Specialty Pharmacist Navigator

Cencora • Louisville, KY

2d • Hybrid

About The Position

The Specialty Pharmacist Navigator builds relationships with physicians and physician practices that use specialty pharmaceuticals, helping support prescribing, training, and patient assistance. This hybrid role covers the greater Louisville and Manchester areas of Kentucky, with more work performed remotely than on site.

The role supports the specialty prescription process from practice outreach and prescription intake through insurance adjudication, product sourcing, prior authorizations, patient financial assistance, delivery coordination, refill follow-up, and communication with physician offices. It also contributes to client financial reporting and data collection, cross-trains in ambulatory pharmacy, and may assist with staffing needs, including weekends or holidays as business needs require. The position provides oversight and direction to associates and supports their coaching, development, and onboarding.

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 and familiarity with insurance adjudication processes.
• Comfort working with clinical data and lab values, and reading and writing notes in patient medical records.

Nice To Haves

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

Responsibilities

• Assess physician practices for 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 ambulatory pharmacy partnerships to specialty practices.
• Ensure prescriptions are routed to the ambulatory pharmacy and identified by 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 financially for patients when needed, using charitable foundations, state programs, and manufacturer programs to support patient access.
• Coordinate prescription pickup or courier delivery with patients and maintain auditable proof-of-delivery records.
• Follow up with patients to ensure refills are ordered on time and address adverse drug reactions or clinical questions.
• Keep physician offices informed about patients throughout the process and document in the EMR as necessary.
• Maintain relationships with physician offices through periodic visits and meetings.
• Assist with program financial reporting to clients and data collection.
• Cross-train in ambulatory pharmacy and assist with staffing needs as required, which may include weekends and holidays.
• Provide oversight and direction to associates in accordance with organizational policies and procedures.
• Coach, mentor, and develop staff, including overseeing new employee onboarding and providing career development opportunities.

Benefits

• Medical, dental, and vision care.
• Backup dependent care may be available as part of support for working families.
• Adoption assistance.
• Infertility coverage and family-building support.
• Behavioral health solutions.
• Paid parental leave.
• Paid caregiver leave.
• Training programs, professional development resources, mentorship programs, employee resource groups, and volunteer activities.

What This Job Offers

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