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Specialty Pharmacist Navigator

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Cencora

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Location:
United States , Knoxville

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Category:
Pharmacy

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Contract Type:
Not provided

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Salary:

Not provided
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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

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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