About the role
Coordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines.
Description Medication Access Specialist - Specialty Pharmacy This position is an onsite role. Location: UCHealth Admin Lowry, Denver, CO Department: Pharmacy Atrium Work
Full Time, 80.00 hours per pay period (2 weeks)
Days
\$23.49 - \$30.53 / hour. Pay is dependent on applicant's relevant experience
High School diploma or GED. PHAT (Pharmacy Technician) certification from State Board of Pharmacy. Pharmacy Technician Certification (CPhT) by Pharmacy Technician Certification Board (PTCB).
Preferred: 2 years of Pharmacy Technician experience or 1 year of experience performing prior authorizations or refill renewals.
Provides access to medications for patients by completing Prior Authorization Requests (PAR), Co-pay Assistance Programs, Medication Assistance Programs, benefits investigation, processing refill renewal requests, assisting patients with health insurance enrollment, managing PAR and prescriptions renewal dates.
Coordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines. Compiles clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, ASO criteria, doctor visits). Compiles clinical information for pharmacist and nurses to utilize as refill renewal requests are processed via protocol.
Directly enrolls eligible patients into manufacturer patient assistance and co-pay programs. Provides information to patients on health care insurance coverage opportunities available through the Health Care Exchanges. Accurately obtains and records patients’ home medication lists, allergies, immunizations and medical diagnoses.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action. Employees are our number one asset.
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. * Recognition Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living. Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
Health and well-being Medical, dental and vision coverage. Access to 24/7 mental health and well-being support for employees and dependents. Discounted gym memberships and fitness resources.
Free Care.com membership. Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs. Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options. Employer-provided short-term disability and long-term disability with a buy-up coverage option. Retirement and savings 403(b) plan with employer matching contribution.
Additional 457(b) plan may be available. Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan. Education and career growth UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to \$10,000/year pre-paid by UCHealth or up to \$5,250/year in the form of tuition reimbursement. Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness. * Eligibility for some programs is based on an employee's scheduled work hours. We improve lives. In big ways through learning, healing, and discovery.
In small, personal ways through human connection. But in all ways, we improve lives. UCHealth always welcomes talent.
This position will be open for a minimum of three days and until a top applicant is identified. UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements.
No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.
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