Prior Authorization & Medication Access Specialist at Premier Community Healthcare Grp.

New Port Richey, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Jan, 26

Salary

0.0

Posted On

20 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Pharmacy Technician Registration, Healthcare Experience, Prior Authorizations, 340B Program Compliance, Medication Adherence, Health Coaching, Pharmacy Benefit Managers, Medication Synchronization, MTM, Refill Protocols, EHR Proficiency, Customer Service, Empathy, Communication, Confidentiality, Quality Improvement

Industry

Description

Join the Premier Team – Where Passion Meets Purpose! Premier Community HealthCare is a nonprofit Federally Qualified Health Center (FQHC) dedicated to providing high-quality, compassionate care to the communities of Pasco and Hernando Counties. Our services include Family Medicine, Pediatrics, Women’s Health, Dental, Behavioral Health, and more. We are currently seeking a Full-Time Prior Authorization Medication Access Specialist to join our dedicated team in New Port Richey, FL. This position plays a crucial role in supporting patient access to essential medications by coordinating prior authorizations and assisting with medication-related resources. ✅ Why Choose Premier? • Full-Time Opportunity – Consistent schedule and full benefits • Patient Support Role – Help patients access the medications they need • Collaborative Team – Work closely with providers, pharmacies, and care teams • Mission-Driven Organization – Serve vulnerable populations and improve health outcomes • Growth Environment – Be part of a supportive team focused on continuous improvement ✅ Qualifications: • Pharmacy Technician Registration (PTR) for the state of Florida is required • Minimum of 5 years of healthcare or pharmacy experience • Minimum of 2 years' experience in processing prior authorizations • Knowledge of 340B program compliance and operational workflows in clinical settings. • Familiarity with medication adherence practices and health coaching techniques. • Preferred experience working with pharmacy benefit managers (PBMs) on medication synchronization, MTM (Medication Therapy Management), and refill protocols. Join us and help make life-saving medications more accessible to our patients—one authorization at a time! The Prior Authorization & Medication Access Specialist supports the pharmacy department’s strategic goals of enhancing medication access, promoting adherence, and maximizing 340B savings for the organization. This role ensures timely processing of prior authorizations, assists with medication refill appointments, and proactively supports adherence initiatives for Premier patients. Working closely with prescribers, patients, pharmacy staff, and care team members, the technician helps eliminate access barriers while strengthening operational and financial performance. Essential Duties and Responsibilities: * Initiate, complete, and track prior authorization (PA) requests for prescribed medications, collaborating with providers and third party payors. * Monitor high margin and high denial medications to identify opportunities for cost savings and intervention. * Conduct outreach to patients due or overdue for prescription refills to encourage timely medication pick-up and adherence. * Assist patients with scheduling provider appointments needed for medication renewals or therapy follow-up. * Track refill request trends and report adherence barriers (e.g., cost, transportation, understanding) to the care team for resolution. * Document interventions and communications in the electronic health record (EHR) and pharmacy systems. * Assists the pharmacist in the preparation, filling, and delivery of medications and other tasks associated with dispensing. * Ensure confidentiality and HIPAA compliance at all times * Keep other care team members informed when situations occur that disrupt timely patient flow through site. * Contribute to community give back initiatives and be an advocate for Premier’s mission * Adhere to patient care needs and the core values of Premier Community HealthCare to provide best-in-class patient experience * Work towards attaining department goals and drive Quality Improvement / Quality Assurance (QI/QA) * Other duties as assigned Supervisory responsibilities: None Knowledge, Skills and Abilities: * Ability to build trust and encourage medication adherence through empathetic dialogue. * Support patients in accessing care, medications, and appointments effectively * Drive cost savings through data-informed medication and pharmacy network usage. * Ability to track workflows, meet performance targets, and improve processes. * Maintains a professional relationship and positive attitude with co-workers, patients, the entire organization, and the public. * Maintains the highest professional work ethics. * Displays enthusiasm toward the work, mission, and vision of the organization. * Exceptional customer service skills and demonstration of empathy and compassion to a diverse patient population. * Ability to communicate effectively, verbally and in writing with multiple levels within the organization. * Excellent grammar, spelling and interpersonal skills. * Exhibits honesty and ethical conduct, maintaining confidentiality and upholding Premier Community HealthCare's values in all interactions. Qualifications: * High School Diploma or equivalent required. * Pharmacy Technician registration for the state of Florida required * National Pharmacy Certification (CPhT) preferred. * Minimum of 5 years of pharmacy technician or healthcare access experience; FQHC experience is a plus. * Minimum of 2 years’ experience in processing prior authorizations and working with pharmacy benefit managers (PBMs) on medication synchronization, MTM, or refill protocols preferred. * Knowledge of 340B program compliance and operational workflows in clinical settings. * Familiarity with medication adherence practices and health coaching techniques. * Proficiency with EHR, pharmacy software, scheduling systems, patient portal and insurance verification platforms * Bilingual preferred * Obtain and maintain Epic certification/ annual compliance throughout employment Working conditions and physical requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Ability to lift 20 lbs. regularly and 30 lbs.-50 lbs. occasionally. 2. Ability to sit for long periods of time. 3. Direct exposure to computer screen. 4. May be exposed to contagious/infectious diseases.

Responsibilities

The Prior Authorization & Medication Access Specialist initiates and tracks prior authorization requests for medications, collaborating with providers and payors. This role also monitors medication refill trends and assists patients in accessing necessary medications and appointments.