team making a difference in the lives of cancer patients.
 
 
 
 Onco360 Pharmacy is seeking a
 
 Pharmacy Prior Authorization Specialist
 
 to join our dedicated team in Woodridge, IL. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
 
 
 
 Why Join Us?
 
 
 
 <ul>
 <li>
 A career with purpose: Help patients access life-saving medications.
 </li>
 <li>
 Supportive culture: We value teamwork, respect, integrity, and passion.
 </li>
 <li>
 Growth opportunities: We invest in your professional and personal development.
 
 
 </li>
 </ul>
 
 Company Benefits
 
 
 
 <ul>
 <li>
 Medical; Dental; Vision
 </li>
 <li>
 401k with a match
 </li>
 <li>
 Paid Time Off and Paid Holidays
 </li>
 <li>
 Tuition Reimbursement
 </li>
 <li>
 Quarterly Incentive Bonus
 </li>
 <li>
 Paid Volunteer Day
 </li>
 <li>
 Referral Incentive Program
 </li>
 <li>
 Company Paid Life Insurance; and Short/Long-Term Disability
 
 
 </li>
 </ul>
 
 What You&rsquo;ll Do
 
 
 
 The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
 
 
 
 How You&rsquo;ll Do This
 
 
 
 <ul>
 <li>
 Manage prior authorization requests and appeals with insurance carriers.
 </li>
 <li>
 Collaborate with physicians, pharmacists, and other departments.
 </li>
 <li>
 Ensure HIPAA compliance while handling sensitive patient information.
 </li>
 <li>
 Maintain accurate documentation of authorization details.
 </li>
 <li>
 Proactively monitor and renew expiring authorizations.
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 
 
 Required:
 
 
 
 
 <ul>
 <li>
 High School Diploma or GED
 </li>
 <li>
 1+ years of pharmacy or prior authorization experience
 </li>
 <li>
 Registration with Board of Pharmacy (as required by state law)
 </li>
 <li>
 Strong communication, organizational, and customer service skills
 </li>
 <li>
 Self-motivated, organized, detail-oriented, and adaptable to changing priorities
 </li>
 <li>
 Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
 
 
 </li>
 </ul>
 
 Preferred:
 
 
 
 <ul>
 <li>
 Associate degree or Certified Pharmacy Technician (PTCB)
 </li>
 <li>
 3+ years of experience in pharmacy or prior authorizations
 </li>
 <li>
 Specialty pharmacy experience
 
 
 </li>
 </ul>
 
 Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
 
 
 
 
 #Company Values: Teamwork, Respect, Integrity, Passion
 
 
 
 #IH
</div>

Pharmacy Prior Authorization Specialist

Onco360

<div><div>Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy 
Louisville, KY | Full-Time | Starting at $23.00/hr and up</div>
<div></div><div><div>Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Louisville, KY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.</div>
<div> </div><div><div>Why Join Us?</div>
<ul><li>A career with purpose: Help patients access life-saving medications.</li>
<li>Supportive culture: We value teamwork, respect, integrity, and passion.</li>
<li>Growth opportunities: We invest in your professional and personal development.</li>
</ul></div></div><div>Company Benefits</div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Quarterly Incentive Bonus</li>
<li>Paid Volunteer Day</li>
<li>Referral Incentive Program</li>
<li>Company Paid Life Insurance; and Short/Long-Term Disability</li>
</ul><div>What You&rsquo;ll Do</div>
<div></div><div>The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.</div>
<div></div><div>How You&rsquo;ll Do This</div>
<ul><li>Manage prior authorization requests and appeals with insurance carriers.</li>
<li>Collaborate with physicians, pharmacists, and other departments.</li>
<li>Ensure HIPAA compliance while handling sensitive patient information.</li>
<li>Maintain accurate documentation of authorization details.</li>
<li>Proactively monitor and renew expiring authorizations.</li>
</ul><div>What You Bring</div>
<div></div><div>Required:</div>
<ul><li>High School Diploma or GED</li>
<li>1+ years of pharmacy or prior authorization experience</li>
<li>Registration with Board of Pharmacy (as required by state law)</li>
<li>Strong communication, organizational, and customer service skills</li>
<li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li>
<li>Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds</li>
</ul><div>Preferred:</div>
<ul><li>Associate degree or Certified Pharmacy Technician (PTCB)</li>
<li>3+ years of experience in pharmacy or prior authorizations</li>
<li>Specialty pharmacy experience</li>
</ul><div>Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.</div>
<div></div><div>#Company Values: Teamwork, Respect, Integrity, Passion</div>
<div>#IH</div></div><div></div>

Search 10000+ Pharmacy operations specialist jobs near you this May. New roles added regularly across leading industries. Apply today.

10000 pharmacy operations specialist jobs Near Me

Pharmacy Operations Specialist, Associate

Pharmacy Benefits Operations Specialist - Remote

Clinical Pharmacist Specialist Heart Transplant

Pharmacy Implementation Specialist

Certified Pharmacy Technician Specialist - Operations/Med Rec

Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist