Pharmacy Benefits Specialist - Outpatient - Rotating - Troy

Pharmacy Benefits Specialist - Outpatient - Full Time Rotating - Troy

Join Henry Ford Health Community Care Services team as a Full‑Time Pharmacy Benefits Specialist! This role offers a $2,500 sign‑on bonus and comprehensive full‑time benefits. Make a meaningful impact on patient care and be part of a mission‑driven team that improves lives every day.

GENERAL

SUMMARY:

*** Eligible for $2,500 Sign on Bonus***

Location:
Troy, MI

Schedule:
Full‑Time Rotating Shifts

The Pharmacy Benefits Specialist handles drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members, physicians, pharmacies, and other internal and external individuals. They are a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinate prior authorization and exception processes.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

• Performs benefits investigation, prescription prior authorization, and researches financial assistance needed to ensure patients have access to medications.
• Interprets patient treatment plans and medical notes to facilitate patient care.
• Evaluates pharmacy related inquiries (financial barriers, therapy management outcomes, non‑adherence to therapy) and communicates with nursing, providers, social workers, and physician staff to address barriers to the treatment plan.
• Performs all necessary steps during order entry to ensure order gets to final verification and maintains the highest customer service/quality of care.
• Performs online ordering of prescriptions submitted to pharmacies.

Additional Information

• Organization:
  Community Care Services
• Department:
  Ambulatory Pharmacy CSI
• Shift: Rotating
• Union Code:
  Not Applicable

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.