Job Description

Job Summary

The primary role of this Pharmacy Technician position involves obtaining prior authorizations for infusion medications administered across Corewell Health. If you have experience with navigating insurance benefits and medication prior authorizations, please consider joining our team! The role is hybrid, with an initial onsite training period of ~4 weeks.

This position is a supportive role for the systems ambulatory clinics. The tasks for this position will include, but are not limited to, completing pre and/or prior authorizations, assisting with patient assistance programs, scheduling patients from provider referrals or other registries, working with insurance companies to review coverages, communicating with patients and clinical staff, and managing parts of the medication use cycle. There will be additional opportunities to think innovatively and collaborate on projects with other departments and within our own department.

Essential Functions

• Pull, transcribe, and organize clinical information from patient charts into third party platforms or navigators.
• Complete authorization requests in a timely and efficient manor without compromising quality, to ensure patients receive their care as scheduled.
• Identify and schedule appointments for pharmacists from provider referrals, quality reports, and other available registries.
• Demonstrate the ability to utilize all payer websites to assist verifying patient\xe2\x80\x99s coordination of benefits and authorization requirements.
• Assist with inventory and medication use cycle tasks if in clinic.
• Organize and track data for multiple payer programs and service lines.
• Communicate positively and effectively with patients, colleagues, and clinic staff.
• Adhere to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.

Qualifications

• Required High School Diploma or equivalent
• Preferred Associate\'s Degree

• 1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred
• 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred
• 1 year of relevant experience Epic Experience Preferred

• LIC-Pharmacy Technician - STATE_MI State of Michigan 90 Days required
• CRT-Pharmacy Technician, Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days required
• The primary role of this Pharmacy Technician position involves obtaining Prior Authorizations for Infusion Medications administered across Corewell Health
• Ideal candidate will be a Pharmacy Technician possessing Full Pharmacy Technician License and/or National Certification while also possessing experience in Navigating Insurance Benefits and Medication Prior Authorizations
• This is a Hybrid Position, with an Initial Onsite Training Period of Approximately 4 weeks either in Grand Rapids or in Royal Oak, then working Remotely in Michigan after initial training has been completed
• Schedule is Monday to Friday, 8 a.m. to 5 p.m. (there is some Flexibility)
• This position will require someone who resides in Michigan or plans to reside in Michigan while in this position.

Primary Location SITE - 1810 Wealthy St SE - Grand Rapids

Department Name Corporate Admin - Medication Care Coordination

Employment Type Full time

Shift Day (United States of America)

Weekly Scheduled Hours 40

Hours of Work 8 a.m. to 5 p.m.

Days Worked Monday to Friday

Weekend Frequency N/A

CURRENT COREWELL HEALTH TEAM MEMBERS \xe2\x80\x93 Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Corewell Health