Pharmacy Liaison- Advanced Therapeutics, 40hr, Day

About the role

Under direct supervision of the operations manager, performs benefit investigation tasks such as running test claims, submitting prior authorizations, documenting on the patient chart, and completing patient outreach and follow‑up calls. At UMass Memorial Health, everyone is a caregiver – regardless of title or responsibilities. Exceptional patient care, academic excellence and leading‑edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Responsibilities

• Completes benefit investigations when requested by Advanced Therapeutics PharmD and APP team and appropriately documents result on patient electronic medical record.
• Submit prior authorizations to insurance via different methods including online and telephone.
• Appeal decisions as necessary and conduct follow up phone call inquiries to insurance.
• Knowledgeable in manufacturer patient savings opportunities and communicates information clearly and effectively to providers and patients.
• Performs follow up phone calls to patients as needed regarding insurance decisions, rejections, and prescription filling information.
• Maintains a perpetual inventory of appropriate medications from internal pharmacies and communicates to clinic team daily.
• Coordinates prescription delivery with patient and Home Delivery pharmacy and queues prescription up for home delivery team.
• Maintains a clean work area and assists in quality indicator monitoring.
• Participates in identifying problems or areas for improvement and assists manager with problem solving projects and improving operations; participates in Continuous Quality Improvement activities and/or teams.

Qualifications

Required: High school diploma or equivalent. Current license with the Massachusetts Board of Pharmacy. Certified by one of the national governing bodies such as Pharmacy Technician Certification Board (PTCB) or the National Healthcareer Association (ExCPT). If the individual is not nationally certified they must become certified within 6 months of hire.

Skills

Minimum of one year of related experience as a Pharmacy Technician. Position requires proficiency in math and knowledge and ability to use a computer. Must be able to follow oral and written instructions with accuracy, efficiency, and dependability. Ability to work in a hybrid or remote environment. Positive work ethic, motivated and professional demeanor to promote teamwork in the department. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Pay

Exemption Status: Non‑Exempt. Hiring Range: $23.81 - $35.08. Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule

Monday through Friday, Scheduled Hours 8am to 5pm, Shift 1 - Day Shift, 8 Hours (United States of America), 40 hours per week. Cost Center 10020 - 3834 ATRX Pharmacy. Union: SHARE (State Healthcare and Research Employees). This position may have a signing bonus available; eligibility will be confirmed during the interview process.