Primary City/State:

　　Gilbert, Arizona

　　Department Name:

　　BFP-Gateway

　　Work Shift:

　　Day

　　Job Category:

　　Pharmacy

　　Up To a $5,000 Sign on Bonus Available!

　　Innovation and highly trained staff. Our Pharmacy team members play a critical role in ensuring the best care for our patients. Join a nationally recognized leader that values excellence and begin making a difference in people’s lives. Apply today!

　　This Specialty Pharmacy Patient Advocate will be hired into our Pharmacy Shared Services, supporting Banner Family Pharmacy - Home Delivery and Banner Pharmacy Services - Specialty Care at Banner MD Anderson Cancer Center. Our team provides direct patient care to patients and their caregivers by assisting with financial assistance and prior authorizations. As a Pharmacy Patient Advocate, you will assist with Pharmacy Technicians and Provider consultations, provide Pharmacist verification, and fulfillment. You will have the opportunity to work in a very rewarding line of work, with a high functioning team that offers opportunity for professional growth.

　　We are looking for a full-time, 40 hours per week, Specialty Pharmacy Patient Advocate to join our team at MD Anderson Cancer Center. This is a Monday-Friday opportunity, working 9AM - 5:30PM (requires flexibility with hours), and no weekends or holidays currently required (subject to change depending upon the needs of the business). Your first 8-10 weeks will require on-site training with hours of 8AM-4:30PM. This team also offers the opportunity to work from home, once fully trained, on a rotational basis . Specialty experience or experience with prior authorizations and/or financial assistance will be needed helpful in this role. Recruiter to provide details of the sign-on bonus during the interview process.

　　Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity. These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.

　　Banner Pharmacy Services division provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices. Banner Pharmacy Services will be recognized nationally as a clinical leader and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and service to make a difference in people's lives. Banner is expanding its focus from being a hospital company to a clinical quality company focused on population health management. Clinical Pharmacy Services are also included in this robust new service line and are responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention.

　　POSITION SUMMARY

　　This position will determine, support and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third-party prior authorization and billing processes for pharmacy benefits. Assist patients with enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a face-to-face bedside-oriented service that delivers comprehensive fiscal options to patients and provide medication cost after transplant. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and appropriate step therapy to third-party for initial insurance approval. Verify eligibility, benefit provisions, and support the appeals process.

　　CORE FUNCTIONS

　　Coordinate with stakeholders to remove medication access barriers.

　　Maintain current knowledge of pharmacy regulations, payer agreements and assistance programs.

　　Provide timely medication benefit counseling to patients and hospital staff.

　　Accurate and timely execution of pharmacy projects as required.

　　Follow policies, procedures and regulatory requirements and perform other work assignments.

　　MINIMUM QUALIFICATIONS

　　Licensed and registered pharmacy technician in the state of practice, where applicable. Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire.

　　Minimum of three years of healthcare and/or insurance/third party reimbursement experience required to include one year of technician experience required. Strong customer service focus, superior problem-solving abilities required. Proficiency in Microsoft Word, Excel, network, web-based and payer applications required. Ability to anticipate customer requirements and meet those needs in an appropriate and timely manner is required. Ability to prioritize organization requirements and track progress of multiple initiatives.

　　PREFERRED QUALIFICATIONS

　　Completion of a Pharmacy Technician Certification Program.

　　Associate’s or bachelor’s degree in business, healthcare or related field preferred. Prior authorization experience in specialty or retail pharmacy preferred. Knowledge of commercial, Medicare B, Medicare D and Medicaid pharmacy rules and regulations preferred. Knowledge and experience utilizing McKesson Enterprise, Cerner and Therigy preferred Bi-lingual preferred

　　Additional related education and/or experience preferred.

　　EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

　　Our organization supports a drug-free work environment.

　　Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

　　EOE/Female/Minority/Disability/Veterans

　　Banner Health supports a drug-free work environment.

　　Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability