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Pharmacy Program Representative
INTEGRIS HealthPharmacy Program Representative at INTEGRIS Health promoting ProMeds Pharmacy program. Responsible for patient advocacy and education for enrolled participants.
About the role
Key responsibilities & impact- Develops and cultivates relationships with targeted referral sources to maximize patient enrollment.
- Acts as the participant's advocate in navigating all aspects of the ProMeds Pharmacy program.
- Promotes the ProMeds Pharmacy program at patient focused group meetings and events.
- Educates INTEGRIS Baptist Medical Center patients about the ProMeds Pharmacy program by meeting with them individually and providing informational program materials.
- Determines patient program eligibility, obtains patient benefit information, and enrolls eligible patients in the program.
- Educates participants about their specific benefit plan and applicable co-pays.
- Works with interdisciplinary team to refer ineligible patients to other service providers.
- Maintains documentation of all program participants and follows up on outstanding issues to ensure a smooth and timely plan enrollment.
- Anticipates changes in an enrolled participant's benefit coverage which impacts co-pays and works to identify payment options such as payment plans, charity care, and/or INTEGRIS Pharmaceutical Assistance Program (IPAP).
- Assists the participant in identifying new pharmacy benefit plans as applicable.
- Compiles and analyzes patient data which will be utilized to improve the ProMeds Pharmacy program for its participants.
- Works closely with pharmacy business coordinator to assist in resolving participant collection issues.
- Responsible for insurance verification, prior authorizations and locating resources for financial support.
Requirements
What you’ll need- Associates degree and/or 4 years of pharmacy or medical experience
- Marketing experience preferred.
- Knowledge of Cover My Meds, foundation assistance programs, CRX, medication & disease states, pharmacy plans including Medicare B & D and LIS enrollment preferred
- EPIC and prior authorization and appeal experience preferred
- Strong computer skills.
- Strong communication skills.
- Must be able to communicate effectively in English (verbal/written).
Benefits
Comp & perks- front-loaded PTO
- medical benefits through the extensive INTEGRIS Health network
- financial assistance for continued education
- 24/7 mental health support
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance verificationprior authorizationspatient enrollmentbenefit analysisdata analysispharmacy plansmedication statesdisease statespayment planscharity care
Soft Skills
communicationadvocacyrelationship buildingteam collaborationproblem solvingorganizational skillspatient educationinterpersonal skillsfollow-upanticipation of changes
Certifications
Associates degreepharmacy certificationmedical certification