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SalaryJOB DESCRIPTION: This Medication Access Specialist will support the Managed Medicaid Population Health activities. The Medication Access Specialist will reside in the Pharmacy Population Health Center and be responsible for providing front line, direct contact with pharmacies, providers, and patients, specifically: adherence reviews and pharmacy benefits investigation, which may include processing test scripts, determining gaps in coverage, eligibility for copay cards, patient-assistant programs or other additional Medication Access needs. This role will also help optimize drug utilization from a cost-minimization standpoint, and may facilitate access to additional services, both within and outside the medical center. The Medication Access Specialist will have direct contact with patients and other disciplines such as social work, ambulatory care navigators, and healthcare providers. This individual must have strong customer service, communication, computer, and data entry skills. Attends periodic area meetings. Attends required in-services and skills development courses and maintains technician certification. This individual, like all department employees, will be expected to uphold the hospital’s key values and to be a team player at all times.
Activities performed support the Medication Access Center (MAC). The MAC serves as the hub for medication prior authorizations associated with service lines within the WFBH enterprise.
Position Highlights
- Full-Time, Days
- Variable 1st shift, M-F
- Winston Campus
- $6,000 sign-on bonus eligible position for qualified candidates! Click here for more information!
What We Offer:
- Day 1 Health Coverage: Choose from either copay or HSA-eligible health insurance options with coverage starting on your first day of work.
- Generous PTO: Accrual starts at 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
- Education: Eligible for our Prepaid College Tuition Assistance program (up to $5,250/year)!
- Wellness Incentives: Up to $1,350/year in wellness incentives through our LiveWELL program.
- Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave for non-birthing parents.
- Retirement: Up to 7% employer-paid retirement contributions.
How You’ll Impact Patient Care :
Your responsibilities may include, but are not limited to:
- Follows hospital standards to foster a collaborative work environment by utilizing communication, interpersonal skills, and team building.
- Verifies patient insurance for cost reduction.
- Maintains updated patient records and promptly flags issues.
- Encourages medication compliance and reports adverse events.
- Build strong relationships with stakeholders for effective communication.
- Administers patient pharmacy care plans, performs data entry, and maintains compliance knowledge.
- Efficiently routes prescriptions to the appropriate pharmacy.
- Aids in streamlined order fulfillment.
- Supports team-based quality improvement and ongoing learning.
- Contributes to departmental goals and recommends performance standards.
What You Will Need
- High school diploma or GED equivalent required.
Nice To Have (Not Required)
- Associate degree or bachelor’s degree preferred.
- Three years’ pharmacy experience and two years call center or customer service experience highly preferred.
- Retail pharmacy or healthcare/medical group experience and two years of healthcare related billing preferred.
- PTCB technician certification (CPhT) preferred.
- North Carolina Board of Pharmacy registration required within 30 days of employment.
- PTCB technician certification (CPhT) within 180 days of employment.
Where You Will Work:
- Working in healthcare in Winston-Salem, North Carolina, is a rewarding and dynamic experience. This vibrant city is home to renowned healthcare institutions making it a hub for medical professionals and healthcare innovation.
- As a healthcare professional in Winston-Salem, you'll have the opportunity to provide top-notch care to a diverse and engaged community. The healthcare industry here is characterized by a commitment to patient-centered care, cutting-edge medical research, and a collaborative spirit among healthcare providers.
- Winston-Salem offers a high quality of life with a cost of living that's lower than in many other major cities. You'll find thriving arts and culture scene, beautiful parks, and a strong sense of community. The city's commitment to healthcare extends beyond the hospital walls, with initiatives aimed at improving public health and wellness.
- Whether you're drawn to clinical care, research, or administration, working in healthcare in Winston-Salem, NC allows you to be part of a healthcare environment that values excellence, compassion, and the well-being of the community. Join us in contributing to the health and vitality of Winston-Salem, where healthcare is not just a profession but a calling.
