Pharmacy Care Coordinator II
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Baptist Health is hiring a Pharmacy Care Coordinator II. The Specialty Pharmacy Care Coordinator acts as an extension of ambulatory clinic teams to support patient access to high‑touch, complex medication therapies, working in a centralized specialty pharmacy call‑center under pharmacist supervision. The role involves teamwork, leadership, flexibility, and collaboration with insurance companies, nursing, and social workers to obtain medication authorizations and ensure affordability.
Key focus areas include Perform benefit investigations to verify patient eligibility for prescribed specialty medications., Maintain current knowledge of payer formularies and reimbursement., and Support third‑party prior authorization process and obtain appropriate overrides to improve speed to therapy..
Important skills include Collaboration, Leadership, Adaptability, Communication, Empathy, and Compassion.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Experience Required
1 - 20 years
Minimum Education Required
High School Diploma/G.E.D.
Compensation
$7.25 / hourly
Hours Per Week
40
Number Of Positions
1
Work Schedule and Shift Requirements
First (Day)
Job Description
Summary
Job Description:
Pharmacy - Specialty Pharmacy Care Coordinator
FULL TIME - DAYS/1ST SHIFT
Job Description:
The Specialty Pharmacy Care Coordinator acts as an extension of the ambulatory clinic teams to support patient access to high touch, complex medication therapies. This position is based in a centralized specialty pharmacy call center setting under pharmacist supervision. The Specialty Pharmacy Care Coordinator functions in a multi-skilled environment which requires the application of teamwork, leadership and flexibility. Works in collaboration with insurance companies, nursing, and social workers to obtain appropriate authorization for medications including registration with drug specific manufacturer programs when applicable. Performs tasks related to prescription billing including completing benefits investigations, assisting with the prior authorization process, and locating copay assistance options for patients to ensure affordability of specialty medications. Assists with call center intervention outcomes tracking to monitor value of services. Coordinates telephonic patient outreach for new and enrolled patients to ensure continuity of care and optimize patient outcomes.
Completes benefit investigations to verify patient eligibility for prescribed specialty medications.
Maintains current knowledge of payer formularies and reimbursement.
Engages in personal development to stay updated with pharmacy trends related to role and practice setting.
Supports third party prior authorization process and obtain appropriate overrides to improve speed to therapy for new patients.
Maintains accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy.
Triages patient or caregiver clinical questions, medication related concerns, and third-party insurance denials to the pharmacist for intervention as appropriate.
Utilizes Electronic Health Record to maintain communication between departments and ensure accurate documentation of patient care activities.
Serves as the primary point of contact with patients related to specialty medication needs and shows empathy and compassion to patients and caregivers.
Facilitates enrollment of patients in patient assistance programs to maximize copay savings and assist with gathering appropriate documentation.
Utilizes technology to organize daily outreach tasks to complete prescription refills, delivery coordination, and claim processing on time.
Demonstrates commitment to the quality, philosophy, and values of Baptist Health by maintaining compliance with established policies and procedures, organizational objectives, process improvement, and safety standards.
Essential Qualifications:
High School or GED Required
No Experience Required - 1 year Preferred.
Registration with Kentucky Board of Pharmacy upon hire date
National Pharmacy Technician Certification required
BLS required.
Benefits: Full-Time 32 weekly hours (0.8 FTE) - 40 weekly hours (1.0 FTE)
Health, Vision, Dental and Pet Insurance
Life Insurance
Short Term and Long-Term Disability and Life Insurance
Identity Theft Protection
Tuition Reimbursement up to $6,000 annually
Company paid Maternity and Paternity Leave
5 days of Paid Time Off available upon hire
Bereavement Leave (includes pets)
PTO Sell Back Program
Compassionate Leave Sharing Program (PTO Donation)
Employee Support Fund, for employees in need of emergency financial support
Retirement with Company Match
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an Equal Employment Opportunity employer.
"EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to r ace, color, national origin, gender, s exual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing.
NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES
Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056."
Job Type
Full time
Benefits Offered
Not specified
Veteran Preference
No
Place of Work
On-site
Requisition ID
R26105151
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