Tufts Medical Center Medication Access Coordinator in Boston, Massachusetts
Medication Access Coordinator
Schedule: Full-Time Regular
Shift: Day shift
High school diploma or equivalent is required
Under the supervision of a licensed pharmacist, the Medication Access Coordinators (MACs) assist in the various activities of the Department of Pharmacy. The primary responsibility of the MAC is to conduct benefit investigation to help patients of Tufts MC increase access to medications. The MAC is responsible for documentation of all encounters within the EHR, as well as case management software. This position requires frequent communication with providers (MD, RPh, RN, NP, PA) on changes in adherence as well as any financial burden patients may experience. Medication Access Coordinators function in accordance with standard written procedures, guidelines, and state and federal regulations. Medication Access Coordinators interact with patients to help improve adherence under the supervision of a pharmacist for patients using our outpatient pharmacy. Incumbents will educate, train and provide oversight for registered, certified and lead certified pharmacy technicians. They participate in recruiting, scheduling and evaluating other technicians. To become certified, pharmacy technicians must pass the national Pharmacy Technician Certification Exam. MACs must also be registered with the Massachusetts Board of Pharmacy. Medication Prior Authorizations Serve as a subject matter expert for medication prior authorizations Educate / in-services MDs, RNs and NPs on reimbursement changes. Obtain treatment plans and patient demographics to begin insurance verification and authorization process. Work with the Medical Center's clinical staff to obtain information necessary to ensure proper documentation and justification for payment . Work with the Medical Records Department to ensure proper documentation and coding Oversee processes for analyzing benefit requirements and obtaining authorizations as well as medical necessity clearance under the supervision of a pharmacist. Inventory ManagementReceive drugs from wholesale distributors and restock pharmacy drug storage locations. Participate in conducting routine physical inventories of all drug storage locations. Identify and segregate expired drugs. Help to maintain financial and regulatory records required by the Medical Center, and by state and federal agencies. Participate in managing Schedule II, III and IV controlled substance inventories. as allowed by law.Drug PreparationDepartment of Pharmacy Quality ProgramsConduct routine inspections of all drug storage locations and document storage temperature as required.Participate in gathering and reporting data to support the Department of Pharmacy Quality Programs.Training and SupervisionParticipate in recruiting and hiring pharmacy technicians and interns. Participate in developing technician staffing plans and in preparing the technician and intern schedule. Requirements: Medication Access Coordinators work under the supervision of a licensed pharmacist. They must be able to handle frequent interruptions and adapt to changes in workload and work schedule. Must be a high school graduate or equivalent. A Medication Access Coordinator must have successfully passed the national Pharmacy Technician Certification Exam and is required to obtain 20 hours of accredited continuing education to recertify every two years. CPhTs must also be registered with the Massachusetts Board of Pharmacy. The ideal candidate has at least three years of related experience. Registered as a pharmacy technician with the Massachusetts Board of Pharmacy.