Specialty Pharmacy Program Operations Specialist (100% Fte, Rotating/Variable Shifts)

Job Description

SPECIALTY PHARMACY PROGRAM OPERATIONS SPECIALIST (100% FTE, ROTATING/VARIABLE SHIFTS)

Req #: 233197 Department: HARBORVIEW MEDICAL CENTER PHARMACY Job Location: Harborview Medical Center Posting Date: 04/25/2024 Closing Info: Open Until Filled Salary: $5,114 - $7,672 per month Other Compensation: Shift: Alternate Work Shift Benefits: As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here. The HARBORVIEW MEDICAL CENTER PHARMACY DEPARTMENT is looking for an outstanding SPECIALTY PHARMACY PROGRAM OPERATIONS SPECIALIST. . This position is responsible for the direction and control of the UW Medicine Specialty Pharmacy program for assigned clinics. The Program Operations Specialist will maximize pharmacy reimbursement through programs that provide funding or provision of medication and provide specialty pharmacy and patient assistance program information and education to providers, patients and medical center staff.
WORK SCHEDULE
• 40 hours per week
• Rotating/Variable Shift
PRIMARY JOB RESPONSIBILITIES:
• Identify patient needs and ensure coverage of medication on their insurance plan. If not covered, obtain necessary information from patient and provider to enable justification for Patient Assistance program.
• Obtain initial and renewal insurance authorization for specialty medications as required by insurance plans.
• Ensure patients’ specialty prescriptions are sent to the appropriate pharmacy for fulfillment along with any co-pay assistance documentation.
• Participate in the Specialty Pharmacy quality management program as part of the Specialty Pharmacy Committee.
• Participate in the development, implementation and evaluation of policies and procedures for the Specialty Pharmacy Program.
• Maintain a data collection instrument for the specialty pharmacy program. Documents financial impact of program activities through increased prescription capture, medication assistance programs and co-pay assistance programs.
• Serve as point of reference for Patient Assistance audits in a timely manner and provide all necessary documentation; patient financial records, signed applications, original prescriptions, receipt of delivery and signed proof that the patient received medication.
• Identify and resolve problems in Patient Assistance and reimbursement and determine compliance for patients of the assigned clinics. Assure resolution of prescription reimbursement and patient assistance issues with patient, provider, third party payor and drug manufacturers to ensure patient access to prescribed medications. Explores all patient assistance and co-pay program options to minimize prescription write-off's.
Strong candidates will have proficiency with MS Office applications and highly-detailed organizational skills. Interest in health care and information technology, as well as experience with employee assistance programs is desired.
REQUIRED POSITION QUALIFICATIONS:
• Current certification as a Pharmacy Technician in Washington State.
• Bachelor's degree in health care related or business field or 4-5 years of experience as a pharmacy technician.
• Knowledge of third-party insurance billing practices, federal and state regulations with regard to billing and reimbursement, internal billing structure and billing procedures.
LEGAL REQUIREMENT: State of Washington Pharmacy Technician certification.
CONDITION OF EMPLOYMENT:
UW Medicine is committed to being a drug-free workplace. We require a pre-employment drug screen.
ABOUT HARBORVIEW MEDICAL CENTER
As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care.
Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region.
Challenge. Collaboration. Compassion. Become part of our team. Join our mission to make life healthier for everyone in our community.
ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER
UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
Join our mission to make life healthier for everyone in our community.

Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [email protected] .

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law .

Apply for this job