Medication Access Navigator

5 days ago


East Case, United States LifeBridge Health Full time

The role of the Medication Access Coordinator within LifeBridge Health plays a vital part in ensuring patients have access to various financial resources for their medications. This responsibility involves evaluating the financial circumstances of uninsured or under-insured patients, guaranteeing adherence to regulatory requirements, and upholding patient confidentiality and dignity.

This position requires determining eligibility for medication assistance or any available financial aid, working closely with the Clinical Team to optimize the organization's efforts in mitigating unnecessary financial losses linked to high-cost medications.

As a patient advocate, the coordinator acts to resolve issues related to medication payment and coverage, conducting thorough patient interviews to assess potential qualification for Medication Assistance Programs and Foundations. Effective communication with representatives of assistance programs, as well as with patients, physicians, pharmacists, and other relevant stakeholders, is crucial for both the maintenance of patients in existing medication assistance programs and the initiation of new programs.

The coordinator also conducts prior authorizations as needed, adhering to insurance requirements, and ensures that patients receive the maximum coverage available for brand name medications. Additionally, they actively utilize manufacturer's patient assistance programs for brand name and specialty medications, providing crucial support to eligible patients and further optimizing access to essential medications.

Key Responsibilities:

  • Determines eligibility for medication assistance or financial aid
  • Collaborates with Clinical Team to mitigate financial losses
  • Acts as patient advocate for medication payment and coverage
  • Conducts patient interviews for medication assistance program qualification
  • Communicates effectively with stakeholders
  • Conducts prior authorizations and ensures maximum insurance coverage
  • Utilizes manufacturer's patient assistance programs

Requirements:

  • 3 Years Minimum of Pharmacy Retail Technician Experience
  • 2 Years of Hospital Pharmacy Experience
  • PTCB - Certified Pharmacy Tech
  • Maryland registration and certified Pharmacy Tech

LifeBridge Health, one of the largest healthcare providers in Maryland, strives to CARE BRAVELY for over 1 million patients annually. We offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as opportunities for professional growth and development.



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