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Description & Requirements
Description & Requirements
As a patient-centered organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership and respect. UCSF Medical Center seeks faculty and staff that are committed to the values of professionalism, respect, integrity, diversity and excellence that are integral to our mission
Under the supervision of the Medication Access Manager and guided by the policies and procedures of the Ambulatory and Outpatient Pharmacy Services, the Pharmacy Medication Support Specialist (MSS) facilitates prescription prior authorization (PA) and refill requests This role involves obtaining, preparing and submitting the necessary forms for insurance authorizations, requesting information from insurance companies regarding possible alternative therapies, and providing patients with timely communications regarding the status of the PA. In addition, this position is also responsible in facilitating medication refills requests. Using a refill protocol, the MSS evaluates refill requests for adherence to the refill protocol criteria which includes reviewing a patient’s medical record in APeX and contacting a patient for needed information. The MSS also performs medication benefits investigations and explores financial assistance options where applicable, to ensure patients have access to the medication they need, acting as the primary contact for all medication authorization and refill requests.