Medication Access Coordinator

*All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support + Pet Insurance **Our promise to you:** Joining UChicago Medicine AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago Medicine AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **Schedule:** **Full Time** **Shift:** **Days; Monday - Friday 8:00am - 4:30pm** **Location:** **701 Winthrop Avenue, Glendale Heights, IL 60139** **The community you'll be caring for:** **UChicago Medicine AdventHealth GlenOaks - MTM Clinic** **The role you'll contribute:** The Medication Access Coordinator is responsible for completing necessary functions to ensure optimal reimbursement for high cost, take home medications for patients receiving care in ambulatory clinics. Duties and responsibilities include: assistance with conducting and completing necessary third party prior authorization requests and associated services related to high cost medications, maximizing efficiency for patients and clinic staff. Other areas of responsibility include pre-screening patients for viable payment sources, managing reimbursement issues associated with high-cost medications, identifying opportunities for improving reimbursement from payers, compiling reports for contract optimization, completing the necessary paperwork for prior authorizations, and conducting retrospective utilization reviews on cases of payment denials or insufficient reimbursement. Participation in the quality management program is expected with the goal of improving services by monitoring processes, analyzing data, implementing interventions to improve and evaluating the effectiveness of those interventions. Responsibilities may include working to establish and maintain long- and short-term goals for the Quality Management Program; monitoring and documenting Quality Improvement Projects for progress in meeting quality improvement goals; and providing guidance and education to staff on Quality Management priorities and projects. **The value you'll bring to the team:** + Improves patient service experience and maximizes pharmacy revenue through provision of prior authorization services for high-cost medications. + Completes prior authorization forms, negotiates authorization status with insurers, tracks prescription approval status, and alerts clinical pharmacists of denials or nonresponse. + Facilitates enrollment of patients in patient assistance programs and collaborates with social services and case management. + Assists pharmacists with preparing letters of medical necessity and coordinating peer-to-peer conferences. + Expedites clinic workflow and enhances patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff. + Communicates and collaborates regarding patient therapy interruptions, additional therapy monitoring requirements, and alternative care delivery setting options. + Facilitates adherence to medications by ensuring patients receive prescribed medications in a timely manner and makes scheduled calls to obtain clinical information and process prescription refills. + Documents and triages patient problems with therapy to the appropriate pharmacist, assures documentation of problem and follow-up, and assists with coordination of filling, packaging, and delivery of prescriptions. + Observes and understands prescribing trends within ambulatory clinics to identify areas for improved specialty pharmacy contracting. + Develops marketing materials and communication strategies under the guidance of the pharmacy management team to increase patient recruitment and prescription capture rate of high-cost take-home medications. + Assists with the development and implementation of policies and procedures to ensure reimbursement of high-cost medications. + Facilitates staff training and competency, education, and practice advancement, including training new staff members and coordinating with the manager to develop and maintain a training and competency program for specialty pharmacy technician staff. + Performs other duties as assigned. + Conducts patient insurance, benefits, and financial investigation and verification by directly communicating with patients. Qualifications **The expertise and experience you'll need to succeed** **:** + High School Grad or Equiv Required + **Five or more years of Work Experience Required** + Experience with pharmacy benefits plans and secondary insurance providers (copay assistance). + Accuracy and attention to detail for long periods of time; excellent organization skills. + Ability to interpret prescription and knowledge of the generic names of medications and medical terminology; vast understanding of mathematical principles to perform pharmaceutical calculations. + Ability to critically think through situations with good problem-solving skills + Good customer service skills and values teamwork. + Must be able to multitask and be flexible in moving from task to task within the department while maintaining composure and staying organized. + Basic to moderate proficiency skill set in MS Office: Word, Excel and Outlook. + Registered Pharmacy Technician (RPT-LIC) - Registered Pharmacy Technician in Illinois or Certified Pharmacy Technician by passing the PTCB or ExCPT pharmacy technician exam Required This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. **Category:** Pharmacy **Organization:** UChicago Medicine AdventHealth GlenOaks **Schedule:** Full-time **Shift:** 1 - Day **Req ID:** 25043385 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

Created: 2025-11-05