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Pharmacy Liaison, Advanced Therapeutics, 40hr, Day

Role overview

Summary

This role supports the Advanced Therapeutics team at UMass Memorial Health by performing benefit investigations and managing prior authorizations. You will engage with patients and providers to facilitate medication access and improve operational efficiency within the pharmacy.

Qualifications

  • High school diploma or equivalent.
  • Current license with the Massachusetts Board of Pharmacy.
  • Certified by a national governing body such as PTCB or ExCPT, or must become certified within 6 months of hire.
  • Minimum of one year of related experience as a Pharmacy Technician.
  • Proficiency in math and ability to use a computer.

Responsibilities

  • Complete benefit investigations and document results on patient electronic medical records.
  • Submit prior authorizations to insurance and conduct follow-up inquiries as necessary.
  • Communicate manufacturer patient savings opportunities to providers and patients.
  • Coordinate prescription delivery with patients and maintain inventory of medications.

Key facts

  • Remote from: United States
  • Full time
  • Junior (1-2 years)
  • $46K – $67K / year
  • English

Hard skills

Other skills

  • Computer Literacy
  • Communication
  • Teamwork
  • Problem Solving
  • Strong Work Ethic

About the company

UMass Memorial Health logo

UMass Memorial Health

  • Hospitals & Health Systems
  • 10,001+
UMass Memorial Health is the health and wellness partner of the people of Central Massachusetts. Through pain and pandemics, our commitment to our communities never wanes. We use knowledge and innovation to create breakthrough medicine, to create jobs, and to make life better for those we serve. We are leaders in the training of physicians and those who work in every facet of health care. We make outstanding care accessible for all, regardless of ability to pay. We stand for quality, compassion, dignity, opportunity and fairness. And we are relentless in our pursuit of healing. UMass Memorial Health is the largest health care system in Central Massachusetts. We are the clinical partner of the University of Massachusetts Chan Medical School, with access to the latest technology, research and clinical trials. UMass Memorial Health: Locations in Central Massachusetts Our locations include: • UMass Memorial Medical Center (Worcester) • UMass Memorial Health – HealthAlliance-Clinton Hospital (Fitchburg, Clinton and Leominster) • UMass Memorial Health – Marlborough Hospital (Marlborough) • UMass Memorial Health - Harrington (Southbridge, Webster) • UMass Memorial Health - Milford Regional (Milford) • Community Healthlink (Worcester, Leominster) We have an affiliation with CareWell Urgent Care to provide regional urgent care services. Also, the UMass Memorial Medical Group provides high quality, low-cost outpatient surgery services at The Surgery Center in Shrewsbury. UMass Memorial Health Care by the numbers: 2,400 physicians on our active medical staff 3,000 registered nurses 20,000 total employees 1,200 beds in our hospitals

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Job description

Are you a current UMass Memorial Health caregiver? Apply now through Workday.

Exemption Status:

Non-Exempt

Hiring Range:

$23.81 - $35.08

(based on a full time schedule of 40 hours per week).

Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

830am to 5pm

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

10020 - 3834 ATRX Pharmacy

Union:

SHARE (State Healthcare and Research Employees)

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their 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.

Under direct supervision of 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.

Major 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.

Position Qualifications:
License/Certification/Education:
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.

Experience/Skills:

Required:

  • 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.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

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