Specialty Pharmacy Patient Advocate

Primary City/State:

Gilbert, Arizona

Department Name:

BFP-MD Anderson

Work Shift:

Day

Job Category:

Pharmacy

*UP TO A $5,000 SIGN ON BONUS AVAILABLE*

Innovation and highly trained staff. Our Pharmacy team members play a critical role in ensuring the best care for our patients. Join a nationally recognized leader that values excellence and begin making a difference in people’s lives. Apply today!

As a Specialty Pharmacy Patient Advocate at Banner MD Anderson Cancer Center in Gilbert, you will provide direct patient care to patients and their caregivers by assisting with financial assistance and prior authorizations. You will also work with Provider consultations, provide Pharmacist verification, fulfillment and work alongside Pharmacy Technicians. Specialty experience or experience with prior authorizations and/or financial assistance will be needed in this role.  You will have the opportunity to work in a very rewarding line of work, with a high functioning team that offers opportunity for professional growth.

Your schedule will be Monday-Friday working 9AM - 5:30PM, no weekends or holidays currently required, (subject to change depending upon the needs of the business). This role requires flexibility with hours. Your first 10-12 weeks will require on-site training with hours of 8AM - 4:30PM. After training is completed, your hybrid schedule will be 9AM - 5:30PM, on a 4 - 5 week off - site and 2 weeks on site rotation.

Recruiter to provide sign-on eligibility during the interview process. 

Banner Pharmacy Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services to make a difference in people's lives. Clinical Pharmacy Services is responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention. As a division, Banner Pharmacy services provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices.

POSITION SUMMARY
This position will determine, support and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third-party prior authorization and billing processes for pharmacy benefits. Assist patients with enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a face-to-face bedside-oriented service that delivers comprehensive fiscal options to patients and provide medication cost after transplant. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and appropriate step therapy to third-party for initial insurance approval. Verify eligibility, benefit provisions, and support the appeals process.

CORE FUNCTIONS
1. Coordinate with stakeholders to remove medication access barriers.

2. Maintain current knowledge of pharmacy regulations, payer agreements and assistance programs.

3. Provide timely medication benefit counseling to patients and hospital staff.

4. Accurate and timely execution of pharmacy projects as required.

5. Follow policies, procedures and regulatory requirements and perform other work assignments.

MINIMUM QUALIFICATIONS

Licensed and registered pharmacy technician in the state of practice, where applicable. Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire.

Minimum of three years of healthcare and/or insurance/third party reimbursement experience required to include one year of technician experience required. Strong customer service focus, superior problem-solving abilities required. Proficiency in Microsoft Word, Excel, network, web-based and payer applications required. Ability to anticipate customer requirements and meet those needs in an appropriate and timely manner is required. Ability to prioritize organization requirements and track progress of multiple initiatives.

PREFERRED QUALIFICATIONS

Completion of a Pharmacy Technician Certification Program.

Associate’s or bachelor’s degree in business, healthcare or related field preferred. Prior authorization experience in specialty or retail pharmacy preferred. Knowledge of commercial, Medicare B, Medicare D and Medicaid pharmacy rules and regulations preferred. Knowledge and experience utilizing McKesson Enterprise, Cerner and Therigy preferred Bi-lingual preferred

Additional related education and/or experience preferred.

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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