Responsibilities
- Responsible for prescription verification for specialty patients and ensures workflow for dispensing is followed.
- Reviews billing for accuracy, including Medicare Part B requirements, for all specialty medications.
- Understands the workflow for shipping and can help trouble shoot issues, including able to operate the point of sale and shipping software.
- Performs an accurate benefit investigation to determine prescription coverage and can locate it from multiple sources.
- Possesses advanced knowledge of the adjudication process and can troubleshoot rejected claims and mitigate payer problems.
- Maintains workflow in the operations area ensuring prescriptions are processed in a timely manner and shipments are processed appropriately.
- Performs proper patient assessments that comply with accreditation standards and evidence-based medicine, within the time parameters set forth in the patient management program.
- Cosigns outreach documentation in a timely manner.
- Assesses the appropriateness of therapy for the individual patient with respect to safety, comorbidities, dosing, and side effect management.
- Documents clinical interventions, promotes adherence, actively monitors patient compliance, and recommends appropriate screening prior to medication start date and recommends appropriate monitoring to ensure patient safety.
- Answers clinical communications from patients in a timely manner and facilitates communication between the patient and the clinic.
- Participates in the training of staff, students and residents, willing to offer to take at least 3 IPPE students per year and participate in residency precepting.
- Participates in a group 24 hours a day 7 days a week 365 days a year on-call rotation where each member of the group takes call for 1 week at a time.
- Serves as a resource and provides accurate drug information to medical staff.
- Knowledgeable in the prior authorization process and able to submit requests accurately and expediently and able to serve as a resource for off label use prior authorizations and appeals.
Requirements
- Graduate of an ACPE-accredited College of Pharmacy with a Doctor of Pharmacy or BS Pharmacy Degree
- PGY1 Residency Training OR 3 years of applicable experience
- Licensed by the Arkansas State Board of Pharmacy as a pharmacist or eligible for licensure
Nice to Have
- Doctorate of Pharmacy
- Board certified in applicable area
- Experience in retail, ambulatory care, or specialty pharmacy
Benefits
- Health: Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement: Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
Additional Information
- Persons must have proof of legal authority to work in the United States on the first day of employment.
- All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
- For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.
- This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification).
- A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law.
- Any criminal history will be evaluated in relationship to job responsibilities and business necessity.
- The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
- Constant Physical Activity: Hearing, Manipulate items with fingers, including keyboarding, Sitting, Talking
- Frequent Physical Activity: Standing, Walking
- Occasional Physical Activity: Crouching, Lifting, Pulling, Pushing, Reaching
- Benefits Eligible: Yes
