United Spinal Association Jobs

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Ambulatory Medication Access Coordinator - UH/TMC Pharmacy (Hybrid schedule 8:00AM-5:00PM M-F)

101 Truman Medical Center

Job Location

University Health Truman Medical Center

Kansas City, Missouri

Department

Pharmacy Inpatient UHTMC

Position Type

Full time

Work Schedule

8:00AM - 5:00PM

Hours Per Week

40

If you want to work where the action is, University Health (UH) is the place for you. Known as “Kansas City’s Essential Hospital,” UH is the safety net healthcare system for Jackson County/Kansas City. We are an academic medical center, serving as the primary teaching institution for the UMKC Schools of Medicine, Nursing, Dentistry, and Pharmacy. A 547-bed, not-for-profit health system, UH delivers the highest-quality medical care for our patients, with compassion, empathy, and unparalleled dedication to service. During the 2020 pandemic, we also stepped forward as a regional leader in COVID care and testing. UH is comprised of three campuses:

UH Truman Medical Center is located in the Health Sciences District of downtown Kansas City, Missouri. The Health Sciences District represents a robust academic community, leading the forefront of biomedical research and cutting edge technology. Partnered with UMKC and Children’s Mercy Hospital. University Health serves as the cornerstone in educating the next generation of healthcare practitioners. As a Level 1 Trauma Center, we’re a leader in Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s services, including high-risk maternity care. The Health Sciences District is also home to the University Health 1 and 2 buildings. UH 1 is UH’s beautiful specialty outpatient clinics and day-surgery center and UH 2 is the location for all of our primary care and women’s care clinics.

UH Lakewood Medical Center is located between Kansas City and Lee’s Summit, Missouri, offering residents of Eastern Jackson County access to a modern community hospital with a continuum of outpatient services designed to meet the needs of families. UH Lakewood specializes in high-risk maternal and child care, and serves as one of the few Kansas City metro area institutions accredited by The Joint Commission in Orthopedics and Palliative Care. It also is home to a 188-bed, fully accredited long-term care center.

UH Behavioral Health is the KC metro area’s largest, most comprehensive provider of mental health services. The Crossroads Building , located in Kansas City’s vibrant Crossroads Arts District, is its epicenter, providing a broad list of outpatient services. We also offer psychiatric inpatient care, and we deliver therapeutic services through our community outreach clinics. We are a leader in the Trauma-Informed Care Movement, and provide training, coaching and consulting to outside organizations.

Job Description

The Ambulatory Medication Access Coordinator (AMAC) will coordinate access to specialty medications for TMC patients, ambulatory providers, and pharmacy team. The AMAC will provide high quality care by ensuring optimal access and reimbursement for high cost, take home medications for patients receiving care in TMC ambulatory clinics. This position will conduct benefit investigations, complete necessary third party (insurance) prior authorization requests and associated services related to high cost medications, maximizing efficiency for patients and clinic staff. The AMAC will pre-screen patients for viable payment sources, manage reimbursement issues associated with high cost take-home medications, identify opportunities for improving reimbursement from payers, compile reports for contract optimization, complete the necessary paperwork for prior authorizations, conduct retrospective utilization reviews on cases of payment denials or insufficient reimbursement, and refer to pharmaceutical assistance programs as appropriate. The AMAC will serve as a liaison to other TMC pharmacy services.

Minimum Requirements

• Education: completion of a Bachelor degree program in a Healthcare related field or an equivalent combination of education and experience

• Experience and Training: 3 to 5 years of health care and/or specialty pharmacy and/or insurance prior authorization experience. Exceptional aptitude or knowledge may be considered in lieu of experience

• Registered Pharmacy Technician within Missouri upon employment

• Nationally recognized certification within 6 months of hire; PTCB or equivalent

• Knowledge of and ability to use computers and a variety of computer programs including word processing, database management and spreadsheets

• Strong oral and written communications skills

• Ability to effectively manage conflicts and resolve problems

• Effective interpersonal skills, including the ability to effect collaborative alliances, promote teamwork and ensure a high degree of internal and external customer satisfaction

• Ability to function effectively in a fast-paced and changing environment with multiple priorities

• Knowledge of and ability to perform insurance carrier/managed care review

Preferred Qualifications

• Knowledge of medication reimbursement

• Knowledge of healthcare/prescription insurance billing, prior authorization, coding

Working at University Health is about making a difference. It's providing the best care to every patient every day.

University Health (UH), is committed to being a leader in providing a culturally inclusive workplace for our employees. UH is an equal opportunity employer. We value and celebrate our differences. We are committed to equal employment opportunity regardless, but not limited to race, ethnicity, religion, beliefs, sex (including pregnancy, gender identity and expression, sexual orientation), national origin, ancestry, language, age, citizenship, genetic information, marital status, socioeconomic status, literacy, disability, mobility, abilities, veteran status and any other category protected by applicable law.