Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

Pop Health Rx Support Team

Job Summary:

JOB SUMMARY

This is a pharmacy technician position on the centralized population health team. This team supports a team pharmacists, patients, clinicians, and care management team to ensure effective, safe, and cost-effective drug therapy. Further, this technician will support the prescriber and pharmacist to implement the patient’s care plan, such as navigating insurance benefits and pharmacy challenges. More specifically this person will manage prior authorizations for primary care patients from initial request through final decision.

The position requires familiarity with retail pharmacy billing, solving commonly encountered problems when filling medications, and various PA software (e.g. Cover My Meds). Given the rapidly growing nature of this team, staff must be quick learners, flexible, and team players. The technician will interact closely with PA team members as well as with other technicians, pharmacists, clinic nurses, providers, outside pharmacy staff, and payers. Therefore, one must be comfortable explaining potentially complex scenarios over the phone or via written communication.

This is a full-time, weekday, day-shift position. It is a primarily remote and virtual position, though periodic in-person attendance may be necessary. Residence in the middle Tennessee region is preferred.

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KEY RESPONSIBILITIES

• Evaluate prior authorization requests for key barrier

• Determine best route for medication access including prior authorization or alternative path

• Review patient records for applicable information to answer prior authorizations

• Complete and manage prior authorization submissions

• Communicate questions, updates, and decisions to clinic staff, pharmacies, and patients as needed

• Maintain data in appropriate database to facilitate evaluation and presentation of program outcomes

• Appropriately document in the medical record

• Brainstorm opportunities for quality and process improvement

• Works collaboratively to balance workload and refine procedures

• Identify and initiate cost saving opportunities for patients (e.g. copay cards, patient assistance programs)

• Appropriately utilize pharmacist resources and appropriately respond to pharmacist oversight and requests

• Train others on team operations and best practices for processing prior authorizations

• Additional responsibilities as determined by the department and fluctuations in volumes

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

• Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance. * Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems. * Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job. * Team Interaction: Provides guidance to entry level co-workers.

Core Capabilities :

Supporting Colleagues : Develops Self and Others: Continuously improves own skills by identifying development opportunities.- Builds and Maintains Relationships: Seeks to understand colleagues' priorities, working styles and develops relationships across areas.- Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner. Delivering Excellent Services: - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.- Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High Quality: - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards. - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively : - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service. - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources. - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error. Fostering Innovation : - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them. - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. - Adapts to Change: Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.

Position Qualifications:

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

1 year

Education:

Graduate of an approved discipline specific program

Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled