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The Pharmacy Medication Liaison, under the general supervision of a pharmacist and in conjunction with clinical staff, is responsible for providing access to non-specialty and specialty medications for patients by completing pharmacy-benefit prior authorization requests (PAR), co-pay assistance programs, medication assistance programs, benefits investigation, coordinating refill renewal requests, managing PAR and prescription renewal dates, and assisting patients without health insurance to connect with the Enrollment department as applicable. Clinical and technical knowledge is utilized to operate web-based applications, work in Microsoft Word and Excel, and analyze and audit pharmacy usage reports.
Essential Functions:
Serve as a referral point and as the expert in submitting applications for patients to receive provided drug and co-pay assistance from pharmaceutical manufacturer assistance programs (20%)
Coordinate applications for assistance meeting drug-specific requirements for participation, including but not limited to forms, patient proof of income, relative clinical information, and physician or provider signature (20%)
Track each request to achieve timely approval & follow-up with appropriate individuals when not approved (15%)
Displays effective file management by maintaining documentation and detailed records of program participation, medications dispensed, and value of medications provided to patients via the Medication Assistance Program (10%)
Completes consistent documentation in the electronic health record per program standard of practice (10%)
Effective analysis and use of management data and reports to establish standards to monitor and improve contract performance (5%)
Works with the Enrollment Services Department (5%)
Directly enroll eligible patients into manufacturer patient assistance and co-pay programs (5%)
Collaborate with other departments providing pharmacy related information to nurse case managers, complex case workers, health coaches, and patient navigators (5%)
Work cooperatively with other staff members and clinic staff (5%)
Education:
High School Diploma or GED Required
Work Experience:
1-3 years One to Three (3) years of pharmacy technician experience or equivalent experience performing prior authorizations Required
Licenses:
PHAT-Licensed Pharmacy Technician - DORA - Department of Regulatory Agencies Required
CPHT-Certified Pharmacy Technician - NHA - National Healthcare Association Required
Knowledge, Skills and Abilities:
Extensive knowledge of health care administration, including Medicare, managed care, Medicaid and CHP+ eligibility and enrollment processes
Extensive knowledge of eligibility determination systems
Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies
Excellent communication and organizational skills
Analytical thinking, problem solving, and process improvement skills
Ability to work independently and with little supervision
Ability to disseminate program information, policies, rules and/or regulations
Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion
Ability to consistently implement program, department and organizational policies and procedures
Demonstrates exceptional interpersonal and customer service skills in all interactions with internal and external healthcare team members
Demonstrates exceptional interpersonal and customer service skills in all interactions with patients
Understands how state and federal laws, regulations, policies and procedures impact specific job responsibilities and functions
Demonstrates actions to reasonably prevent, detect, and report unethical and unlawful business practices
Proficiency with Microsoft Office required
Proficiency with Epic, preferred
Shift
Work Type
Regular
Salary
$52,300.00 - $73,200.00 / yr
Benefits
At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.
Here is a small list of our benefit programs:
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
About Denver Health
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.
As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.