Pharmacy Care Coordinator Specialist

1 week ago

St Petersburg, United States Empath Health Full time
Job Summary

We are seeking a highly skilled Pharmacy Care Coordinator to join our team at Empath Health. As a member of our Pharmacy team, you will play a critical role in coordinating 340B pharmacy services to enrolled clients, working closely with both the pharmacy and EPIC to ensure continuity of care.

Key Responsibilities
  • Assist the Pharmacist with daily operations of the pharmacy care programs.
  • Answer incoming calls to the pharmacy and handle callers with a pleasant and friendly demeanor.
  • Manage and handle all incoming faxes appropriately and efficiently.
  • Complete data entry of patient and prescription information into the pharmacy system.
  • Complete patient welcome and refill compliance calls according to talking points and procedures.
  • Manage communication with prescribers to resolve issues and provide updates on patient and prescription status.
  • Adjudicate prescription claims in the pharmacy system to ensure accurate billing and payment for product.
  • Complete benefits investigations for patients and resolve any payer rejections, such as prior authorization coordination, and appeals.
  • Enroll and coordinate patient financial assistance and support services, like copay cards, funding assistance, and manufacturer support programs.
  • Work with patients to synchronize medication dispenses and assist with adherence programs.
  • Coordinate prescriptions for pick up or home delivery, tracking all deliveries and ensuring signature paperwork is filed appropriately.
  • Maintain compliance with company policies and procedures, and comply with all laws regulating pharmacy services.
  • Prepare reports by collecting and summarizing information, including dispensing records, 340B compliance reports, delivery records, and inventory records.
  • Work with the Operations Manager/Supervisor to maintain compliance with the 340B pricing program.
  • Collaborate with the 340B Covered entity on the enrollment of new clients to ensure smooth transitions from previous pharmacies.
  • Adhere to driver safety guidelines.
  • Perform other duties as assigned by the Pharmacist.
Requirements
  • High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
  • Florida Pharmacy Technician License.
  • Continuing education: 20 Hours Biennial.
  • Knowledge of Pharmacy Benefit Management (PBM) procedures and processes.
  • Demonstrate ability to compile and analyze data from various sources.
  • The ability to work with minimal supervision, prioritize, and multi-task with little or no disruption of work flow; strong analytical and problem-solving skills.
  • Intermediate Excel and report skills, with additional experience entering and retrieving data on a computer.
  • Excellent communication and organization skills; composing written statements and proof-reading correspondence.
  • Good knowledge of medical and pharmaceutical terms and abbreviations.
  • Skill in typing/keyboarding at a minimum of 30 words per minute.
  • Minimum 3-5 years of experience in Retail, Managed care, PBM, Hospital, Home Health Care, or Long Term Care Pharmacy settings desired.
  • Demonstrate an understanding of 340B program requirements.
About Empath Health

Empath Health values diversity as it strengthens our community and care. We embrace the diversity of cultures, thoughts, beliefs, and traditions of our employees, volunteers, and people we are honored to serve across our network.

Our diverse staff reflects our community, and each day, we work to be respectful, sensitive, and competent with each other and those in our care.

In every journey, we are dedicated to achieving comfort, dignity, and exceptional care. Those of all backgrounds are welcome and encouraged to apply with us or seek our care and services.

Our commitment to patient, client, staff, and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm.

Participation in the seasonal influenza program is a condition of employment and a requirement for all Empath Health employees.

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