Medication Access Coordinator - Pharmacy Services - Medical , Infusion & Clinic Administ

Medication Access Coordinator – McLeod Pharmacy Services

Reporting to the Pharmacy Business Services Corporate Director, the Medication Access Coordinator supports patients’ access to critical medications in a timely and affordable manner. The coordinator communicates determination outcomes verbally and electronically with providers, clinical team members, and patients. When a medication authorization or patient assistance cannot be obtained, the coordinator guides and educates staff, providers, and patients on options and necessary steps to resolve barriers.

• Consistently offer a positive patient and healthcare team experience through professional, timely, accurate communication.
• Facilitate and establish clinic, pharmacy, and patient relationships to deliver high‑quality patient care.
• Demonstrate core values of McLeod Health in every interaction.
• Receive and prioritize referrals to complete medication prior authorizations and/or patient assistance.
• Verify third‑party payer coverage and medication benefits/coverage policies.
• Complete thorough benefits investigations to determine patient third‑party payer coverage level and out‑of‑pocket costs.
• Obtain necessary clinical information through investigation and review of the electronic medical record to ensure complete and accurate prior authorization submission, collaborating with the clinic to acquire additional information or guidance if necessary.
• Support clinical staff, providers, and pharmacy partners in the navigation of, and adherence to, internal and external formulary policies, pathways, and step‑therapy requirements to ensure appropriate and cost‑effective medication use.

Founded in 1906, McLeod Health is a locally owned and not‑for‑profit organization supported by more than 900 medical staff members and 2,900 licensed nurses. McLeod Health employs approximately 15,000 team members and operates 7 hospitals, 3 health and fitness centers, a sports medicine and outpatient rehabilitation center, hospice and home health services throughout its 18‑county service area.

McLeod Health is an equal opportunity employer. All qualified applicants will receive consideration for employment and are protected by federal, state and local anti‑discrimination laws.