Arizona Liver Health
Pharmacy Technician - Prior Authorization Specialist III
Arizona Liver Health - Arizona City, Arizona, United States, 85123
Work at Arizona Liver Health
Overview
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Overview
About Us:
Arizona Liver Health (ALH) is dedicated to driving high standards of care and advancing medical innovation through leading clinical trials, ensuring patient safety and regulatory compliance, and generating high-quality clinical data. Our network of multiphase, multitherapeutic research, standard of care, and VEN Centers sites is staffed by skilled providers, research, clinic, pharmacy, and patient outreach professionals. ALH operates state-of-the-art facilities and programs to meet the evolving needs of clinical research and overall patient treatment.
Job Summary:
The Pharmacy Technician - Prior Authorization Specialist III is a crucial part of the healthcare team to assist patients in providing specialized, complex medications for their liver disease and/or condition. This includes obtaining authorizations, navigating financial assistance options, and working with patients, payors, and pharmacies. The prior authorization specialist takes care of the prescription from the time it is ordered to ensuring the patient receives the medication(s).
Schedule:
Onsite in Mesa, AZ, Full-Time, 8am-5pm Monday-Friday
Compensation : $28-$35 per hour, depending on experience
Essential job functions/duties
Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions. Assure all PA requirements are complete. Facilitate labs/immunization completion for patient payor compliance. Interact professionally with patients, peers, and other outside vendors as required. Train new pharmacy staff on organizational processes and compliance procedures Manage pharmacy software for patient compliance with treatment. Supports comprehensive coordination of commercial, Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Promotes and supports quality effectiveness of healthcare and Pharmacy Services within clinical setting Evaluates, authorizes approval, and communicates decisions for pharmacy requests according to clinic process Evaluates and authorizes approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements with minimal to no supervision Process requests in compliance with various laws and CMS regulations and company policies and procedures Communicates with payors, external pharmacies, patients, case managers, electronic PA platforms Promotes effective communication, both internally and externally, to enhance effectiveness of medication therapy management services Escalates requests to Nurse Case Manager when request requires extensive clinical review or denial Knowledge/Skills/Abilities Required
At least three (3) years of experience working Pharmacy Prior Authorizations required Previous super-tech experience required Proven experience with pharmacy operations Prior experience assisting in preparing detailed policy and procedures for accrediting agencies. Ability to work independently with very minimal day-to-day supervision Excellent written, verbal, and interpersonal/patient-service communication skills required Proficient in Microsoft Office including Outlook and Excel Intermediate to expert-level data entry computer skills with high attention to detail Bilingual (English/Spanish), preferred Ability to multi-task between different platforms, programs EMR or pharmacy software proficiency required Good to expert-level knowledge of pharmacy insurance benefits required Education, credentials, and/or trainings required:
High school diploma or GED from an accredited institution required Associate or bachelor's degree in pharmaceutical or healthcare related field preferred CPhT Certification (PTCB or NHA) and Arizona License in good standing required. Complete Apexus 340B on-line Modules upon hire Experience with all aspects of the day- to -day pharmacy operations Prior pharmacy benefits experience required. Supervisory responsibilities
None Work environment
Office / Clinic setting Physical demands
Able to lift at least 15 lbs. Able to sit for long periods (at least 50%) Able to type and do computer work for long periods. Travel Requirements
Some interoffice travel may be required with use of company vehicle or mileage reimbursement. Benefits & Perks:
Health, Dental, Vision (with HSA plans and employer contribution) 2 weeks PTO Continuing Medical Education budget (CME) and time off 5 days Sick Time 7 Company holidays and 2 half-days 401K with company match Short & Long Term Disability Shared company vehicles for required travel
Work authorization/security clearance requirements
Must have valid documentation and authorization to work in the U.S.
Our company requires COVID-19 vaccinations for all current and future employees. Exemptions can be requested for those with a reasonable health or a religious/sincerely-held belief accommodation.
Affirmative Action/EEO statement
It is the policy of the Institute for Liver Health DBA Arizona Liver Health and Arizona Clinical Trials to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. This policy relates to all phases of employment, including, but not limited to, recruiting, employment, placement, promotion, transfer, demotion, reduction of workforce and termination, rates of pay or other forms of compensation, selection for training, the use of all facilities, and participation in all company-sponsored employee activities. Provisions in applicable laws providing for bona fide occupational qualifications, business necessity or age limitations will be adhered to by the company where appropriate.
Other duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Other responsibilities may be communicated directly by the reporting manager/supervisor. Duties, responsibilities, and activities may change. Company reserves the right to adjust role scope with or without notice.
Notice to Staffing Agencies:
It is our policy that any and all contact with third party staffing or recruitment vendors come through our Talent Acquisition Team directly. We have an established and preferred network of contracted partners that we engage if and when we deem it necessary. We request that staffing agencies refrain from repeatedly contacting our hiring managers or employees directly. Unsolicited resumes, onsite solicitations, and inquiries will not be considered or responded to. Overly persistent or pushy inquires may also be blocked across our network as spam. Thank you for your understanding and cooperation.
Arizona Liver Health (ALH) is dedicated to driving high standards of care and advancing medical innovation through leading clinical trials, ensuring patient safety and regulatory compliance, and generating high-quality clinical data. Our network of multiphase, multitherapeutic research, standard of care, and VEN Centers sites is staffed by skilled providers, research, clinic, pharmacy, and patient outreach professionals. ALH operates state-of-the-art facilities and programs to meet the evolving needs of clinical research and overall patient treatment.
Job Summary:
The Pharmacy Technician - Prior Authorization Specialist III is a crucial part of the healthcare team to assist patients in providing specialized, complex medications for their liver disease and/or condition. This includes obtaining authorizations, navigating financial assistance options, and working with patients, payors, and pharmacies. The prior authorization specialist takes care of the prescription from the time it is ordered to ensuring the patient receives the medication(s).
Schedule:
Onsite in Mesa, AZ, Full-Time, 8am-5pm Monday-Friday
Compensation : $28-$35 per hour, depending on experience
Essential job functions/duties
Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions. Assure all PA requirements are complete. Facilitate labs/immunization completion for patient payor compliance. Interact professionally with patients, peers, and other outside vendors as required. Train new pharmacy staff on organizational processes and compliance procedures Manage pharmacy software for patient compliance with treatment. Supports comprehensive coordination of commercial, Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Promotes and supports quality effectiveness of healthcare and Pharmacy Services within clinical setting Evaluates, authorizes approval, and communicates decisions for pharmacy requests according to clinic process Evaluates and authorizes approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements with minimal to no supervision Process requests in compliance with various laws and CMS regulations and company policies and procedures Communicates with payors, external pharmacies, patients, case managers, electronic PA platforms Promotes effective communication, both internally and externally, to enhance effectiveness of medication therapy management services Escalates requests to Nurse Case Manager when request requires extensive clinical review or denial Knowledge/Skills/Abilities Required
At least three (3) years of experience working Pharmacy Prior Authorizations required Previous super-tech experience required Proven experience with pharmacy operations Prior experience assisting in preparing detailed policy and procedures for accrediting agencies. Ability to work independently with very minimal day-to-day supervision Excellent written, verbal, and interpersonal/patient-service communication skills required Proficient in Microsoft Office including Outlook and Excel Intermediate to expert-level data entry computer skills with high attention to detail Bilingual (English/Spanish), preferred Ability to multi-task between different platforms, programs EMR or pharmacy software proficiency required Good to expert-level knowledge of pharmacy insurance benefits required Education, credentials, and/or trainings required:
High school diploma or GED from an accredited institution required Associate or bachelor's degree in pharmaceutical or healthcare related field preferred CPhT Certification (PTCB or NHA) and Arizona License in good standing required. Complete Apexus 340B on-line Modules upon hire Experience with all aspects of the day- to -day pharmacy operations Prior pharmacy benefits experience required. Supervisory responsibilities
None Work environment
Office / Clinic setting Physical demands
Able to lift at least 15 lbs. Able to sit for long periods (at least 50%) Able to type and do computer work for long periods. Travel Requirements
Some interoffice travel may be required with use of company vehicle or mileage reimbursement. Benefits & Perks:
Health, Dental, Vision (with HSA plans and employer contribution) 2 weeks PTO Continuing Medical Education budget (CME) and time off 5 days Sick Time 7 Company holidays and 2 half-days 401K with company match Short & Long Term Disability Shared company vehicles for required travel
Work authorization/security clearance requirements
Must have valid documentation and authorization to work in the U.S.
Our company requires COVID-19 vaccinations for all current and future employees. Exemptions can be requested for those with a reasonable health or a religious/sincerely-held belief accommodation.
Affirmative Action/EEO statement
It is the policy of the Institute for Liver Health DBA Arizona Liver Health and Arizona Clinical Trials to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. This policy relates to all phases of employment, including, but not limited to, recruiting, employment, placement, promotion, transfer, demotion, reduction of workforce and termination, rates of pay or other forms of compensation, selection for training, the use of all facilities, and participation in all company-sponsored employee activities. Provisions in applicable laws providing for bona fide occupational qualifications, business necessity or age limitations will be adhered to by the company where appropriate.
Other duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Other responsibilities may be communicated directly by the reporting manager/supervisor. Duties, responsibilities, and activities may change. Company reserves the right to adjust role scope with or without notice.
Notice to Staffing Agencies:
It is our policy that any and all contact with third party staffing or recruitment vendors come through our Talent Acquisition Team directly. We have an established and preferred network of contracted partners that we engage if and when we deem it necessary. We request that staffing agencies refrain from repeatedly contacting our hiring managers or employees directly. Unsolicited resumes, onsite solicitations, and inquiries will not be considered or responded to. Overly persistent or pushy inquires may also be blocked across our network as spam. Thank you for your understanding and cooperation.