Medication Access Specialist - Pharmacy Prior Authorization Support - Primary Care - Hybrid

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.  We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. 

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.  Come make a difference at Ochsner Health and discover your future today! 

This job assists providers by ensuring patients' compliance with prior authorizations support, medications, lab monitoring, adherence to medication therapy, authorizing medication refills, maintaining accurate pharmacy preferences, identifying discrepancies or problems with medication history information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing medications. Communicates with patients, families, caregivers, healthcare providers/practitioners, and pharmacy personnel to maintain accurate and complete medication history information while documenting the encounters within the electronic health record (EHR). Forwards any problems to a pharmacist, provider, or clinic staff to assist with resolution.

Hybrid schedule: Onsite 2 days a week in the New Orleans area.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Education

Required – High School Diploma or equivalent.

Work Experience

Required – 2 years of experience as a pharmacy technician, medical intake, or healthcare employee working with medications.

Preferred – Experience working with insurance to process medication authorizations, working with outpatient clinics and processing medication refill request, or experience with taking patient medication history.

Certifications

Required - Medication Therapy Management Certification obtained through the Pharmacy Technician Certification Board (PTCB) must be obtained within 6 months of hire.

Preferred - An active national Pharmacy Technician certification through PTCB

Knowledge Skills and Abilities (KSAs)

• Proficiency in using computers, software, and web-based applications.

• Knowledge of pharmaceutical mathematics.

• Effective verbal and written communication skills and ability to present information clearly and professionally.

• Ability to operate standard pharmacy and office equipment.

• Communication, verbal and written

Job Duties

• Processes patient on-boarding.

• Coordinates with providers and patients to assess eligibility for financial support.

• Navigates the medication authorization process.

• Obtains and clarifies patients' home/chronic medication.

• Uses the EHR to input patients’ home/chronic medication lists.

• Communicates discrepancies identified via the medication history process with the pharmacist and makes clarifications with the patient and prescribers as needed.

• Collects patients’ prescription benefit information.

• Communicate and direct all questions or inquiries from patient or families that are outside the scope of taking the medication history to the appropriate caregivers or staff.

• Provides high quality customer service to patients, family members, and care team members.

• Documents all appropriate findings into the EHR for ease of collaboration amongst providers, support staff, and other refill clinic staff.

• Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.

• Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state, and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations, and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.   (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users.  If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.