Pharmacy Liaison

About the role

The Pharmacy Liaison will assist the clinical pharmacy team in managing prescriptions and patients with financial guidance. This will consist of running test claims to check for prior authorization requirements, test-claims to assess copays, and communicating with patients to ensure affordable copays and timely access to medications. They will also assist with the Disproportionate Share Hospital's 340B drug pricing program integrity on the hospital side (split billing and in-house retail pharmacy).

Responsibilities

• Ensure accuracy, appropriate destination pharmacy, and communication with patients regarding prescription updates.
• Collaborate with clinical pharmacy team to ensure access to specialty medications.
• Work on affordability and grant processes to determine if medication is covered for patients.
• Support pharmacy operations by coordinating prescription transfers, inventory management, delivery, refill requests, and prescription fulfillment.
• Aids in developing additional policies and procedures as the 340B program evolves with new regulations and legislature.
• Maintains third party administrator system databases to reflect changes in drug formulary or products.
• Manage purchasing, receiving, and inventory control processes for central fill pharmacy.
• Continuously monitor product minimums to balance product availability and inventory control.
• Perform monthly, quarterly, and annual DSCSA audits to verify compliance with the Drug Supply Chain Security Act requirements, including transaction documentation and medication traceability.
• Maintain accurate records of DSCSA transaction histories, statements, and transaction information in accordance with regulatory standards.
• Ensure compliance with the 340B program requirements of qualified patients, drugs, providers, vendors, payers, and locations.
• Follow existing 340B policy and procedure.
• Contribute to 340B quarterly meetings and discussions.
• Observe ordering processes integrating current pricing from the wholesaler and ensuring split billing chooses the correct product for the patient at the correct time.
• Ensure appropriate wholesaler accounts are invoiced and can be matched in third-party administrator system.
• Ensure compliance with GPO prohibition.
• Downloads, completes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings.
• Coordinates and ensures remediation of findings.
• Accountable agent for 340B Compliance. Day-to-day manager and liaison with 340B administrators.
• Aid in additional reporting or tasks as specified by the director of pharmacy or pharmacy operations manager.

Qualifications

• Education: High School Graduate or equivalent.
• Work Experience: 3 years of experience in the health care setting required. Experience with specialty medications, patient assistance, and assisting with affordability of medications preferred. Knowledge of purchasing, inventory control, distribution, and cost/price analysis preferred. Experience with 340B software and auditing preferred.
• Knowledge: Colorado Pharmacy Technician License Required and Pharmacy Technician Board Certification (CPhT) required. 340B ACE certification preferred. 340B Apexus Training Preferred.

Skills

• Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
• Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.
• Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.
• Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect and maintains a friendly demeanor; values the contributions of others.
• Customer Focus: Ensuring that the customer perspective is a driving force behind business decisions and activities; crafting and implementing service practices that meet customers’ and own organization’s needs.
• Energy: Consistently maintaining high levels of activity or productivity; operating with vigor, effectiveness, and determination over extended periods of time.
• Initiative: Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.
• Perseverance/Resourcefulness: Accesses and utilizes available resources inside and outside the company.

Benefits

Comprehensive Medical Coverage: Multiple Cigna health plans for Colorado, regional office and remote employees. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) available to pair with some plans.

Paid Time Off: Generous PTO accruals to use for vacation and sick days, and six paid holidays, all compliant with Colorado state sick leave regulations.

Dental & Vision Plans: Coverage effective the first of the month after hire.

Retail Savings: 403(b) plan with employer contributions after two years.

Wellness Incentives: Earn up to $200 annually for preventive health activities.

Tuition Reimbursement: Up to $5,250 annually for full-time and other employees.

Child Care Assistance: Childcare Flex Spending Account (FSA) with annual employer contribution.

Loan Forgiveness: Public Service Loan Forgiveness (PSLF) eligible employer.

Disability & Life Insurance: Employer-paid plans and optional buy-up choices.

Voluntary Benefits: Full suite of coverage options such as Accident, Hospital Indemnity and Legal Plan.

Exclusive Discounts: Savings on local services, insurance, and RTD bus passes.