Specialty Pharmacist Navigator

Cencora • Chicago, IL

4d • Onsite

About The Position

The Speciality Pharmacist Navigator position seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients. The role involves working with a broad array of complex disease states and medical conditions; candidates should be comfortable working with clinical data, lab values, and reading/writing notes in patient medical records.

Requirements

• PharmD degree strongly preferred.
• Current unrestricted pharmacist license in the appropriate state of practice
• 5+ years community/retail/ambulatory pharmacy or health-system related experience.
• Must be proficient in Microsoft Office, including Word, Excel, and PowerPoint
• Candidates should have prior experience on pharmacy dispensing systems and be familiar with insurance adjudication processes.

Nice To Haves

• Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable.

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.
• Ensure auditable records showing proof-of-delivery are maintained.
• 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.
• 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
• comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
• support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
• variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level