Specialty Pharmacist Navigator

Cencora•Town of Berlin, NY

2d•Onsite

About The Position

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! We looking for a motivated, energetic pharmacist to join our growing dual accredited Specialty Pharmacy handling several disease states such as oncology, liver disorders, rheumatology, dermatology, neurological, and HIV. Prior experience and/or knowledge of specialty pharmacy operations and managing workflow in this setting is a bonus!

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.
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
Candidates should have prior experience on pharmacy dispensing systems and be familiar with insurance adjudication processes.
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.

Nice To Haves

Prior experience and/or knowledge of specialty pharmacy operations and managing workflow in this setting is a bonus!

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. 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.