Ambulatory Medication Access Coordinator; Specialty Pharmacy Rotational

Job Description

Be a part of a world‑class academic healthcare system at UChicago Medicine as an Ambulatory Medication Access Coordinator in the Specialty Pharmacy
. In this role you will be responsible for handling inbound and outbound phone calls, conducting and completing necessary third‑party (insurance) prior authorization requests and associated services related to high‑cost medications, and maximizing efficiency for patients and clinic staff.

Eligible for a Sign‑On Bonus up to $3,000.

• Improve patient service experience and maximize UCMC pharmacy revenue through provision of prior authorization services on behalf of clinics for select high‑cost medications.
• Conduct patient insurance, benefits and financial investigation and verification by directly communicating with patients. Complete prior authorization forms, negotiate authorization status with insurers, track status of prescription approval and alert clinical pharmacists of denials or nonresponse when necessary.
• Facilitate enrollment of patients in patient assistance programs and collaborate with social services and case management on patient assistance.
• Enter patient information on tracking forms and in computer software.
• Expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff.
• Provide exemplary customer service to outpatients across UCMC, including handling inbound and outbound phone calls.
• Observe and understand prescribing trends within UCMC Ambulatory Clinics to identify areas for improved specialty pharmacy contracting.
• Assist with development and implementation of policies and procedures to ensure reimbursement of high‑cost medications.
• Perform other duties as requested by leadership.

• Associate's or Bachelor’s degree.
• Current or eligibility for Illinois Pharmacy Technician licensure.
• 3 to 5 years of pharmacy technician experience in a retail pharmacy (exceptional aptitude or knowledge may be considered in lieu of experience).
• Knowledge of and ability to use computers and a variety of computer programs including word processing, database management and spreadsheets.
• Strong oral and written communication 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.

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

• Job Type/FTE:
  Full‑Time (1.0 FTE)
• Shift: Days
• Work Location:
  
  Hyde Park
• Unit/Department:
  Specialty Pharmacy
• CBA Code:
  Non‑Union

In this role, you will be scheduled to work 8‑hour shifts, day shift approximately between the hours of 7 am–5:30 pm and will not be scheduled for on‑call shifts. You will work a remote‑hybrid schedule, working onsite 1 week every 3–5 weeks. The days of the week that you are scheduled will be Monday‑Friday, and no weekends.

UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre‑employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full‑time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity.

Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits – UChicago Medicine.