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Pharmacy Liaison

Req ID: 6913
Location: Chicago - North Side
# of Openings: 1
Shift:
FT/PT: Full time
Employment Type: Regular
Salary Schedule: 2
Job Notes:

Description

Summary :  The pharmacy liaison serves as a key member of the clinical care team to ensure medication access to participants within the scope of federal and state medication insurance mandates. The liaison will be responsible for supporting the coordination of medication refills and prior authorization requests in collaboration with clinical staff, pharmacies, and managed care organizations to ensure prescribed medications are accessible to participants despite insurance status. The pharmacy liaison is responsible for monitoring, ordering, receiving, and tracking the clinic medication inventory within the clinic setting to maintain on-site access to acute medication and treatment needs of the participant. 

 

Essential Duties and Responsibilities:

  1. Maintains a monthly inventory of clinic, sample, and outreach medications. This includes the ordering, receiving, and ensuring proper and safe storage of clinical stock medications for uninsured/underinsured participants.

  2. Assists in reviewing incoming pharmacy faxes for medication refills and patient phone calls for new medications requests, and prior authorizations in collaboration with the nursing team.

  3. Utilizes Electronic Medical Record system to review written prescriptions and verify the information of refill request is complete and accurate prior to sending the request to clinical team.

  4. Completes prior authorizations required by insurance companies/managed care organizations (MCOs) and monitors the outcome of request. Ensures authorizations are submitted timely to meet FTCA standards and audits.

  5. Supports participant access for specialty medications through patient assistance programs to obtain, but not limited to HIV medication and PrEP.
  6. Communicates with participant and provider on status of prior authorization to ensure participant medication needs are met.
  7. Knowledgeable of 340b policies and HAH’s medication assistance program to maintain HAH’s fiscal responsibility through the utilization of patient assistance programs.

  8. Monitors and reports unsolicited prescriptions from unidentified pharmacies.

  9. Monitors trends in insurance formularies and updates clinical providers on new formulary changes and preferred medication coverage.

  10. Provides clarification to pharmacists regarding prescribed medications, including dose and frequency, as documented by patient’s provider.

  11. Takes direction from other key staff like nurses, participant’s providers, MA Supervisor, etc.

  12. Performs other duties as assigned that are in alignment with this role’s work in serving HAH’s mission.

Skills/Abilities:

  • Strong interpersonal and excellent phone/in-person customer service skills.

  • Ability to work independently and motivated to demonstrate critical thinking and problem solving skills

  • Detailed oriented with high level of attention to documentation and written communication.

Qualifications:

  • Education and/or Experience: Required High School Diploma or equivalent with a minimum of 2-3 years working in a healthcare, pharmacy, or Certified Medical Assistant with 2-3 years experience serving homeless in a medical clinic. Bachelor’s degree preferred.

  • Certifications: National Certified Pharmacy Technician (CPhT) preferred.

    Work schedule requirements: Ability to work Monday-Friday that can fluctuate during the week and generally begin no earlier than 7:00 a.m. and end no later than 6:00 p.m.  Some Saturdays may be required.

  • Organizational skills: Exceptional skills in keeping organized, working in a fast-paced environment, meeting productivity metrics.

  • Interpersonal Communications: Exceptional interpersonal abilities that include being highly relational and work to overcome obstacles.

  • Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.

  • Mathematical Skills: Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis.

  • Conflict Management: Demonstrated ability to help others through emotional or tense situations, tactfully bring disagreements into the open, defusing tension, and define solutions that everyone can endorse.

  • Computer Skills: Ability to use Microsoft Office suite with a strong knowledge of Outlook, Excel, and Word required.

  • Other Skills: Experience working with people who are very low income and people of different races and ethnicities.

    Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Frequently required to sit, stand, and walk.
  • Occasionally required to stoop, kneel, climb, and/or crawl
  • Ability to lift up to 25 lbs.
  • Frequently required to use hands to key, handle, and/or feel.
  • Unrestricted ability to provide physical restraint.

Work Environment:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • May be exposed to air-and/or blood born pathogens.

Heartland Alliance makes all hiring and employment decisions without regard to race, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, physical or mental disability, sexual orientation, sexual identity, immigrant status, political affiliation or belief, ex-offender status (depending on the offense and position to be filled), unfavorable military discharge, membership in an organization whose primary purpose is the protection of civil rights or improvement of living conditions and human relations, height, weight, or HIV infection, in accord with the Organization's AIDS Policy Statement of September, 1987. Individuals with disabilities requiring accommodation should contact the Employee Services Office at (312) 660-1431.

 



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