Manager, Specialty Pharmacy Navigation Services
About The Position
The Manager of Specialty Pharmacy Navigation Services provides operational, strategic, and people leadership for the Specialty Pharmacy Access Services program, including oversight of Pharmacy Technician Navigators embedded primarily within specialty ambulatory clinics. The role standardizes medication access workflows, leads technician performance and development, and partners with ambulatory and specialty pharmacy leadership to advance patient access, adherence, financial outcomes, and program growth. The manager owns operational dashboards and key performance indicators that demonstrate the impact and value of technician navigator services across specialty care. The position reports to the Manager of Specialty Pharmacy Clinical Services and directly supervises up to 30 FTEs. It works independently within departmental policies and procedures, resolving operational challenges within its authority and referring complex personnel matters, escalated patient access concerns, or executive-level decisions to the Senior Director of Specialty Pharmacy Services. The work combines clinic-based presence with computer-based work and requires travel between affiliated clinics and sites. The posted schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., with eight hours daily. The position is based at Rhode Island Hospital, 593 Eddy Street, Providence, Rhode Island. Driving is not required. The pay range is $90,729.60–$149,697.60.
Requirements
- High school diploma or equivalent required.
- Working knowledge of pharmacy benefit management, prescription claim processing, medication prior authorization workflows, denials, appeals, and financial assistance processes.
- Strong understanding of healthcare operations, documentation standards, payer requirements, and regulatory considerations affecting medication access.
- Proficiency with electronic health records, pharmacy or claims management systems, and standard business software applications.
- Three to five years of progressively responsible experience in healthcare operations, pharmacy services, medication access, prior authorization, or revenue-cycle-related functions.
- Demonstrated experience leading teams, managing workflows, and using data to drive operational improvements.
- Strong proficiency with EHRs, pharmacy systems, payer processes, and specialty pharmacy workflows.
- Strong leadership and people management skills, including the ability to motivate, develop, and retain teams.
- Excellent verbal and written communication skills, including presenting complex data and program outcomes to clinical and administrative audiences.
- Demonstrated change management and process improvement capabilities in a dynamic healthcare environment.
- Proficiency in data analytics, operational dashboard development, and KPI interpretation.
- Strong organizational and prioritization skills and ability to manage multiple concurrent initiatives.
- Ability to build and sustain collaborative relationships across clinical, operational, and administrative stakeholders.
Nice To Haves
- Bachelor’s degree in healthcare, business, management, or a related field; an equivalent combination of education and progressively responsible healthcare experience may be considered.
- Experience in specialty pharmacy, medication access services, prior authorization management, and financial assistance programs is strongly preferred.
Responsibilities
- Directly supervises Pharmacy Technician Navigators, including hiring, onboarding, performance management, and professional development.
- Establishes role expectations, productivity standards, and accountability measures aligned with program goals.
- Conducts performance reviews and competency assessments and addresses performance concerns proactively.
- Serves as an escalation point for complex access issues, clinic concerns, and workflow challenges.
- Oversees daily technician navigator operations across specialty ambulatory clinics, including staffing, coverage, and workload distribution.
- Develops, implements, and maintains standardized workflows, SOPs, and documentation practices.
- Partners with pharmacists and clinic leadership to coordinate medication access across the continuum of care.
- Identifies and mitigates risks to patient access and adherence.
- Ensures support for benefits investigations, prior authorizations, financial assistance, and therapy initiation or continuation.
- Monitors documentation quality, timeliness, and accuracy in EHR and pharmacy systems.
- Maintains awareness of payer policies affecting access and utilization.
- Ensures appropriate escalation to pharmacists for clinical intervention and supports patient retention efforts.
- Develops and oversees dashboards and KPIs measuring program performance and impact.
- Analyzes access, authorization, financial assistance, and adherence metrics to identify trends and improvement opportunities.
- Collaborates with leadership and external partners to address denials and optimize processes.
- Supports accreditation activities, including audits and documentation oversight.
- Leads quality improvement initiatives and promotes medication safety reporting.
- Aligns services with organizational goals in collaboration with ambulatory and specialty pharmacy leadership.
- Supports program expansion into new clinics and represents operations in leadership forums and projects.
- Performs other duties as assigned.
- Models Brown University Health’s values of Compassion, Accountability, Respect, and Excellence.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
