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MO-SSM Health Mission Hill

Worker Type:

Regular

Job Highlights:

Join SSM Health as a Pharmacy Technician Coordinator. Make a meaningful impact by ensuring patients receive timely access to essential medications. Ideal candidates are detail-oriented professionals dedicated to navigating complex insurance processes and enhancing patient care through effective coordination.

See additional job details below:

+ 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.

Job Summary:

Under the direct supervision of a pharmacist and in accordance with standard procedures, provides coordination and leadership for workflows and process improvement within a specialized operational area that spans multiple ministries. At least 80% of time is dedicated to this focused role, which may include areas such as community operations, technology and automation, regulatory compliance, finance, medication access and adherence, transitions of care, and purchasing.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

+ Performs daily services and functions of the specialized role at multiple ministries or in a centralized service model. Interacts in a matrix manner that includes learning multiple workflows for various sites, travel, managing matrix relationships and collaborating across team members and ministries to prioritize and efficiently complete work. Solves issues in the specialized area as they arise. Ensures documents and records are accurate and completed in a timely manner.

+ Serves as a resource in the specialized area for other regional, system, and/or external stakeholders. Solves complex problems that may impact more than one ministry and ensures that issues are escalated and closed as needed.

+ Complies with legal, regulatory, and accreditation standards. Keeps current with changes in the specialized field and collaborates with department leadership to adopt best practices. Coaches team members across multiple ministries when practice standards are not upheld.

+ Conducts reviews and audits of specialized area. Reports and monitors KPIs to ensure optimal performance. Identifies quality improvement opportunities based on specialized skill set to ensure safe, effective, and efficient services and patient care. Creates system standardization and leads implementation of operational changes and advancements. Participates in regional or system specialized work teams, committees, and councils.

+ Collaborates with regional or system leaders to develop and coordinate team member education, training, orientation, and competency. Trains other team members in specialized area. Prepares and distributes work schedules and provides cross-coverage for specialty area, as assigned.

+ Serves as the multi-ministry or regional liaison to regional or system pharmacy teams in specialty area. Collaborates with leadership to communicate changes in specialty area.

+ Provides excellent customer service to patients, other staff and ancillary departments and maintains high standards of confidentiality in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

+ Works in a constant state of alertness and safe manner.

+ Performs other duties as assigned.

EDUCATION

+ High School diploma/GED or 10 years of work experience

EXPERIENCE

+ Three years’ experience as a pharmacy technician or relevant healthcare field

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 CERTIFICATIONS

State of Work Location: Illinois

+ Pharmacy Technician, Registered - Illinois Department of Financial and Professional Regulation

+ (IDFPR)

+ Or

+ FUTURE - Pharmacy Technician, Registered within 2 months - Illinois Department of Financial and Professional Regulation (IDFPR)

+ And

+ IL Registration Application Process Complete At Time Of Hire - 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 Finger Print 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: Wisconsin

+ Pharmacy Technician, Registered - Wisconsin Department of Safety and Professional Services

+ Or

+ WI Registration Application Number (PAR) - Wisconsin Department of Safety and Professional Services

+ And

+ FUTURE - Pharmacy Technician, Registered within 6 Months - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

3931000130 Pharmacy Access STL Network

Scheduled Weekly Hours:

40

Benefits:

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.

Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits)

_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._ Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205881493.704955970.1667719643-240470506.1667719643)