Medication Assistance Program Coordinator

Overview

The Medication Assistance Program Coordinator is responsible for managing all duties of the pharmaceutical industries medication patient assistance recovery programs for DCH. This includes the identification and qualification of patients eligible for medication patient assistance programs.

The Medication Assistance Program Coordinator shall be responsible for managing and coordinating all activities associated with ensuring access to affordable medications through internal pharmacy and external manufacturer prescription assistance programs.

The Medication Assistance Program Coordinator will assist patients by providing complete patient care through the distribution of sample medication provided by pharmaceutical companies in coordination with the DCH pharmacy programs.  

Responsibilities

The Medication Assistance Program Coordinator is responsible for initiating, researching, completing, submitting and tracking Patient Assistance Program (PAP) applications for assigned facilities.

Identifies and qualifies patients for patient assistance programs at assigned facilities.

In addition to utilizing the resources that are available, the medication assistance coordinator is responsible for locating, applying for and securing financial assistance.

Supports and helps coordinate medication assistance for insured, uninsured, and under insured patients.

Obtains appropriate signatures and documentation for completed PAP applications prior to submission of the applications to the respective PAP.

Ensures that patient-specific reimbursement related information is obtained and available for review and for tracking of replacement products, including maintenance of files and documentation for PAP application submissions.

Identifies and assists patients with locating resources for pharmaceutical copay assistance and facilitates their enrollment and application process for the program.

Ensures pharmaceutical assistance is maintained for the duration of the prescription for patients enrolled in the PAP.

Identifies pharmaceutical assistance programs using third party software and internet programs.

Responsible for using the third party software or contacting the pharmaceutical companies to obtain refills and/or new prescription approvals within patient qualification guidelines.

Proactively establishes business relationships with key hospital contacts and other pertinent hospital department managers, keeping them informed of significant changes in site-specific recovery potential based on changes to the PAPs.

Reports regularly to the Assistant Director, providing updates on program’s status and issues that may be barriers to maximizing the medication assistance recovery opportunity.

Works with pharmacists and providers to determine appropriate medication access programs for patients.

Works with the DCH retail pharmacy to maintain an accurate inventory of patient specific medication provided by patient assistance programs.

Has a working knowledge of all State and Federal laws and regulations affecting the practice of pharmacy.

Maintains security and confidentiality of all patient information.

Adheres to Pharmacy Department policies and procedures.

Adheres to DCH Behavioral Standards.

Participates in departmental planning.

Incorporates DCH values/goals into own work priorities.

Sets meaningful personal goals and assists others.

Uses critical thinking skills to solve complex problems.

Appropriately prioritizes and organizes work.

Proactively seeks out opportunities for self-development.

Seeks out new and innovative solutions to improve work.

Requires minimal guidance to perform routine functions.

DCH Standards:      

Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.

Performs compliance requirements as outlined in the Employee Handbook

Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.

Requires use of electronic mail, time and attendance software, learning management software and intranet.

Must adhere to all DCH Health System policies and procedures.

All other duties as assigned.

Qualifications

MINIMUM KNOWLEDGE, SKILLS, EXPERIENCE REQUIRED

 

Must be registered as a technician in State of Alabama by start date.   Must have national certification by PTCB or ExCPT. Must have a minimum of one year experience in medication reimbursement and health care insurance preauthorization.  Three years’ experience in pharmacy practice is preferred. Experience with patient as