Specialist, Medication Access en Signature Health Inc

Description

SCOPE OF ROLE

Reporting to Associate Director, Clinical Pharmacy, the Specialist, Medication Access will provide support for clinical teams and patients relating to prescription medication access. The Specialist, Medication Access, will assist with analyzing and determining necessary documentation components that support medical necessity of medication regimens. The Specialist, Medication Access, will assist and support other Medication Access and clinical team members by serving as an operational subject matter expert regarding medication logistics.

HOW YOU’LL SUCCEED

• Interface with insurance providers and applicable web-based portals to initiate and complete medication prior authorizations in a timely and efficient manner.
• Complete timely documentation in the patient electronic health record.
• Communicate documentation requirements relating to medications with clinical teams.
• Provide, in conjunction with Associate Director, Clinical Pharmacy, training to new members of the Medication Access team.
• Efficiently and effectively respond to incoming communications from patients, colleagues, and other collaborators, including but not limited to, telephone calls, emails, and other methods of electronic messages with a high level of customer service.
• Support excellent care by assisting patients with connection(s) to necessary services.     
• Identify improvement opportunities and offer solutions to drive growth, improve efficiencies, and advance patient care.
• Support pharmacy operations by performing duties as a pharmacy technician in centralized pharmacy when needed.
• Other duties as assigned. 

Requirements

KNOWLEDGE & EXPERIENCE

• High School Diploma or GED required. 
• Minimum 2 years previous healthcare experience as an Ohio licensed Registered or Certified Pharmacy Technician, Medical Assistant, or Licensed Practical Nurse required. Enrollment in and completion of Signature Health’s Pharmacy Technician Training Program will be required for non-pharmacy technician candidates.
• Administrative experience in prior authorization submission preferred.
• Valid unencumbered professional license or certification in relevant field required.
• American Heart Association (AHA) Basic Life Support (BLS) certification required.
• Demonstrated proficiency in basic computer skills (i.e., Microsoft Windows, Outlook, Teams, Word, PowerPoint, Excel)

WORKING CONDITIONS

• Work is normally performed in a typical interior/office/clinical work environment.
• While hours of operation are generally standard, flexibility to work evenings and extended hours may be required.
• Requires periods of sitting, standing, telephone, and computer work.  
• Hearing: adequate to hear clients or patients in person, over the telephone or through telehealth technology.
• Speaking: adequate to speak to clients or patients in person, over the telephone or through telehealth technology.
• Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
• Physical effort required: occasional lifting and carrying items weighing up to 15 pounds, unassisted.
• Possible exposure to blood borne pathogens while performing job duties.
• Frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular workday.
• Sufficient dexterity to operate a PC and other office equipment.

This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice.

All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are considered but not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer, all applicants must successfully pass a pre-employment drug screen.