Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
Henry Ford Health
Date: 12 hours ago
City: Rochester Hills, MI
Contract type: Full time
General Summary
Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.
Principle Duties And Responsibilities
Education/Experience Required
- Eligible for $2,500 Sign on Bonus***
Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.
Principle Duties And Responsibilities
- Performs benefits investigation, prescription prior authorization, and researches financial assistance needed to ensure patients have access to medications needed.
- Interprets patient treatment plans and medical notes for purposes of facilitating patient care.
- Evaluates any pharmacy related inquiries (i.e., financial barriers, therapy management related outcomes, non-adherence to therapy) and communicates with nursing, providers, social workers and physician staff any additional requirements or potential barriers to the treatment plan.
- Performs all necessary steps during order entry to ensure order gets to final verification. Ensures the process is completed quickly, accurately, and in accordance with patient’s needs while maintaining the highest customer service/quality of care.
- Performs online ordering of prescriptions submitted to pharmacies.
Education/Experience Required
- Requires a High school diploma or G.E.D. Associates degree preferred
- Requires State of Michigan Pharmacy Technician License.
- Requires a minimum of two years of previous pharmacy technician experience.
- Previous experience as a specialty pharmacy technician preferred.
- Organization: Community Care Services
- Department: Pharmacy Advantage Rochester H
- Shift: Day Job
- Union Code: Not Applicable
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