UW Medicine

SPECIALTY PHARMACY PROGRAM OPERATIONS SPECIALIST (100% FTE, ROTATING/VARIABLE SHIFTS)

Req #:

245347

Department:

UW MEDICAL CENTER - MONTLAKE - PHARMACY

Job Location:

UW Medical Center - Montlake

Posting Date:

04/17/2025

Closing Info:

Open Until Filled

Salary:

$5,114 - $7,672 per month

Other Compensation:

Shift:

Alternate Work Shift

Benefits:

As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here.

Req #: 245347 Department: UW MEDICAL CENTER - MONTLAKE - PHARMACY Job Location: UW Medical Center - Montlake Posting Date: 04/17/2025 Closing Info: Open Until Filled Salary: $5,114 - $7,672 per month Other Compensation: Shift: Alternate Work Shift Benefits: As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here. The UW MEDICAL CENTER - MONTLAKE - PHARMACY DEPARTMENT is looking for an outstanding SPECIALTY PHARMACY PROGRAM OPERATIONS SPECIALIST to join our Pharmacy team!

WORK SCHEDULE

• Full-Time / 40 hours per week
• Rotating/Variable Shift

POSITION HIGHLIGHTS

• Be responsible for the direction and control of the UWMC Specialty Pharmacy program for assigned clinics
• Maximize pharmacy reimbursement through programs that provide funding or provision of medication
• Be responsible for direction and control of the Medication Assistance Program (MAP) for specialty medications, including development of processes and procedures
• Provide MAP information and education to providers, patients and pharmacy and other medical center personnel

PRIMARY JOB RESPONSIBILITIES

• Maintain current knowledge of all aspects of industry sponsored medication assistance programs and provide routine training, support and feedback to Specialty Pharmacy Program Operations Specialists, whose job functions include referral for medication assistance.
• Determine patient eligibility for the MAP and work collaboratively with Patient Financial Services, Social Work and other medical center personnel to ensure clinical and financial documentation is complete for program enrollment.
• Obtain necessary information from patient and provider to enable justification for Medication Assistance program for initial start and renewal of specialty medications.
• For patients who are eligible for the MAP: manage the application process, eligibility verification, current drug list and current application forms. Maintain all required patient documentation as required by individual programs.
• Participate in the Specialty Committee. Develop a plan to improve, streamline, and increase the efficiency and effectiveness of the specialty pharmacy program. Work with the Specialty Pharmacy team to evaluate and further develop systems and processes including: developing a process for tracking prior authorizations and appeals, evaluating Medication Assistance Program software for documentation and tracking applications, renewals and patient communication including developing an ROI, budget proposal and implementation plan.
• Function as patient advocate in order to acquire medication for financially disadvantaged patients.
• Serve as a subject matter expert for physicians, administrators, clinical staff, pharmacy staff, and third party payers for issues regarding industry sponsored specialty medication assistance programs.
• Provide education of Specialty Pharmacy and MAP to pharmacy, clinics, social workers and physicians. Assist in developing marketing materials for patients and clinic staff. Develop materials explaining mail order services including enrollment forms for patients. Make presentations to clinic staff describing services provided including education about medication assistance programs and medication reimbursement issues with specialty pharmaceuticals.

REQUIRED POSITION QUALIFICATIONS

• Current certification as a Pharmacy Technician in Washington State.
• Bachelors degree in health care related or business field or 2-3 years experience as a pharmacy technician.
• Knowledge of third-party insurance billing practices, federal and state regulations with regard to billing and reimbursement, internal billing structure and pharmacy billing procedures.

LEGAL REQUIREMENT

State of Washington Pharmacy Technician certification

CONDITION OF EMPLOYMENT

UW Medicine is committed to being a drug-free workplace. We require a pre-employment drug screen.

ABOUT UW MEDICAL CENTER-MONTLAKE

UW Medical Center is an acute care academic medical center located in Seattle with two campuses: Montlake and Northwest. As the No. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report) and nationally ranked in seven specialties, UW Medical Center prides itself on compassionate patient care as well as its pioneering medical advances.

The UW Medical Center-Montlake campus is located on the edge of the beautiful UW campus which includes many amenities available to our staff as well as very convenient public transit options including the Sound Transit’s light rail station across the street.

Excellence. Exploration. Education. Become part of our team. Join our mission to make life healthier for everyone in our community.

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Join our mission to make life healthier for everyone in our community.

Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.

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