Pharmacy Medication Liaison, Specialty Pharmacy Services

We are recruiting for a motivated Pharmacy Medication Liaison, Specialty Pharmacy Services to join our team!

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Department

DH Pharmacy Pav L

Job Summary

The Pharmacy Medication Liaison, under the general supervision of a pharmacist and in conjunction with clinical staff, is responsible for providing access to non-specialty and specialty medications for patients by completing pharmacy-benefit prior authorization requests (PAR), co-pay assistance programs, medication assistance programs, benefits investigation, coordinating refill renewal requests, managing PAR and prescription renewal dates, and assisting patients without health insurance to connect with the Enrollment department as applicable. Clinical and technical knowledge is utilized to operate web-based applications, work in Microsoft Word and Excel, and analyze and audit pharmacy usage reports.

Essential Functions :

Serve as a referral point and as the expert in submitting applications for patients to receive provided drug and co-pay assistance from pharmaceutical manufacturer assistance programs (20%)

Coordinate applications for assistance meeting drug-specific requirements for participation, including but not limited to forms, patient proof of income, relative clinical information, and physician or provider signature (20%)

Track each request to achieve timely approval & follow-up with appropriate individuals when not approved (15%)

Displays effective file management by maintaining documentation and detailed records of program participation, medications dispensed, and value of medications provided to patients via the Medication Assistance Program (10%)

Completes consistent documentation in the electronic health record per program standard of practice (10%)

Effective analysis and use of management data and reports to establish standards to monitor and improve contract performance (5%)

Works with the Enrollment Services Department (5%)

Directly enroll eligible patients into manufacturer patient assistance and co-pay programs (5%)

Collaborate with other departments providing pharmacy related information to nurse case managers, complex case workers, health coaches, and patient navigators (5%)

Work cooperatively with other staff members and clinic staff (5%)

Education :

High School Diploma or GED Required

Work Experience :

1-3 years One to Three (3) years of pharmacy technician experience or equivalent experience performing prior authorizations Required

Licenses :

PHAT-Licensed Pharmacy Technician - DORA - Department of Regulatory Agencies Required

CPHT-Certified Pharmacy Technician - PTCB - Pharmacy Technician Certification Board Required or

CPHT-Certified Pharmacy Technician - NHA - National Healthcare Association Required

Knowledge, Skills and Abilities :

Extensive knowledge of health care administration, including Medicare, managed care, Medicaid and CHP+ eligibility and enrollment processes

Extensive knowledge of eligibility determination systems

Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies

Excellent communication and organizational skills

Analytical thinking, problem solving, and process improvement skills

Ability to work independently and with little supervision

Ability to disseminate program information, policies, rules and / or regulations

Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion

Ability to consistently implement program, department and organizational policies and procedures

Demonstrates exceptional interpersonal and customer service skills in all interactions with internal and external healthcare team members

Demonstrates exceptional interpersonal and customer service skills in all interactions with patients

Understands how state and federal laws, regulations, policies and procedures impact specific job responsibilities and functions

Demonstrates actions to reasonably prevent, detect, and report unethical and unlawful business practices

Proficiency with Microsoft Office required

Proficiency with Epic, preferred

Shift

Work Type

Regular

Salary

$50,200.00 - $75,300.00 / yr

Benefits

Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

Free RTD EcoPass (public transportation)

On-site employee fitness center and wellness classes

Childcare discount programs & exclusive perks on large brands, travel, and more

Tuition reimbursement & assistance

Education & development opportunities including career pathways and coaching

Professional clinical advancement program & shared governance

Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

Respect

Belonging

Accountability

Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.