About the Medication Care Coordination Team

The Medication Care Coordination Team (MCC) is a centralized team that works closely with 6 departments to help obtain prior authorizations (PA’s) for high-cost medications, quantity limits, tier exceptions, and non-formulary medications that are ordered by providers. The MCC team covers multiple provider offices and specialties and collaborates with insurance companies, pharmacies, and Corewell Health clinics to obtain the necessary information for completing a prior authorization and ensuring accurate prescription processing at the destination pharmacy. 

The Medication Care Coordination pharmacy technician will support medication access and prior authorization completion across a variety of ambulatory clinics. This is a hybrid position that will include initial onsite training, followed by the ability to work remotely once workflow competency is demonstrated.

ePA Scope of Work

Coordinates prior authorization and prescription processing at the destination pharmacy for non-specialty medications prescribed for patients of select Corewell Health clinics. 

This position is a supportive role for the systems ambulatory clinics. The tasks for this position will include, but are not limited to, completing pre and/or prior authorizations, assisting with patient assistance programs, scheduling patients from provider referrals or other registries, working with insurance companies to review coverages, communicating with patients and clinical staff, and managing parts of the medication use cycle. There will be additional opportunities to think innovatively and collaborate on projects with other departments and within our own department.

Pull, transcribe, and organize clinical information from patient charts into third party platforms or navigators.Complete authorization requests in a timely and efficient manor without compromising quality, to ensure patients receive their care as scheduled.Identify and schedule appointments for pharmacists from provider referrals, quality reports, and other available registries.Demonstrate the ability to utilize all payer websites to assist verifying patient’s coordination of benefits and authorization requirements.Assist with inventory and medication use cycle tasks if in clinic.Organize and track data for multiple payer programs and service lines.Communicate positively and effectively with patients, colleagues, and clinic staff.Adhere to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.

QualificationsRequired High School Diploma or equivalentPreferred Associate's Degree1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred1 year of relevant experience Epic Experience PreferredLIC-Pharmacy Technician - STATE_MI State of Michigan 90 Days requiredCRT-Pharmacy Technician, Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days requiredIdeal candidate will be a Pharmacy Technician possessing Full License and Pharmacy Technician National Certification, from PTCB or from NHAIdeal candidate will also possess Retail Pharmacy Technician experience as well as experience working with insurance companies and doing prior authorizationsIdeal candidate will be a self-starter possessing strong communication skills, and someone who is a team playerThis position will require 2-4 weeks of On-Site Training in Grand RapidsOnce training is completed, the Technician will work from homeThe team is required to come On-Site twice a year, once in the Spring and once in the Fall for Continued TrainingAlso may be asked to come On-Site if Additional Training is needed

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

On-demand pay program powered by Payactiv

Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

Optional identity theft protection, home and auto insurance, pet insurance

Traditional and Roth retirement options with service contribution and match savings

Eligibility for benefits is determined by employment type and status

Primary Location

SITE - 1810 Wealthy St SE - Grand Rapids

Department Name

Corporate Admin - Medication Care Coordination

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 4:30 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.