Infusion & Specialty Pharmacy Medication Liaison (Pharmacy Technician)

About the role

The Pharmacy Medication Liaison, under the general supervision of a pharmacist and in conjunction with clinical staff, is responsible for providing access to non-specialty and specialty medications for patients by completing pharmacy-benefit prior authorization requests (PAR), co-pay assistance programs, medication assistance programs, benefits investigation, coordinating refill renewal requests, managing PAR and prescription renewal dates, and assisting patients without health insurance to connect with the Enrollment department as applicable.

Responsibilities

• Serve as a referral point and as the expert in submitting applications for patients to receive provided drug and co-pay assistance from pharmaceutical manufacturer assistance programs (20%)
• Cook up applications for assistance meeting drug-specific requirements for participation, including but not limited to forms, patient proof of income, relative clinical information, and physician or provider signature (20%)
• Track each request to achieve timely approval & follow-up with appropriate individuals when not approved (15%)
• Display effective file management by maintaining documentation and detailed records of program participation, medications dispensed, and value of medications provided to patients via the Medication Assistance Program (10%)
• Complete consistent documentation in the electronic health record per program standard of practice (10%)
• Effective analysis and use of management data and reports to establish standards to monitor and improve contract performance (5%)
• Work with the Enrollment Services Department (5%)
• Directly enroll eligible patients into manufacturer patient assistance and co-pay programs (5%)
• Collaborate with other departments providing pharmacy related information to nurse case managers, complex case workers, health coaches, and patient navigators (5%)
• Work cooperatively with other staff members and clinic staff (5%)

Requirements

High School Diploma or GED Required
One to Three (3) years of pharmacy technician experience or equivalent experience performing prior authorizations Required
PHAT-Licensed Pharmacy Technician - DORA - Department of Regulatory Agencies Required or CPHT-Certified Pharmacy Technician - PTCB - Pharmacy Technician Certification Board Required or CPHT-Certified Pharmacy Technician - NHA - National Healthcare Association Required

Skills and Abilities

• Extensive knowledge of health care administration, including Medicare, managed care, Medicaid and CHP+ eligibility and enrollment processes
• Extensive knowledge of eligibility determination systems
• Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies
• Excellent communication and organizational skills
• Analytical thinking, problem solving, and process improvement skills
• Ability to work independently and with little supervision
• Ability to disseminate program information, policies, rules and/or regulations
• Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion
• Ability to consistently implement program, department and organizational policies and procedures
• Demonstrates exceptional interpersonal and customer service skills in all interactions with internal and external healthcare team members
• Demonstrates exceptional interpersonal and customer service skills in all interactions with patients
• Understands how state and federal laws, regulations, policies and procedures impact specific job responsibilities and functions
• Demonstrates actions to reasonably prevent, detect, and report unethical and unlawful business practices
• Proficiency with Microsoft Office required
• Proficiency with Epic, preferred

Benefits

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Comprehensive medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Pay

$52,300.00 - $73,200.00 / yr

Schedule

Regular