Specialty Pharmacist Navigator Job at Cencora (Knoxville)

Job Description

This position seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients.

Job Responsibility

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

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
Prior experience on pharmacy dispensing systems
Familiar with insurance adjudication processes
Comfortable working with clinical data, lab values, and reading/writing notes in patient medical records

What we offer

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
Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities

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Specialty Pharmacist Navigator

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