Pharmacy Navigator

Cencora-posted 2 months ago

Full-time • Entry Level

Knoxville, TN

5,001-10,000 employees

Merchant Wholesalers, Nondurable Goods

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The Pharmacy Navigator will act as onsite triage for identified patients and prescriptions, including specialty prescriptions, to facilitate authorization, reimbursement and dispensing of medications. This position is categorized as compliance critical and, as such, requires and is assigned specific responsibility for ensuring continual and proper compliance with all division, corporate and regulatory requirements.

Assist pharmacists in accurately dispensing specialty medications, including measuring, counting, labeling, and packaging prescriptions with precision.
Review and enter prescription orders into pharmacy system accurately and efficiently. Verify patient information and insurance coverage and resolve any discrepancies or issues.
Coordinate, track, manage and facilitate prescription delivery. Adhere to packing and tracking processes.
Monitor and maintain inventory levels of medications, ensuring adequate stock is available for patient needs. Collaborate with the pharmacy team to place orders and track shipments.
Provide excellent customer service to patients and healthcare professionals by answering inquiries, addressing pharmacy-related concerns, and triaging to pharmacist as appropriate. Manage multiple patients with diverse needs autonomously.
Conduct initial and follow-up calls with patients to assess medication adherence. Document appropriately and defer to pharmacist as agreed upon.
Review patient insurance for affordability.
Assess availability of financial assistance options. Support patients through application process. This includes, but is not limited to, manufacturer coupon cards, secondary insurance options, foundation assistance, and manufacturer assistance.
Demonstrate ability to assist in prior authorization process by gathering necessary documentation, completing forms, and communicating with healthcare providers and insurance companies to obtain approval for medications.
Display professionalism in all interactions. Communicate effectively in-person, via telephone, and in other electronic communication. Document pertinent patient information professionally and succinctly in patient chart, as agreed upon by pharmacist.
Act as liaison between patient, pharmacy, and other healthcare providers to ensure smooth workflow and effective communication.
Participate in training of new staff.
Oversee continuity of pharmacy processes and adherence to clinical and specialty programs and policies. Participate in quality improvement projects, as deemed relevant and approved by manager.
Stay updated with latest developments in practice area. Participate in training programs and continuing education opportunities to enhance knowledge and skills.
Perform related duties as assigned.

Requires a minimum of two (2)+ years directly related and progressively responsible pharmacy experience.
Bachelor's degree program preferred.
Pharmacy technician certification with a national technical certification organization, such as Pharmacy Technician Certification Board (PTCB) or other comparable national certification or comparable state certification is preferred.
Ability to communicate professionally and effectively both orally and in writing.
Ability to work independently and as part of a team in a fast-paced environment.
Exceptional interpersonal and communication skills, with ability to effectively address patient issues and collaborate with healthcare providers.
Familiarity with pharmaceutical products, pharmaceutical terminology, and clinical pharmacy services.
Strong organizational skills; attention to detail.
Familiarity with prior authorization process and insurance verification.
Good analytical skills.
Commitment to maintaining patient confidentiality and privacy.
Experience in using pharmacy software systems and electronic health records.

Medical, dental, and vision care.
Backup dependent care.
Adoption assistance.
Infertility coverage.
Family building support.
Behavioral health solutions.
Paid parental leave.
Paid caregiver leave.
Training programs.
Professional development resources.
Opportunities to participate in mentorship programs.
Employee resource groups.
Volunteer activities.

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