Pharmacy Access Specialist - Hybrid Remote Madison or Monroe WI
Job title: Pharmacy Access Specialist - Hybrid Remote Madison or Monroe WI in Monroe, WI - Madison, WI at
Company:
Job description: It's more than a career, it's a calling WI-Monroe Clinic HospitalWorker Type:RegularJob Highlights:At SSM Health, we know the healing power of presence begins with compassionate employees like you. As a Pharmacy Access Specialist, youâve chosen a career where patients matterâa lot. The Pharmacy Access Specialist plays an integral role in our care team, and we see it as a partnership. Our mission and values put the patient first and place you in a position to improve each day.In return, you can expect a work environment where employees feel valued, respected, and free to express themselves; each employee finds meaning in work, leveraging skills, and talents toward a greater purpose; teamwork and collaboration are encouraged, while management is supportive.
Department: Pharmacy Access Supporting the SSM Healthâs Monroe Clinic
Schedule: Full Time, Day Shift, Mon-Fri 8am-4:30pm.
No Weekends
Starting Pay: 23.86 (Offers are based on years of experience and equity for this role.)
Shift Differentials: Evenings-1.50, Nights-2.25, Weekends 2.15
Location: Can be based in either Madison or Monroe Wisconsin
If each patientâs needs, wants, and goals matter to you⌠then weâd love to learn more! Please fill out your application today.Job Summary: Increase patient access and adherence to medically necessary pharmaceuticals by managing patientâs insurance benefits and utilizing established patient assistance programs. Provides value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment (patient assistance and indigent programs).Job Responsibilities and Requirements:PRIMARY RESPONSIBILITIES
Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care.
Review patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention and eligibility for prescription assistance.
Improves patient service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties.
Serves as primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs.
Coordinates services with appropriate departments and internal patient care team members regarding patients who have limited financial resources for paying for medications and facilitates medication access to support discharge preparations.
Interacts with hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff.
Reviews complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information.
Performs other duties as assigned.
EDUCATION
Bachelor's degree or equivalent years of experience and education
EXPERIENCE
No experience required
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONSState of Work Location: Illinois
Pharmacy Technician, Registered - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
Pharmacy Technician - Missouri Division of Professional Registration
Or
MO Registration Application and Fingerprint Process Complete AT TIME OF HIRE - Missouri Division of Professional Registration
And
FUTURE - Pharmacy Technician, Registered within 6 months - Missouri Division of Professional Registration
State of Work Location: Oklahoma, Wisconsin
N/A
Work Shift: Day Shift (United States of America)Job Type: EmployeeDepartment: 7721000165 Pharmacy AccessScheduled Weekly Hours: 40Benefits:SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.
Expected salary:
Location: Monroe, WI - Madison, WI
Apply for the job now!
Apply Now
Company:
Job description: It's more than a career, it's a calling WI-Monroe Clinic HospitalWorker Type:RegularJob Highlights:At SSM Health, we know the healing power of presence begins with compassionate employees like you. As a Pharmacy Access Specialist, youâve chosen a career where patients matterâa lot. The Pharmacy Access Specialist plays an integral role in our care team, and we see it as a partnership. Our mission and values put the patient first and place you in a position to improve each day.In return, you can expect a work environment where employees feel valued, respected, and free to express themselves; each employee finds meaning in work, leveraging skills, and talents toward a greater purpose; teamwork and collaboration are encouraged, while management is supportive.
Department: Pharmacy Access Supporting the SSM Healthâs Monroe Clinic
Schedule: Full Time, Day Shift, Mon-Fri 8am-4:30pm.
No Weekends
Starting Pay: 23.86 (Offers are based on years of experience and equity for this role.)
Shift Differentials: Evenings-1.50, Nights-2.25, Weekends 2.15
Location: Can be based in either Madison or Monroe Wisconsin
If each patientâs needs, wants, and goals matter to you⌠then weâd love to learn more! Please fill out your application today.Job Summary: Increase patient access and adherence to medically necessary pharmaceuticals by managing patientâs insurance benefits and utilizing established patient assistance programs. Provides value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment (patient assistance and indigent programs).Job Responsibilities and Requirements:PRIMARY RESPONSIBILITIES
Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care.
Review patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention and eligibility for prescription assistance.
Improves patient service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties.
Serves as primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs.
Coordinates services with appropriate departments and internal patient care team members regarding patients who have limited financial resources for paying for medications and facilitates medication access to support discharge preparations.
Interacts with hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff.
Reviews complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information.
Performs other duties as assigned.
EDUCATION
Bachelor's degree or equivalent years of experience and education
EXPERIENCE
No experience required
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONSState of Work Location: Illinois
Pharmacy Technician, Registered - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
Pharmacy Technician - Missouri Division of Professional Registration
Or
MO Registration Application and Fingerprint Process Complete AT TIME OF HIRE - Missouri Division of Professional Registration
And
FUTURE - Pharmacy Technician, Registered within 6 months - Missouri Division of Professional Registration
State of Work Location: Oklahoma, Wisconsin
N/A
Work Shift: Day Shift (United States of America)Job Type: EmployeeDepartment: 7721000165 Pharmacy AccessScheduled Weekly Hours: 40Benefits:SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.
Expected salary:
Location: Monroe, WI - Madison, WI
Apply for the job now!
Apply Now