Pharmacy Liaison
- Requisition ID
- 183967
- Department
- 200212 Renown Specialty Pharmacy
- Schedule
- Full Time - Eligible for Benefits
- Shift
- Day
- Category
- Clerical & Administrative Support
Position Purpose
In the insurance plan, this position is responsible for coordinating internal activities on required Rx changes i.e., prescription rider set-ups, prior authorizations and letters to members and providers. Works as liaison with leadership on assigned formulary issues, procedural management issues (formulary) and clerical management.
In outpatient pharmacy settings, this position is responsible for coordinating patient facing and internal pharmacy workflows to facilitate prior authorizations and financial assistance for pharmacy medications. Works as liaison with providers, patients, office staff and pharmacy staff to improve patient experience around medications.
Nature and Scope
This position shall coordinate, implement, and monitor assigned activities relating to the formulary medications. This position is responsible for processing, communicating, documenting, and tracking of request for medications or formulary exceptions, copay exceptions, prior authorizations, patient financial assistance and appeals processes related to drug formulary and drug utilization management with leadership and peers. This position communicates with the Pharmacy Supervisor/Manager of Pharmacy Services, members, providers, and internal staff on a regular basis. This position will also receive inbound calls from members and physicians providing excellent customer services in regard to troubleshooting any pharmacy related issues.
Overtime, flexible hours, and weekend shifts may be required intermittently to support work volumes
This position does not provide patient care.
Disclaimer
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name | Description |
|---|---|
Education: | Must have working-level knowledge of the English language, including reading, writing, and speaking English. |
Experience: | 3-5 years' experience in a managed care organization or equivalent with pharmacy/managed care background. |
License(s): | Current and unrestricted Pharmacy Technician License in the state of Nevada strongly preferred. |
Certification(s): | None. |
Computer / Typing: | Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment. 1+ year of experience with MS Outlook, Excel, & Word including basic function; email/calendar, moving through and understanding excel documents, knowing tabs, saving/editing documents |
Benefits
Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.
With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.
Paid Time Off
401(k) Company Match
Flexible Work Environment
Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
For Providers: Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.