Northwestern Medicine
Pharmacy Technician Specialist-Specialty Pharmacy Medication Access, Full-time D
Northwestern Medicine, Chicago, Illinois, United States, 60290
Pharmacy Technician Specialist—Specialty Pharmacy Medication Access (Full-time Days)
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient‑first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits.
Job Description The Pharmacy Technician Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.
Specialty Pharmacy Responsibilities
Identify, research, and resolve consumer complaints.
Check incoming prescriptions for completeness of all required information.
Possess working knowledge of participating third‑party payors and their requirements.
Establish and maintain open communication with pharmacy operations analysts regarding third‑party billing issues and the centralized procurement team regarding ordering and inventory matters.
Assist with prescription audits as needed.
Educate pharmacy staff regarding third‑party billing policies and procedures as needed.
Answer and triage patient, provider, and third‑party calls to appropriate individuals adhering to phone scripts in a courteous and professional manner.
Contact payers for lost medication, replacement, or vacation overrides.
Troubleshoot and resolve billing rejections and rebill claims to carriers for all commercial, federal, and state insurance plans.
Verify and accurately update patient demographic information in appropriate system(s).
Document patient's insurance information in appropriate system(s).
Refer and document any clinical questions regarding prescriptions, drug information, or health conditions requiring follow‑up to a pharmacist.
Utilize case management and pharmacy software systems to schedule prescription refills and adjudicate claims.
Coordinate prescription orders accurately and appropriately, including, but not limited to, “ready at” date, time, and shipping/delivery method.
Perform point‑of‑sale functions.
Understand and adhere to drug‑specific REMS requirements and identify what is needed for REMS fulfillment. Complete any REMS forms and authorizations required from the pharmacy. Print drug‑specific medication guides to be dispensed when needed.
Complete prescription return‑to‑stock reports in a timely manner to meet compliance requirements.
Access, input, and retrieve information on the pharmacy computer system to create labels for prescriptions.
Possess thorough understanding of the processes and procedures for shipping patient’s medications and can independently resolve any complications.
Spend ≤ 5 % of time on quality management of the program.
Support the Northwestern Medicine Ambulatory Pharmacy team to enhance workflow for clinical pharmacy services throughout the network.
Responsible for providing access to medications for patients by completing Prior Authorization Requests, co‑pay assistance programs, medication assistance programs, and benefits investigation.
Coordinate with third‑party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines.
Directly enroll eligible patients into manufacturer patient assistance co‑pay programs.
Pharmacy Technician Specialist Responsibilities
Initiate and facilitate all drug purchasing for the pharmacy department.
Monitor stock levels; evaluate previous purchasing and utilization patterns and anticipate needs.
Maintain appropriate drug inventories.
Coordinate the receipt of all deliveries, restock storage areas and rotate stock as necessary.
Develop and maintain sources and mechanisms to obtain drug supplies on an emergency basis interacting with local hospitals, pharmacies, alternative vendors, etc.
Facilitate all returns and credits of expired or unneeded drugs.
Takes appropriate action on drug recalls.
Process inter‑department billing. Perform monthly pharmacy unit inspections.
Prepare medications and floor stock for delivery to various hospital departments and nursing units.
Rectify with vendors all problems associated with receipt of orders, back orders, shipping errors and incorrect pricing.
Maintain purchasing records including invoices, purchase orders, catalogs and historical records.
Prepare and distribute purchasing reports for the department.
Assist in maintaining the pharmacy technician schedule.
Assist in the development and training of new pharmacy technicians.
Perform all duties of pharmacy technician, including sterile compounding of IV admixtures, injections and infusions.
Assist in weekly narcotic audits to insure accurate narcotic record keeping.
Work with the pharmacy manager or director to identify areas of improvement in workflow or inventory control of the pharmacy.
Qualifications
High School Diploma or equivalent.
Pharmacy Technician License (IDFPR).
Certified Pharmacy Technician (CPhT) certification through PTCB or NHA.
At least 2 years specialized or technical training.
Additional Information Northwestern Medicine is an equal‑opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case‑by‑case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign‑On Bonus Eligibility Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign‑on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending on the job family.
Seniority level:
Associate
Employment type:
Full‑time
Job function:
Marketing and Product Management
Industries:
Software Development and IT Services, and IT Consulting
#J-18808-Ljbffr
Job Description The Pharmacy Technician Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.
Specialty Pharmacy Responsibilities
Identify, research, and resolve consumer complaints.
Check incoming prescriptions for completeness of all required information.
Possess working knowledge of participating third‑party payors and their requirements.
Establish and maintain open communication with pharmacy operations analysts regarding third‑party billing issues and the centralized procurement team regarding ordering and inventory matters.
Assist with prescription audits as needed.
Educate pharmacy staff regarding third‑party billing policies and procedures as needed.
Answer and triage patient, provider, and third‑party calls to appropriate individuals adhering to phone scripts in a courteous and professional manner.
Contact payers for lost medication, replacement, or vacation overrides.
Troubleshoot and resolve billing rejections and rebill claims to carriers for all commercial, federal, and state insurance plans.
Verify and accurately update patient demographic information in appropriate system(s).
Document patient's insurance information in appropriate system(s).
Refer and document any clinical questions regarding prescriptions, drug information, or health conditions requiring follow‑up to a pharmacist.
Utilize case management and pharmacy software systems to schedule prescription refills and adjudicate claims.
Coordinate prescription orders accurately and appropriately, including, but not limited to, “ready at” date, time, and shipping/delivery method.
Perform point‑of‑sale functions.
Understand and adhere to drug‑specific REMS requirements and identify what is needed for REMS fulfillment. Complete any REMS forms and authorizations required from the pharmacy. Print drug‑specific medication guides to be dispensed when needed.
Complete prescription return‑to‑stock reports in a timely manner to meet compliance requirements.
Access, input, and retrieve information on the pharmacy computer system to create labels for prescriptions.
Possess thorough understanding of the processes and procedures for shipping patient’s medications and can independently resolve any complications.
Spend ≤ 5 % of time on quality management of the program.
Support the Northwestern Medicine Ambulatory Pharmacy team to enhance workflow for clinical pharmacy services throughout the network.
Responsible for providing access to medications for patients by completing Prior Authorization Requests, co‑pay assistance programs, medication assistance programs, and benefits investigation.
Coordinate with third‑party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines.
Directly enroll eligible patients into manufacturer patient assistance co‑pay programs.
Pharmacy Technician Specialist Responsibilities
Initiate and facilitate all drug purchasing for the pharmacy department.
Monitor stock levels; evaluate previous purchasing and utilization patterns and anticipate needs.
Maintain appropriate drug inventories.
Coordinate the receipt of all deliveries, restock storage areas and rotate stock as necessary.
Develop and maintain sources and mechanisms to obtain drug supplies on an emergency basis interacting with local hospitals, pharmacies, alternative vendors, etc.
Facilitate all returns and credits of expired or unneeded drugs.
Takes appropriate action on drug recalls.
Process inter‑department billing. Perform monthly pharmacy unit inspections.
Prepare medications and floor stock for delivery to various hospital departments and nursing units.
Rectify with vendors all problems associated with receipt of orders, back orders, shipping errors and incorrect pricing.
Maintain purchasing records including invoices, purchase orders, catalogs and historical records.
Prepare and distribute purchasing reports for the department.
Assist in maintaining the pharmacy technician schedule.
Assist in the development and training of new pharmacy technicians.
Perform all duties of pharmacy technician, including sterile compounding of IV admixtures, injections and infusions.
Assist in weekly narcotic audits to insure accurate narcotic record keeping.
Work with the pharmacy manager or director to identify areas of improvement in workflow or inventory control of the pharmacy.
Qualifications
High School Diploma or equivalent.
Pharmacy Technician License (IDFPR).
Certified Pharmacy Technician (CPhT) certification through PTCB or NHA.
At least 2 years specialized or technical training.
Additional Information Northwestern Medicine is an equal‑opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case‑by‑case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign‑On Bonus Eligibility Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign‑on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending on the job family.
Seniority level:
Associate
Employment type:
Full‑time
Job function:
Marketing and Product Management
Industries:
Software Development and IT Services, and IT Consulting
#J-18808-Ljbffr