Pharmacy Technician Specialist-Specialty Pharmacy Medication Access

Pharmacy Technician Specialist – Specialty Pharmacy Medication Access (Full-time Days)

Join to apply for the Pharmacy Technician Specialist – Specialty Pharmacy Medication Access (Full-time Days) role at Northwestern Memorial Hospital
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The salary range for this position is $26.69 - $37.37 (Hourly Rate). Placement within the salary range is dependent on factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.

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 located .org/benefits to learn more.

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year ($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

• Identify, research, and resolve issues and consumer complaints
• Check incoming prescriptions for completeness of all required information needed for processing
• 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 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 subsequently rebill claims to appropriate 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 Risk Evaluation and Mitigation Strategies (REMS) requirement 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 with prescription when needed
• Complete prescription return‑to‑stock reports in a timely manner to meet compliance requirements
• Access, input, and retrieve information on 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
• Provide 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

• Initiate and facilitate all drug purchasing for the pharmacy department.
• Monitor stock levels; evaluate…