Primary City/State:
Tucson, Arizona
Department Name:
Pharm Benefits Mgmt-Misc
Work Shift:
Day
Job Category:
Pharmacy
A position in a Banner Health pharmacy is one you can look forward to. Join an engaging environment of full service, high technology and experience a wide variety of responsibilities. You'll also see how important a pharmacy job is to our ability to make life easier for our patients. Come enjoy great challenges and build both your knowledge of the field and your analytical skills.
The University of Arizona Health Plans provides interesting job opportunities where you will learn something new each day. At UAHP, we work hard to improve the lives of our members. We believe in member-centric care and go above and beyond for our members.
UAHP is a team that works hard on providing the best care, while working cohesively to assure the needs of each member are being met. In addition, you have the opportunity to impact the care of one of the most needy, disadvantaged populations. You will have the opportunity to work with a strong leadership team that works hard to guide and help each one of their employees grow. The hours are M-F, 8a-5p, with some weekends(depending on the needs of the business) and some call.
Banner Pharmacy Services division provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices. Banner Pharmacy Services will be recognized nationally as a clinical leader and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and service to make a difference in people's lives. Banner is expanding its focus from being a hospital company to a clinical quality company focused on population health management. Clinical Pharmacy Services are also included in this robust new service line and are responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention.
POSITION SUMMARY
This position provides support to a team of clinical pharmacists in population health management. The technician will work under the supervision of clinical pharmacists. Primary responsibilities include pre-screening and support functions for Medication Therapy Management and Prior Authorizations. Other support functions include data gathering and entry, electronic document filing and electronic faxing. Additional responsibilities may include scripted phone calls to patients and/or physician offices.
CORE FUNCTIONS
1. Inputs and maintains data and documents in multiple software application types, both in-house and vended software products. Processes all assigned data sets with the specifications of existing workflows. Using programs to include, but not limited to, SharePoint, Word, Excel, Visio, Acuity, and Fortis. Adheres to all documentation standards to ensure relevant information within assigned work areas is retrievable.
2. Communicates with health plan members, pharmacists, pharmacy staff, physicians, care managers, and other members of the healthcare team to promote successful medication use and improve quality, as measured by CMS HEDIS and NCQA, AHCCCS, or other regulatory body. Communicates with clarity and professionalism in all settings.
3. Researches and evaluates clinical data as necessary for pharmacist review and complete a prior authorization or other utilization management function, contact members regarding pharmacotherapy optimization, or conduct prescriber outreach initiatives. This includes work within Microsoft excel, faxing, and/or calling members of the healthcare team. Conducts all data collection and communication in a timely manner consistent with maintain service levels.
4. Maintains proficiency in the pharmacy standards and workflows within the assigned area. Follows all applicable policies, procedures, and desktop procedures and recommends process improvements as necessary. Collaborates with other team members and network providers to ensure that members have a positive customer service experience.
5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include patients, pharmacists, providers, non-physician providers, other health care team members, health plan representatives and medical office staff for the purpose of integrating services, improving patient care and ensuring effective communication systems.
MINIMUM QUALIFICATIONS
Requires pharmacy technician licensure in the state of practice (where applicable). Pharmacy technician certification required.
Must demonstrate 2 or more years of experience performing pharmacy technician duties in a pharmacy setting with managed care emphasis preferably within a healthcare organization or retail pharmacy. Must have good written and verbal communication skills for interfacing with all levels of staff, physicians, patients and other contacts. Must have the ability to learn and master various software programs necessary for job functions.
Communication skills to interface with all levels of staff. Prioritize tasks in complex environment. Knowledge of computer software systems.
PREFERRED QUALIFICATIONS
Call center experience.
Additional related education and/or experience preferred.
