**All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One + Student Loan Repayment Program + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support + Pet Insurance* + Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense) **Our promise to you:** Joining UChicago AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **Schedule:** Full Time **Shift** : Monday-Friday 8 am 4:30 pm **Location** : AdventHealth Bolingbrook MTM Clinic **The role youll contribute:** The Medication Access Coordinator is responsible for completing necessary functions to ensure optimal reimbursement for high cost, take home medications for patients receiving care in ambulatory clinics. Duties and responsibilities include: assistance with conducting and completing necessary third party prior authorization requests and associated services related to high cost medications, maximizing efficiency for patients and clinic staff. Other areas of responsibility include pre-screening patients for viable payment sources, managing reimbursement issues associated with high-cost medications, identifying opportunities for improving reimbursement from payers, compiling reports for contract optimization, completing the necessary paperwork for prior authorizations, and conducting retrospective utilization reviews on cases of payment denials or insufficient reimbursement. Participation in the quality management program is expected with the goal of improving services by monitoring processes, analyzing data, implementing interventions to improve and evaluating the effectiveness of those interventions. Responsibilities may include working to establish and maintain long- and short-term goals for the Quality Management Program; monitoring and documenting Quality Improvement Projects for progress in meeting quality improvement goals; and providing guidance and education to staff on Quality Management priorities and projects. **The value youll bring to the team:** + Improve patient service experience and maximize pharmacy revenue through provision of prior authorization services on behalf of clinics for select high-cost medications. + Conduct patient insurance, benefits and financial investigation and verification by directly communicating with patients. Complete prior authorization forms, negotiate authorization status with insurers, track status of prescription approval, and when necessary, alert clinical pharmacists of denials or nonresponse. + Facilitate enrollment of patients in patient assistance programs and collaborate with social services and case management on patient assistance. Assist pharmacists with preparing letters of medical necessity and coordinating peer-to-peer conferences. + Expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff. Communicate and collaborate regarding patient therapy interruptions, additional therapy monitoring requirements, and alternative care delivery setting options. + Communicates effectively with other members of healthcare team to provide appropriate escalation and handoffs with complex patient questions. + Facilitate adherence to medications by ensuring that patients receive prescribed medications in a timely manner. Make scheduled calls to patient to obtain clinical information regarding patients experience with therapy and to process prescription refills. Document and triage patient problems with therapy to the appropriate pharmacist; assure documentation of problem and follow-up with patient and assist with coordination of filling, packaging and delivery of prescriptions. Coordinate synchronization of patients prescriptions. + Observe and understand prescribing trends within ambulatory clinics to identify areas for improved specialty pharmacy contracting. + Under the guidance of the pharmacy management team, develop marketing materials and communication strategies with the goal of increasing patient recruitment and the prescription capture rate of high-cost take-home medications within retail pharmacies. + Assist with the development and implementation of policies and procedures to ensure reimbursement of high-cost medications. + Facilitate staff training and competency, education and practice advancement + Train new staff members + Coordinate with Manager to develop and maintain a training and competency program for specialty pharmacy technician staff that meets accreditation standards + Represent the department at hospital meetings, committees, and events as requested + Perform other duties as assigned by the pharmacist. + Works within mandated registered pharmacy technician scope of practice guidelines. Qualifications **The expertise and experiences youll need to succeed:** + High School Grad or Equiv Required + Five or More years of Related Work Required + Experience with pharmacy benefits plans and secondary insurance providers (copay assistance). + Accuracy and attention to detail for long periods of time; excellent organization skills. + Ability to interpret prescription and knowledge of the generic names of medications and medical terminology; vast understanding of mathematical principles to perform pharmaceutical calculations. + Ability to critically think through situations with good problem-solving skills + Good customer service skills and values teamwork. + Must be able to multitask and be flexible in moving from task to task within the department while maintaining composure and staying organized. + Basic to moderate proficiency skill set in MS Office: Word, Excel and Outlook. + Registered Pharmacy Technician (RPT-LIC), PTCB - Certified Pharmacy Technician (CPHT - PTCB) OR ExCPT pharmacy technician Required This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. **Category:** Pharmacy **Organization:** UChicago Medicine AdventHealth Bolingbrook **Schedule:** Full-time **Shift:** 1 - Day **Req ID:** 25028050 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.