Pharmacy Care Navigator - REMOTE
About The Position
The Pharmacy Care Navigator collaborates with comprehensive interdisciplinary roles as part of a managed care team to minimize gaps in treatment and eliminate barriers to medication adherence. Provide members with medication reconciliation, access, adherence and affordability services, identifying and communicating discrepancies to build long-term solutions. Connect Cityblock members and care teams to pharmacy resources and support enrollment in qualifying copay assistance programs. This position acts as a medication therapy liaison and navigator for the member, the Cityblock care team, external providers, and the health plan. Also serves as a clinical pharmacist extender, performing administrative and clinical support tasks to enhance the delivery of comprehensive medication management services.
Requirements
- 6 years experience as a pharmacy technician in a retail and/or outpatient pharmacy
Responsibilities
- Serve as the pharmacy team’s first line of triage and subject matter expert for medication access, adherence and affordability needs including prior authorizations (PA), PA appeals, copay assistance, rx billing issues with the pharmacy, med synchronization, blister packing and delivery.
- Assist in upkeep of market specific medication formularies and network pharmacies.
- Provide ongoing care team education on medication access, adherence and affordability tools and resources.
- Proactively screen disease state registries, medication adherence reports, and incoming referrals from our care teams to confirm member eligibility for the clinical pharmacy program.
- Schedule members referred or identified as eligible for initial pharmacist consult visits; perform reminder phone calls and appointment rescheduling as necessary.
- Assist with verifying medication list details (medication history taking), alerting the pharmacist of discrepancies as per clinical protocol.
- Facilitate sending of pharmacist correspondence and communications to external prescribers and outside pharmacies for loop closure.
Benefits
- health insurance
- life insurance
- retirement benefits
- participation in the company’s equity program
- paid time off, including vacation and sick leave
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
