Navigator, Pharmacy

HealthPartners•Bloomington, MN

7d•$26 - $39•Remote

About The Position

HealthPartners is looking to hire a Pharmacy Navigator to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. Position Summary: Navigate customers through our complex system by working across the health plan and care network to ensure customers receive and understand their pharmacy care/benefit options. Customer-focused resource to anticipate, coordinate, solicit, respond and research customer needs related to pharmacy costs, benefits, accumulators, communications, changes, formulary status, appropriate medication options and coverage criteria. Guide customers through HealthPartners pharmacy networks, internal & external medical resources, policies, procedures, online tools, etc. Act proactively on customers' behalf with complex benefits, referrals and prior authorization processes. Provide strong support for our Medication Optimization initiative by acting as a part of the Medication Management Hub in which engagement, assessment and coordination of care for members identified with non-optimal medication use will take place.

Requirements

Bachelor's degree in health care related field or equivalent associate’s degree with 3 years’ experience in a health care setting.
Pharmacy benefit and medication knowledge
Proficient customer service, care delivery, organizational and time management skills.
Excellent oral, written and interpersonal communication skills with the ability to establish and maintain working relationships across all levels of the organization.
Robust critical thinking problem solving and follow through skills.
Strong interpersonal skills and the ability to engage others.
Experienced with computer programs including but not limited to Microsoft Office (Word, Excel), Outlook, etc. Working knowledge of Internet based resources.
Must be self-motivated and able to function independently, taking independent action to facilitate resolution of customers' issues according to departmental procedures.

Nice To Haves

Pharmacy benefit management or managed care customer service experience employee.
Advanced course work in computer programs such as Microsoft Office, Internet Explorer, etc.
Managed care experience such as prior authorizations
Nationally certified pharmacy technician
Working knowledge of HealthPartners information systems, benefits, networks, policies & procedures, etc.

Responsibilities

Navigate customers through our complex system by working across the health plan and care network to ensure customers receive and understand their pharmacy care/benefit options.
Act as a customer-focused resource to anticipate, coordinate, solicit, respond and research customer needs related to pharmacy costs, benefits, accumulators, communications, changes, formulary status, appropriate medication options and coverage criteria.
Guide customers through HealthPartners pharmacy networks, internal & external medical resources, policies, procedures, online tools, etc.
Act proactively on customers' behalf with complex benefits, referrals and prior authorization processes.
Provide strong support for our Medication Optimization initiative by acting as a part of the Medication Management Hub in which engagement, assessment and coordination of care for members identified with non-optimal medication use will take place.