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Pharmacy Tech Certified (Retail)- 40hrs/wk day/evening - Brighton Massachusetts
Company: Steward Health Care Location: Brighton, Massachusetts
Posted On: 04/25/2024
Location: St. Elizabeth's Medical Center Posted Date: 12/18/2023 Job Type: See job requirements for other schedule information Department: 0101.56190 SEH SEHC Pharmacy Pharmacy Tech (Retail) - full-time 40hrs/wk, dayevening shift, 11a-7:30p/12:30p-9pm Mon-Fri, weekends required as needed. We are fighting for a healthier world and a new era of wellness! Over a decade ago, we set out to build an entirely different kind of health care company from the ground up-one that unlocks access to affordable, high-quality, and economically sustainable care and wellness in ways never imagined. Today, we are one of the largest private, physician-led health care networks-caring for millions of people across the U.S. Our transformative, fully integrated model represents a new beginning for America's health care system and others around the world. We have hospitals across 7 states serving over 800 communities, with more than 43,000 employees. We are ushering in a new day of world class health care. From renowned pediatricians, sports medicine specialists and cardiac surgeons to state-of-the-art hospitals, urgent care centers and medical practices, we can offer easier access to high-quality affordable health care to people nationwide - when they need it and where they want it. St. Elizabeth's Medical Center, a Boston University Teaching Hospital, provides patients and families access to some of Boston's most respected physicians and advanced treatments offering specialized care, including: - Advanced Center for Cardiac Surgery
- da Vinci - Robotic surgery program; Mako Robotic-Arm Assisted Surgery
- Level III Neonatal Intensive Care Unit (NICU)
- Award-winning bariatric surgery program
- Dana-Farber Cancer Institute at St. Elizabeth's Medical Center
- State-of-the-art emergency care with short wait times Our medical staff, made up of some of the highest rated physicians in Boston, treats patients in our community practices in neighborhoods, including Allston, Boston, Brighton, Brookline, Newton, Watertown and Weston. Benefits:
- Grow with a health system that supports career advancement
- Competitive Pay & Salary Increases
- Employee Referral Program
- Locations close to home, that support work-life balance
- Affordable Medical, Dental and Vision Coverage
- 401k via Fidelity, for eligible employees, with company match
- Tuition Assistance / Reimbursement
- Family atmosphere and team approach that provides flexibility
- Opportunities to grow your career, and not change your employer
- And much more! Job Summary - Under the supervision of the Director of Pharmacy in conjunction with the Manager of Clinical-Specialty Pharmacy, is responsible for setting up cases in various applications for drug prior authorization (PA) requests and performs daily quality checks to ensure compliance. Within this role, this person will provide patient care by removing the barriers to medication access. Will work closely with Point 32 Health, which manages PA coding with our Pharmacy Benefit Manger for US Family Health Plan (USFHP) insurance. Will process the formulary changes from the Tricare Beneficiary Advisory Panel minutes for USFHP members and coordinate medication coding updates in conjunction with Point 32 Health to ensure proper formulary drug coding through our PBM. Will be the liaison with clinician offices to facilitate approval of medications through prior authorizations. The coordinator will run claims once authorization is approved and reach out to members and providers as necessary. This role will oversee the daily operations for prior authorization management activities designed to achieve quality and service driven objectives. Educates and directs Pharmacist and Pharmacy Technicians for all related processes in this workflow. Qualifications Minimum Education/Experience:-- -
High School Diploma or equivalent required. Must have at least 3 years' experience with pharmacy and medical prior authorization processes and electronic health records. In addition, must have at least 3 years' experience working with insurance formularies and coding with pharmacy benefit managers. Minimum skills/abilities: - Knowledge of CPT and ICD coding highly desired
- Knowledge of third-party payer regulations and guidelines highly desired
- Proficiency in PC software, especially Microsoft Word and Excel spreadsheet programs
- Experience with electronic health record systems
- Ability to effectively manage multiple demands, working under moderate to high degree of pressure
- Ability to multi-task and problem solve with strong organizational skills.
- Excellent leadership skills and strong decision making and self-motivation skills.
- Strong organizational, prioritization, communication, and mathematical skills.
- Knowledge of Specialty Pharmacy Operations and third-party payers and insurance plans.
- Ability to understand the importance of and respect the confidentiality of all patient information. Certification/Licensure
- BS in Pharmacy or CPhT with an active and in good standing licensure with the MA State Board of Pharmacy. Must meet all requirements for annual Continuing Education Credits. Job Responsibilities
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