About the Medication Care Coordination Department:

The Corewell Health Medication Care Coordination (MCC) department is a central pharmacy department consisting of clinical pharmacy specialists and pharmacy technicians working to support inpatient and outpatient infusion clinics along with select ambulatory specialty departments across medication access workflows. The MCC team supports medication pre-authorizations, system utilization management, and revenue cycle integrity with a focus on improving patient access and time to therapy for appropriate and cost-effective medication therapies authorized under insurance plans.

Scope of work:

The MCC clinical pharmacy specialist will support pharmacy technicians with medication pre-authorization completion through review of relevant clinical patient information, health plan coverage criteria, local coverage determinations set forth by CMS, clinical guidelines, and literature for indications such as oncology and specialty conditions. The clinical pharmacy specialist will also lead peer-to-peer conversations on medication authorization denials, appeals and reconsiderations and ensure streamlined communication occurs between ordering providers and health plans to limit patient care delays. The clinical pharmacy specialist will be an expert in Epic Beacon therapy and treatment plan ordering and modifications, supporting providers with transcription of medication plans and infusion clinic staff with any questions or patient escalation needs

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.