Henry Ford Health
Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
Henry Ford Health - Rochester Hills, Michigan, United States
Work at Henry Ford Health
Overview
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Overview
Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
Join to apply for the
Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
role at
Henry Ford Health Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
1 week ago Be among the first 25 applicants Join to apply for the
Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
role at
Henry Ford Health Exciting opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist. Make an impact on patient care and contribute to Pharmacy Advantage success.
General Summary
Eligible for $2,500 Sign on Bonus***
The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals.
Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.
Principle Duties And Responsibilities
Performs benefits investigation, prescription prior authorization, and researches financial assistance needed to ensure patients have access to medications needed. Interprets patient treatment plans and medical notes for purposes of facilitating patient care. Evaluates any pharmacy related inquiries (i.e., financial barriers, therapy management related outcomes, non-adherence to therapy) and communicates with nursing, providers, social workers and physician staff any additional requirements or potential barriers to the treatment plan. Performs all necessary steps during order entry to ensure order gets to final verification. Ensures the process is completed quickly, accurately, and in accordance with patient’s needs while maintaining the highest customer service/quality of care. Performs online ordering of prescriptions submitted to pharmacies.
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.
Education/Experience Required
Requires a High school diploma or G.E.D. Associates degree preferred Requires State of Michigan Pharmacy Technician License. Requires a minimum of two years of previous pharmacy technician experience. Previous experience as a specialty pharmacy technician preferred.
Additional Information
Organization: Community Care Services Department: Pharmacy Advantage Rochester H Shift: Day Job Union Code: Not Applicable
Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care, Insurance, and Wellness and Fitness Services Referrals increase your chances of interviewing at Henry Ford Health by 2x Get notified about new Pharmacy Specialist jobs in
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Join to apply for the
Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
role at
Henry Ford Health Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
1 week ago Be among the first 25 applicants Join to apply for the
Pharmacy Benefits Specialist - Full Time - Pharmacy Advantage
role at
Henry Ford Health Exciting opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist. Make an impact on patient care and contribute to Pharmacy Advantage success.
General Summary
Eligible for $2,500 Sign on Bonus***
The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals.
Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.
Principle Duties And Responsibilities
Performs benefits investigation, prescription prior authorization, and researches financial assistance needed to ensure patients have access to medications needed. Interprets patient treatment plans and medical notes for purposes of facilitating patient care. Evaluates any pharmacy related inquiries (i.e., financial barriers, therapy management related outcomes, non-adherence to therapy) and communicates with nursing, providers, social workers and physician staff any additional requirements or potential barriers to the treatment plan. Performs all necessary steps during order entry to ensure order gets to final verification. Ensures the process is completed quickly, accurately, and in accordance with patient’s needs while maintaining the highest customer service/quality of care. Performs online ordering of prescriptions submitted to pharmacies.
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.
Education/Experience Required
Requires a High school diploma or G.E.D. Associates degree preferred Requires State of Michigan Pharmacy Technician License. Requires a minimum of two years of previous pharmacy technician experience. Previous experience as a specialty pharmacy technician preferred.
Additional Information
Organization: Community Care Services Department: Pharmacy Advantage Rochester H Shift: Day Job Union Code: Not Applicable
Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care, Insurance, and Wellness and Fitness Services Referrals increase your chances of interviewing at Henry Ford Health by 2x Get notified about new Pharmacy Specialist jobs in
Rochester Hills, MI . Pharmacy Technician - Pharmacy Advantage - Full Time
Detroit, MI $85,000.00 - $100,000.00 1 month ago Pharmacy Customer Service Representative
Pharmacy Technician - Outpatient - Full Time - West Bloomfield
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West Bloomfield Township, MI 2 months ago Detroit, MI $85,000.00 - $100,000.00 1 month ago Pharmacy Benefits Specialist (Pharmacy Technician) - Full Time - Pharmacy Advantage
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr