Pharmacy Technician III,Medication Access Team Job Stoneham area,Massachusetts USA,Healthcare

Pharmacy Technician III, Medication Access Team

Under the general supervision of a pharmacist, the Pharmacy Technician III on the Medication Access Team supports patients seen by a Tufts Medicine clinician by facilitating access to specialty and non-specialty medications and navigating insurance requirements.

Key responsibilities includes:

Submitting, tracking, and following up on prior authorization requests for medications.
Communicating with insurance companies, patients, providers, nurses, pharmacists, and clinic staff regarding authorization status and medication access needs.
Identifying and assisting with medication access solutions, financial assistance programs, manufacturer assistance, and other coverage options.
Documenting activities accurately and timely within the electronic medical record (EMR) and pharmacy systems.
Contributing to quality performance projects to help with barriers that may delay patient access to therapy.

The ideal candidate will:

Have experience with prior authorizations, specialty pharmacy, insurance reimbursement, or medication access services. Experience is preferred but not required; training will be provided for the right candidate.
Possess excellent communication, customer service, and organizational skills.
Demonstrate attention to detail and the ability to manage multiple priorities in a fast-paced environment.
Be committed to delivering exceptional patient-centered care and helping patients obtain timely access to prescribed therapies.

This role is an integral part of a collaborative multidisciplinary team dedicated to improving patient outcomes and ensuring seamless access to specialty and non-specialty medications.

Job Description

Minimum Qualifications:

High school diploma or equivalent.

Certified Pharmacy Technician (CPhT).

Massachusetts Pharmacy Technician Registration.

One (1) year of pharmacy-related experience.

Preferred Qualifications:

Associate's degree.

Two (2) Years of pharmacy-related experience in a hospital setting.

Duties and Responsibilities:

Participates in advanced financial transaction and audit activities.

Completes routine benefit investigation for high cost and complex medications.

Performs audits of narcotic utilization, inventory control, and cost accounting or billing for specialized areas.

Engages in advanced customer service activities.

Investigates and resolves medication issues or request, and communicates directly with patients or health care providers.

Communicates medication‑related issues to all appropriate heath care professionals.

Completes advanced data collection activities.

Completes medication profile data collection and medication history collection.

Communicates effectively with nursing, physicians, and ancillary services to meet the needs of these departments and maintains a positive working relationship and image of the pharmacy department.

Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment.

The following duties only apply to hospital technicians:

Performs complex non‑sterile and hazardous sterile medication preparation activities.

Operates advanced, innovative technology to assist in preparation of sterile products.

Makes complex allergy testing kits that require serial dilutions (complex math calculations).

Prepares a variety of products including specialized dilutions and specialty infusions.

Partakes in advanced medication dispensing activities.

Performs process validation utilizing bar code scanning technology i.e., technology checks technician.

Removes scheduled II‑IV medications from the narcotic vault for the replenishment of automated dispensing cabinets.

Navigates workflows for high…