Tallahassee Memorial HealthCare (TMH) is a private, nonprofit community-based healthcare system that provides advanced care to a 21-county region in North Florida and South Georgia. We are a career destination with nearly 6,000 colleagues who reflect the diversity of our community.  

TMH is the region’s healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region’s only: 

• Level II Trauma Center 

• Joint Commission Comprehensive Stroke Center 

• Level III Neonatal Intensive Care 

• Pediatric Intensive Care 

• The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle 

Our system also includes a psychiatric hospital, multiple specialty care centers, four residency programs and nearly 40 affiliated physician practices.  

Your Role:

• Verifies eligibility, obtains insurance benefits, and ensures pre-certification, authorization, and referral requirements are met prior to medication delivery.

• Utilizes a proactive approach to ensure timely approvals facilitating high-quality patient care.

• Manages prior authorizations and supports the 340B Drug Pricing Program.

• Maintains documents and records.

• Audits documents to ensure regulatory compliance.

• Collaborates with healthcare providers, physicians, and clinical staff members.

Reports To:  

• Prog/Specialty Pharm Mgr 340B (job code (JC): 221201)

Supervises:  

• None 

Required Education:

• High school diploma or equivalent (e.g., certificate of high school equivalency).

Preferred Education:

• Associate degree in Healthcare Administration, Business Administration, or other Healthcare field. 

Required Experience:

• Two (2) years of Healthcare, Medical Billing, or related experience.

Preferred Experience: 

• Retail of Specialty Pharmacy experience.

Required Certification/License/Registry:

• Prior Authorization Certified Specialist (PACS) credential from the Accreditation Council for Medical Affairs (ACMA) within six (6) months post-hire.

• Certified Pharmacy Technician (CPhT) credential from the Pharmacy Technician Certification Board (PTCB) or the National Healthcareer Association (NHA) within (6) months post-hire.

Preferred Certification/License/Registry:

• 340B Operations Certificate issued by Apexus.

Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license verification.