Central Patient Engagement Specialist

Job Description

Job Description

Central Patient Engagement Specialist
Full Time
Columbus, OH

AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers and independent practices to remove barriers to care to ensure all people have access to the care they deserve.

• Help patients in disease management programs obtain and maintain access to specialty medications.
• Complete, submit, and track prior authorizations and appeals based on clinical and insurance criteria.
• Proactively renew prior authorizations ahead of expiration to prevent gaps in therapy.
• Monitor patient adherence through fill verification and outreach to patients and pharmacies.
• Coordinate with pharmacies on prescription processing, fills, and deliveries.
• Connect patients with financial assistance programs and affordability resources.
• Notify providers of formulary restrictions and collaborate on medication adjustments.
• Escalate through phone and urgent channels when medication needs are time-sensitive.
• Route all clinical interventions or counseling needs to an appropriate licensed clinician.
• Other responsibilities as needed.

Pharmacy Operations & Patient Access

• Collect and organize medical records and prescription documentation.
• Perform data entry and administrative support for pharmacy operations.
• Conduct outreach to encourage utilization of community health center pharmacy services.
• Conduct adherence checks and provide general operational support to pharmacy sites.
• Coordinate prescription transfers into partner pharmacies.
• Serve as a floater technician across pharmacy sites as needed.
• Generate reports on new patients, upcoming medication needs, and adherence data.
• Other responsibilities as needed.

Complex Chronic Care

• Conduct outreach to recruit eligible patients with complex, polychronic conditions into the program.
• Serve as a patient navigator, coordinating care across multiple providers and services.
• Coordinate with outside providers to ensure continuity of care.
• Facilitate prescription transfers for centralized pharmacy management.
• Other responsibilities as needed.

Education & Licensure Requirements:

• A bachelor’s degree is preferred.
• Basic Life Support (BLS) obtained or willing to obtain.
• Registered or Certified Pharmacy Technician in the state of OH required.
• Nationally certified - PTCB or ExCPT is preferred or willing to obtain post hire.
• Must be willing to obtain and maintain licenses or certifications in multiple states if applicable.

Other Skills or Qualifications:

• 3+ years of pharmacy experience is preferred.
• Excellent written and oral communication skills.
• Strong attention to detail and ability to handle multiple things simultaneously.
• Comfortable with technology and the ability to adapt to new systems.
• The position will be based in Columbus.  If not, the person will be expected to travel regularly to AndHealth office to work with their team.  
• Must be organized and able to work independently.

Here’s what we’d like to offer you:

• Equal investment and support for our people and patients.
• A fun and ambitious growing environment with a culture that takes on important things, takes risks, and learns quickly.
• The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
• A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
• We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
• Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Paid time off, Short- and Long-Term Disability, 401k match and more.

Additional Requirements:   

• Tuberculosis (TB) Screening: Documentation of a negative screening conducted within the last 12 months.
• Hepatitis B: Proof of a completed vaccine series or positive blood titers from within the last 12 months.
• Measles, Mumps, & Rubella (MMR): Proof of a completed vaccine series or positive blood titers from within the last 12 months.
• Varicella (Chickenpox): Proof of vaccination, documented medical history of the disease, or positive blood titers from within the last 12 months.
• Tdap (Tetanus, Diphtheria, Pertussis): Documentation of a booster administered within the last 10 years.
• Influenza: Proof of vaccination for the current flu season.
• COVID-19: Documentation of primary vaccine series and any boosters administered.
• General: Additional health requirements may be requested as necessary.

We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.

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