Medication Access Specialist
$23.49 - $30.53 per hourUCHealth
Description
You Must Reside In Colorado for This Fully Remote Position. Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora Department: Patient Line Refill Center Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $23.49 - $30.53 / hour. Pay is dependent on applicant's relevant experience Job Summary The CAM MAS is responsible for managing prior authorizations for high-cost, infusion center and clinic-administered medications within the UCHealth system. This role ensures timely and accurate processing of authorization requests, compliance with clinical guidelines, and effective communication with clinical teams. The position plays a critical role in supporting patient access to necessary therapies while maintaining adherence to payer and regulatory requirements Responsibilities: Coordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines. Compiles clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, ASO criteria, doctor visits). Compiles clinical information for pharmacist and nurses to utilize as refill renewal requests are processed via protocol. Directly enrolls eligible patients into manufacturer patient assistance and co-pay programs. Provides information to patients on health care insurance coverage opportunities available through the Health Care Exchanges. Accurately obtains and records patients' home medication lists, allergies, immunizations and medical diagnoses. Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action. Requirements:
You Must Reside In Colorado for This Fully Remote Position. Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora Department: Patient Line Refill Center Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $23.49 - $30.53 / hour. Pay is dependent on applicant's relevant experience Job Summary The CAM MAS is responsible for managing prior authorizations for high-cost, infusion center and clinic-administered medications within the UCHealth system. This role ensures timely and accurate processing of authorization requests, compliance with clinical guidelines, and effective communication with clinical teams. The position plays a critical role in supporting patient access to necessary therapies while maintaining adherence to payer and regulatory requirements Responsibilities: Coordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines. Compiles clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, ASO criteria, doctor visits). Compiles clinical information for pharmacist and nurses to utilize as refill renewal requests are processed via protocol. Directly enrolls eligible patients into manufacturer patient assistance and co-pay programs. Provides information to patients on health care insurance coverage opportunities available through the Health Care Exchanges. Accurately obtains and records patients' home medication lists, allergies, immunizations and medical diagnoses. Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action. Requirements:
- Certified Pharmacy Technician
- Pharmacy Technician Provisional-State
- Pharmacy Technician-State
- Pharmacy Intern
- High School diploma or GED.
- BLS through the American Heart Association or the American Red Cross CPR for the Professional Rescuer with card in-hand before start date. BLS or CPR card must be good through sixty days of hire.
- Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
- Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
- Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
- Medical, dental and vision coverage.
- Access to 24/7 mental health and well-being support for employees and dependents.
- Discounted gym memberships and fitness resources.
- Free Care.com membership.
- Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
- Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
- Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
- Employer-provided short-term disability and long-term disability with a buy-up coverage option.
- 403(b) plan with employer matching contribution.
- Additional 457(b) plan may be available.
- Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.
- UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
- Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
- Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
- Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
- Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.
Vacancy posted -126
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