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Email Job Job ID: PHA006IQ

Job Description

Position:  Pharmacy Transition Specialist

Location:  Imperial Center / Durham

Hours:  Full Time, 40 hrs/wk; Days

Key Responsibilities:

  • Complete pre-certification for all patients referred for medical or pharmacy benefits review: include
  • Investigate options for supplying or replacing medications received by self-pay patient

  • Maintain current knowledge of, requirements for and ability to enroll patients in: manufacturer, state and local medication assistance programs; disease based assistance from non-profit organizations ; Medicare prescription drug benefits; Social Security Low Income Subsidy; state and federal medication subsidy programs

  • Work collaboratively with other health care professionals to obtain clinical and financial information needed for program enrollment

  • Utilize internally developed systems, the electronic health record and commercial vendor software to track patient eligibility, prescriptions, patient communications and program enrollment

  • Document and communicate findings to the patient, provider and pharmacies per internal operational standards.

  • Evaluate all self-pay patients for PAP eligibility and enroll patients as possible

  • Educate staff, prescribers, patients and their families regarding program requirements and payer restrictions

  • Understand and interpret insurance terms to appropriately triage referrals

  • Communicate regularly with physicians, pharmacists, nurses, and other staff to ensure customer and department staff needs are met

  • Interact with physicians, nurses, and other health care professionals in a courteous and professional manner

  • Work cooperatively and collaboratively with scheduling, financials counselors, pre-arrival, pharmacy, physicians, nurses and other staff and management to provide a professional and cohesive work environment

  • Proactively seek solutions to customer problems encountered both inside and outside of the department

  • Screen for and/or identify barriers (literacy, language, compliance, etc.) to medication management/access and refer patients to appropriate nursing/pharmacy staff member

Preferred Skills and Attributes:

  • Communication, Leadership, Organization, Time Management, Self-Initiative, Innovation , Collaboration and Customer Service


Completion of a nine-month Pharmacy Technician Program (or equivalent combination of education, training and experience). All new hires not currently enrolled in a pharmacy school are required to have their certification as a pharmacy technician. 


If completion of a Pharmacy Technician Program: No prior experience required.


If a High School diploma or GED: Two (2) years of experience as a Pharmacy Technician.

Primary Location: Durham, North Carolina, United States


Shift: Day Job

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  • Professional- Clinical, Durham, North Carolina, United StatesRemove