Lead Pharmacy Services Coordinator (VIVO Health - Retail)

Job Responsibility

• Collaborates with inter-professional team to enhance communication, coordinate care, and improve patient satisfaction.
• Leads team as a subject matter expert on outpatient pharmacy services, prescription insurance benefits, and financial assistance.
• Leads team on patient cases and is responsible for training/mentoring team members on technical skills.
• PARTNERS WITH PATIENTS TO DETERMINE MOST APPROPRIATE SOURCES FOR THEIR MEDICATION NEEDS AND REFERS PATIENTS TO APPROPRIATE PROGRAMS AND RESOURCES.
• Reviews prescriptions with outpatient pharmacies to confirm which medications need to be dispensed and provides necessary timeline for dispensing.
• SOLVES INSURANCE RELATED ISSUES AND COORDINATES PRIOR AUTHORIZATION REQUIREMENTS.
• EXHIBITS EXCEPTIONAL CUSTOMER SERVICE DURING INTERACTIONS WITH PATIENTS, CAREGIVERS, AND OTHER HEALTH CARE PROFESSIONALS.
• MAKES RECOMMENDATIONS TO LEADERS WITH RESPECT TO PROGRAM IMPACT AND AREAS FOR IMPROVEMENT TO SITE AND ORGANIZATIONAL LEADERSHIP.
• RESEARCHES AND RESOLVES COMPLEX PRIOR AUTHORITIES INCLUDING LETTERS OF MEDICAL NECESSITY, AND SUPERVISES TEAM MEMBERS WITH COMPLICATED AUTHORIZATION OR FINANCIAL ASSISTANCE TASKS.
• MAKES DECISIONS REGARDING DAILY PRIORITIES AND PROVIDE GUIDANCE TO TEAM MEMBERS ON NON-RUTINE OR ESCALATED ISSUES.

Job Qualification

• Associate's/Technical Degree or equivalent combination of education and related experience.
• 5-7 years of relevant experience, required.