Pharmacy Technician- Ambulatory Medication Access

Job description

Pharmacy Technician- Ambulatory Medication Access: This 1.0FTE/Full-Time position is scheduled to work 8 HR Day shifts and is UFCW represented.
Compensation : Non-exempt, $27.11/HR-$44.23/HR Placement within this range is based on years of applicable experience.
Benefits:
At Mason Health, we are committed to providing our employees with a comprehensive benefits package that supports both your professional growth and personal well-being. Whether you are a Part-time or Full-time member:
Health & Wellness Benefits:
• Medical, Dental & Vision Insurance – With employer paid premiums for full-time employees
• Mental Health & Wellness Resources – Access to our Employee Assistance Program (EAP), Talkspace, and the Calm App.
• Life Insurance
• Short & Long-Term Disability Insurance

Financial Benefits:
• Retirement/Deferred Compensation Plans – Mason Health contributes 8% of your compensation every pay period when you contribute at least 5%.
• Flexible Spending Account (FSA)
• Tuition Assistance Program
• Approved by the Health Resources and Services Administration (HRSA) for student loan repayment programs.

Time Off & Work-Life Balance:
• Generous Paid Time Off (PTO) – Accrue up to 8 hours of PTO every bi-weekly pay period, starting with 5 weeks of PTO and increasing to 7+ weeks after 3 years.

Exciting Incentives:
• Sign-On and Relocation Bonuses – Only available for specific roles
• Employee Referral Program – Earn up to $7,500 depending on the role.
• Shift Differentials

PNW Living:
• Nestled in the heart of the Pacific Northwest – Shelton offers the perfect balance of work and lifestyle, with access to top outdoor recreation, local dining, and unique attractions. Located near Olympic National Park and Puget Sound, it’s a gateway to adventure, surrounded by lush evergreen forests, crisp mountain air, and serene waters.

Job Summary
Supports medication management and medication access for ambulatory clinic patients through refill coordination, prior authorizations, patient assistance programs, and diabetes equipment ordering. Coordinates requests among patients, pharmacists, providers, pharmacies, suppliers, and insurers, and maintains accurate documentation through completion of assigned workflows.
Employees in this position may have designated primary assignments in medication management or medication access. Both assignments share this job description. Employees maintain competency in both areas and provide cross-coverage for vacation, illness, workload needs, and continuity of patient care.
Essential Duties and Responsibilities:
Medication Management and Refill Coordination
• Monitors medication management work queues, electronic fax requests, and other incoming medication requests throughout the day. Reviews requests for accuracy, duplication, discontinued medications, and other discrepancies and links requests to the appropriate patient record.
• Prepares and pends medication refill requests received through provider messages, telephone encounters, patient portal messages, pharmacy faxes, and other approved channels using established Cerner workflows for pharmacist review and signature.
• Routes medication requests outside the pharmacist’s authorized refill workflow, including controlled substances and other medications requiring additional clinical review, to the appropriate provider or care team in accordance with established procedures. Processes provider-approved medication recommendations, including diabetes wellness recommendations, as appropriate.
• Communicates with pharmacies to clarify medication requests, formulations, coverage concerns, and other discrepancies. Documents communications and routes questions requiring clinical determination to the pharmacist or appropriate provider.

Diabetes Equipment and Durable Medical Equipment
• Coordinates requests for diabetes testing supplies, continuous glucose monitors, insulin pumps, and related durable medical equipment (DME). Verifies payer coverage, eligibility, documentation, and authorization requirements and prepares pharmacy orders, written orders, and required DME documentation for appropriate clinical signature.
• Manages DME workflows through Parachute Health and other applicable systems, including order entry, clinician signatures, supplier responses, renewals, insurance authorization, and follow-up through order fulfillment. Follows up on outstanding or unsigned orders within established timelines.

Prior Authorizations and Medication Coverage
• Monitors CoverMyMeds, electronic fax queues, Cerner work queues, and other applicable systems for medication prior authorization and formulary requests.
• Prepares, completes, and submits prior authorization requests using available clinical documentation, including laboratory results, medication history, and supporting records. Coordinates with pharmacists, providers, and care teams when additional clinical information, interpretation, or justification is required.
• Documents authorization outcomes and medication coverage information in Cerner, responds to status inquiries, and routes denials, unresolved coverage concerns, and requests requiring clinical decisions to the appropriate pharmacist, provider, or care team.

Financial Assistance and Patient Assistance Programs
• Coordinates manufacturer financial assistance and patient assistance programs for eligible patients experiencing barriers to obtaining medications prescribed by Mason Clinic providers.
• Works directly with patients, providers, and assistance programs to determine eligibility; collect financial, insurance, authorization, and supporting documentation; obtain required signatures; submit applications; and track approvals, denials, renewals, and follow-up requirements. Educates patients and providers regarding available programs and application processes.

Clinic Coordination and Immunization Support
• Coordinates hospital follow-up appointment requests for Primary Care and Cardiology, including scheduling applicable appointments in Cerner Revenue Cycle and communicating appointment information to hospital nursing staff.
• Coordinates vaccine administration activities with the clinic pharmacist and Employee Health. Administers vaccines under direct pharmacist supervision when assigned and when applicable training, authorization, and organizational requirements are met.
• Accurately documents and reports Employee Health vaccinations in the Washington State Immunization Information System (WAIIS) and other required systems.
• Other duties as assigned.

Required Education and Experience:
• Three (3) years of Pharmacy Technician experience, required.

Required Licenses, Certifications and/or Registrations:
• Current Washington state Pharmacy Technician license.
• Immunization Administration Certificate through Accreditation Council for Pharmacy Education (ACPE)

Required Knowledge, Skills and Abilities:
• Knowledge of medical and pharmaceutical terminology, medication-related workflows, and general pharmacy practices sufficient to accurately process and coordinate medication requests within established procedures.
• Knowledge of health insurance, medication coverage, prior authorization, patient assistance, and durable medical equipment processes, including the ability to interpret and follow payer documentation requirements.
• Demonstrates strong attention to detail and accuracy when reviewing medication requests, entering information, preparing orders, maintaining documentation, and completing authorization or assistance program requirements.
• Ability to organize and prioritize multiple tasks, work queues, requests, and follow-up activities while meeting established timelines in a fast-paced healthcare environment.
• Ability to effectively utilize electronic health records, pharmacy and authorization platforms, payer portals, and other healthcare technology systems; proficiency with Microsoft Office applications.
• Demonstrates effective verbal and written communication skills and the ability to communicate professionally with patients, pharmacies, providers, clinical staff, insurance representatives, suppliers, and other internal and external partners.
• Uses critical thinking and problem-solving skills to identify discrepancies, incomplete information, coverage barriers, and workflow issues and appropriately escalates matters requiring pharmacist, provider, or other clinical review.
• Ability to understand and consistently follow established policies, procedures, regulatory requirements, and defined scopes of responsibility while recognizing when additional clinical review or authorization is required.
• Demonstrates effective collaboration and teamwork across Pharmacy, Primary Care, Employee Health, nursing, providers, and other departments to support timely medication access and continuity of patient care.
• Ability to provide professional, patient-centered service when assisting individuals with medication access, financial assistance, insurance requirements, and other potentially complex or sensitive needs.

Mason Health practices equal employment opportunity towards all workforce members and applicants for employment. Mason Health does not engage in or tolerate any discrimination in the workplace prohibited by applicable local, state, or federal law. Specifically, no workforce member will be discriminated against on the basis of their race, color, sex/gender (including pregnancy), sexual orientation, religion/creed, age, disability, marital or veteran status, national origin, genetic information, or any other characteristic protected by applicable state or federal law.