• Pharmacist PD

    UNC Health Care (Durham, NC)


    Description

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

     

    Summary: This remote PRN pharmacist position supports the Medication Assistance Program (MAP) Pharmacy team and works closely with appeals nurses, clinic staff, and providers. The position reports directly to the Clinical Pharmacy Manager for MAP Pharmacy Benefit Services.

    Responsibilities:

    Responsibilities include drafting appeal letters for prior authorization denials, submitting and following up on appeals with payers, and serving as a clinical resource for the team and its partners. Additional responsibilities may include care coordination, appeals data review and performance metrics, and education.

     

    1. 1Assess patient medication access needs and compile appeal letters based on the clinical documentation in the electronic health record using supporting data citations. Submit appeal letters and supporting documentation to payors and follow-up on status updates. Acts as a liaison between the patient, family and health care team to communicate patient care needs related to insurance requirements and medication assistance.

    2. Collaborate with the healthcare team to provide information and resources that support patient care.

    3. Collect data related to specialized patient populations and ensure accurate entry into databases and registries for benchmarking and reporting.

    4. Promote ongoing professional development by attending presentations, conferences, and reviewing current literature and research. Serve as a role model for professional pharmacy practice through the demonstration of professional behaviors.

    5. Identify and participate in process improvement opportunities, including data-driven assessments, workflow optimization, and research initiatives

     

    Other Information

    Other information:

    Education Requirements:

    • PharmD or BS Pharmacy Degree

    Licensure/Certification Requirements:

    • Active pharmacist licensure with the NC Board of Pharmacy or obtainable before initiation of employment. Recent graduates of ACPE-accredited colleges/schools of pharmacy may fill this role while pending initial pharmacist licensure, but are subject to limitations mandated by the NC Board of Pharmacy and must obtain licensure within 6 months of orientation or sooner if required for operations.

    Professional Experience Requirements:

    • No prior experience required. Medication Access/Appeals experience preferred.

    Knowledge/Skills/and Abilities Requirements:

    Job Details

    Legal Employer: NCHEALTH

     

    Entity: Shared Services

     

    Organization Unit: Amb. Pharm Care Network - MAP

     

    Work Type: Per Diem

     

    Standard Hours Per Week: 8.00

     

    Salary Range: $50.99 - $73.28 per hour (Hiring Range)

     

    Pay offers are determined by experience and internal equity

     

    Work Assignment Type: Remote

     

    Work Schedule: Day Job

     

    Location of Job: US:NC:Durham

     

    Exempt From Overtime: Exempt: Yes

     

    This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

     

    Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

     

    UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.

     

    Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.