Chronic Care Pharmacy Specialist

2 weeks ago

Cambridge, Ohio, United States AndHealth Full time
Pharmaceutical Patient Advocate

Full Time

AndHealth is a pioneering healthcare technology organization dedicated to empowering individuals to overcome chronic health challenges. Our mission is to enhance accessibility and affordability of exceptional specialty care for everyone. We collaborate with healthcare systems, community health organizations, insurance plans, and employers to eliminate obstacles to care, ensuring equitable access for all individuals.

Key Responsibilities:
  • Engage proactively with patients managing chronic conditions to verify benefits and assist in identifying suitable secondary coverage options.
  • Conduct insurance verifications and medication coverage assessments, collaborating with healthcare providers to address formulary limitations.
  • Facilitate the completion of prior authorizations or appeals necessary for securing medication access for patients.
  • Maintain regular communication with patients regarding their current medication usage and ongoing requirements, liaising with in-house or contracted pharmacies.
  • Perform routine reassessments of patients' medication usage, identifying any concerns or side effects they may encounter.
  • Consult with pharmacists or healthcare providers regarding all clinical needs of patients, ensuring all clinical interventions or counseling are routed to a licensed clinician.
  • Assist patients in scheduling prescriptions, refills, or deliveries.
  • Document all patient interactions within specialty pharmacy software.
  • Generate regular reports to identify new patients, upcoming medication needs, and adherence-related data.
  • Support patients attending in-person visits by collecting vital signs and updating relevant health information.
  • Ensure patients receive necessary labs during in-person visits, schedule follow-up appointments, and provide printed orders for additional tests.
  • Administer health questionnaires to patients as needed, utilizing tablets and other technologies.
  • Guide patients in installing and accessing the AndHealth app on their mobile devices.
  • Manage patient referrals for specialty care.
  • Perform additional responsibilities as required.
Education & Licensure Requirements:
  • Bachelor's degree is preferred.
  • Certification as a Pharmacy Technician in the state of OH is required.
  • National certification - PTCB or ExCPT is preferred.
  • Willingness to obtain and maintain licenses or certifications across multiple states is essential.
Preferred Skills and Qualifications:
  • Minimum of 3 years of experience in pharmacy or nurse navigation is preferred.
  • Exceptional written and verbal communication skills.
  • Strong attention to detail with the ability to manage multiple tasks simultaneously.
  • Comfortable with technology and adaptable to new systems.
  • Willingness to travel as needed, with reliable transportation.
  • Organized and capable of working independently.
Additional Requirements:
  • Proof of negative TB skin test within the last 12 months.
  • Documentation of MMR immunity or a blood titer.
  • Proof of Varicella vaccination (2 documented doses or a blood titer).
  • Completion of Hepatitis B series.
  • Influenza vaccination is required.
  • COVID vaccination is required.
  • Additional health requirements may apply.
What We Offer:
  • A commitment to equal investment and support for our team and patients.
  • A dynamic and ambitious start-up environment that encourages innovation and rapid learning.
  • The opportunity to express creativity and conscientiousness while enjoying collaborative work.
  • A team of highly skilled, kind, and welcoming professionals, each bringing unique contributions.
  • Recognition that our collective success relies on collaboration, with ongoing opportunities for personal and professional growth.
  • Full-time employees are eligible for a comprehensive benefits package, including Medical, Dental, Vision Insurance, Paid Time Off, Short- and Long-Term Disability, and more.
We are an equal opportunity and affirmative action employer, committed to fostering diversity and creating an inclusive environment for all employees.

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