Site: Mass General Brigham Incorporated

 

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.

 

budgeted FTE for clinical team growth and expansion

 

Job Summary

General Summary/Overview:



Work directly with patients, Specialty Pharmacy staff, and clinic staff to manage the specialty medication needs of Mass General Brigham patients. Understand the complex medication needs of patients and coordinate with pharmacy and medical/nursing staff to meet those needs while providing extraordinary service. Assist patients with benefit coordination and financial assistance, manage prior authorizations, and ensure patients receive their medications at the appropriate time.



Principle Duties and Responsibilities:



- Work with physicians, nurses and pharmacists to ensure that each patient receives the medications he/she needs at the appropriate time:

- Review medication regime with patient to determine which medications need to be dispensed
- Process medication orders confirming that they are billed to all third parties correctly
- Monitor patient concerns, charts and profiles to meet their medication therapy needs

Support MGBSP Patient Needs:

- Answer patient questions about the service, insurance issues, financial assistance needs, etc.
- Ensure all questions are answered timely and accurately
- Ensure clinical questions are appropriately escalated to a pharmacist
- Ensure employee back-up coverage is trained and knowledgeable
- Report any Patient Safety Events according to MGB SP guidelines


Commit to Building Relationships:

- Quickly forge and sustain (or develop and maintain) strong relationships with pharmacists, coworkers, prescribers, nurses and patients to build/support the services we provide
- Provide caring service, adjusting approaches to reflect developmental level and cultural differences of population served
- Improve processes to facilitate communication and service between patient, and clinic, infusion center and discharge pharmacy teams to ensure accurate and timely delivery of medications
- Participates in MGB SP Clinical Subcommittees

Act as the insurance specialist:

- Understand Medicare/Medicaid regulations and billing guidelines as they pertain patient pharmacy benefits
- Understand billing primary, secondary and tertiary insurance claims
- Resolve any billing issues and obtain Prior Authorizations for medications.
- Obtain benefit information and verify patient insurance eligibility and level of coverage
- Cross train within PCC roles as directed to support emergent and ongoing business needs.

 

Qualifications

Qualifications:

Pharmacy technician experience, or equivalent combination of education and related experience working directly with patients in a healthcare setting. Experience with prior authorizations and their renewal, and medication and financial assistance renewals are a plus.Computer skills (Microsoft Office, Excel, Word, Access). Experience with Pharmacy, EPIC or similar medical record software a plus.

License/Certification/Registration: 

Registered with State Board of Pharmacy or willingness to become registered upon hire.CPhT-Certified Pharmacy Technician License in the State of Massachusetts.

Minimum Experience: 

High School diploma/GED

Preferred Experience: 

Four-year degree in healthcare-related field or four-year degree and experience in a healthcare setting. Experience working with patients receiving Specialty Medications.Proficiency on other languages a plus

Additional Requirements: 

Responsible for confidential data: Respect the confidentiality of all information, including information regarding patients, staff members or Health System business issues, and share information only with those who need to knowExcellent customer service skills, excellent written and verbal communication skills, proficient in the English language, good attention to detail, ability to problem solve effectively, ability to follow policies and procedures, basic math skills, advanced computer skills and proficient with medical terminologyProvide On-call support on a scheduled rotation 

Respect the confidentiality of all information, including information regarding patients, staff members or 

Health System business issues and share information only with those who need to know.

Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary

Supervisory Responsibilities: N/A

Fiscal Responsibility: N/A

Working Conditions:

Standing, walking, sitting, reaching above shoulders, reaching waist level, reach below the knee, climbing, lifting about the shoulder <10 - 20 MAX # LBS, lifting waist level <10 - 20 MAX # LBS

 

Additional Job Details (if applicable)

Physical Requirements

Standing Frequently (34-66%)Walking Frequently (34-66%)Sitting Occasionally (3-33%)Lifting Frequently (34-66%) 35lbs+ (w/assisted device)Carrying Frequently (34-66%) 20lbs - 35lbsPushing Occasionally (3-33%)Pulling Occasionally (3-33%)Climbing Rarely (Less than 2%)Balancing Frequently (34-66%)Stooping Occasionally (3-33%)Kneeling Occasionally (3-33%)Crouching Occasionally (3-33%)Crawling Rarely (Less than 2%)Reaching Frequently (34-66%)Gross Manipulation (Handling) Frequently (34-66%)Fine Manipulation (Fingering) Frequently (34-66%)Feeling Constantly (67-100%)Foot Use Rarely (Less than 2%)Vision - Far Constantly (67-100%)Vision - Near Constantly (67-100%)Talking Constantly (67-100%)Hearing Constantly (67-100%)

 

Remote Type

Hybrid

 

Work Location

31 North Avenue

 

Scheduled Weekly Hours

40

 

Employee Type

Regular

 

Work Shift

Day (United States of America)

 

EEO Statement:

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

 

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.