Specialty Pharmacist Navigator

Cencora • Tampa, FL

94d

About The Position

The Specialty Pharmacist Navigator seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients. This role is essential in ensuring that prescriptions flow through to ambulatory pharmacy and are identified by pharmacy staff, while also acting as a financial advocate for patients to ensure maximal access to medications.

Requirements

• Current unrestricted pharmacist license in the appropriate state of practice.
• PharmD degree strongly preferred.
• 5+ years community/retail/ambulatory pharmacy or health-system related experience.
• Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable.
• Must be proficient in Microsoft Office, including Word, Excel, and PowerPoint.
• Prior experience on pharmacy dispensing systems and familiarity with insurance adjudication processes.
• Comfortable working with clinical data, lab values, and reading/writing notes in patient medical records.

Responsibilities

• Access various physician practices for potential specialty Rx value using tools/data available.
• Establish communication with targeted specialty practices, arranging meetings with key stakeholders/decision makers.
• Demonstrate value of ambulatory pharmacy partnership to specialty practices.
• Ensure prescriptions flow through to ambulatory pharmacy and are identified by pharmacy staff.
• Establish patient profiles, including third-party payor(s) and clinical information.
• Process prescriptions, including insurance adjudication and product sourcing.
• Prepare and submit prior authorization paperwork; manage denials.
• Triage prescriptions which are limited distribution drugs or out-of-network.
• Act as financial advocate for patient where needed; leverage charitable foundations, state programs, and/or manufacturer programs to ensure maximal patient access.
• Coordinate pickup/courier delivery of Rx's with patient.
• Follow up with patient to ensure refills are ordered on time and address and ADR's or clinical questions.
• Inform physician office of patient through process; document in EMR as necessary.
• Maintain relationships with physician offices through periodic visits/meetings.
• Assist with program financial reporting to client/data collection.
• Cross-train to ambulatory pharmacy; assist with staffing needs as required. This may include weekends and/or holidays as per business needs.
• Provide oversight and direction to associates in accordance with the organization's policies and procedures.
• Coach, mentor, and develop staff, including overseeing new employee onboarding and providing career development and opportunities.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Merchant Wholesalers, Nondurable Goods
• Education Level: Ph.D. or professional degree
• Number of Employees: 5,001-10,000 employees