Specialty Pharmacist Navigator

Cencora • Louisville, KY

6h • Hybrid

About The Position

The Specialty Pharmacist Navigator builds relationships with physicians and physician practices that use specialty pharmaceuticals to support prescribing, training, and patient assistance. This hybrid role covers the greater Louisville and Manchester areas of Kentucky, with more work performed remotely than onsite. The position also provides oversight and direction to associates, including coaching, mentoring, onboarding, and career development.

Requirements

• Current unrestricted pharmacist license in the appropriate state of practice.
• At least 5 years of community, retail, ambulatory pharmacy, or health-system-related experience.
• Proficiency in Microsoft Office, including Word, Excel, and PowerPoint.
• Prior experience with pharmacy dispensing systems.
• Familiarity with insurance adjudication processes.
• Comfort working with clinical data and lab values, and reading and writing notes in patient medical records.
• Ability to work with a broad array of complex disease states and medical conditions.

Nice To Haves

• PharmD degree is strongly preferred.
• Previous specialty pharmacy experience and/or experience processing prior authorizations is highly desirable.

Responsibilities

• Identify physician practices with potential specialty prescription value using available tools and data.
• Establish communication with targeted specialty practices and arrange meetings with key stakeholders and decision-makers.
• Demonstrate the value of an ambulatory pharmacy partnership to specialty practices.
• Ensure prescriptions are routed to and identified by ambulatory pharmacy staff.
• Establish patient profiles, including third-party payors and clinical information.
• Process prescriptions, including insurance adjudication and product sourcing.
• Prepare and submit prior authorization paperwork and manage denials.
• Triage prescriptions for limited-distribution drugs or out-of-network situations.
• Advocate for patients financially, using charitable foundations, state programs, and manufacturer programs to maximize access when needed.
• Coordinate prescription pickup or courier delivery with patients and maintain auditable proof-of-delivery records.
• Follow up with patients to ensure timely refills and address adverse drug reactions or clinical questions.
• Keep physician offices informed about patients’ progress and document in the EMR as necessary.
• Maintain relationships with physician offices through periodic visits and meetings.
• Assist with program financial reporting and data collection for clients.
• Cross-train in ambulatory pharmacy and assist with staffing needs as required, which may include weekends and holidays based on business needs.
• Provide oversight and direction to associates in accordance with organizational policies and procedures.
• Coach, mentor, and develop staff, oversee new employee onboarding, and provide career development opportunities.

Benefits

• Medical, dental, and vision care.
• 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.
• Training programs, professional development resources, and mentorship programs.
• Employee resource groups and volunteer activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed