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The Specialty Pharmacy Technician, also known as the Pharmacy Navigator will act as onsite triage for identified patients and prescriptions, including specialty prescriptions, to facilitate authorization, reimbursement and dispensing of medications. This position is categorized as compliance critical and, as such, requires and is assigned specific responsibility for ensuring continual and proper compliance with all division, corporate and regulatory requirements.
Job Responsibility:
Patient Support: Provide excellent customer service to patients and healthcare professionals by answering inquiries, addressing pharmacy-related concerns, and triaging to pharmacist as appropriate. Manage multiple patients with diverse needs autonomously
Adherence Monitoring: Conduct initial and follow-up calls with patients to assess medication adherence. Document appropriately and defer to pharmacist as agreed upon
Benefits Investigation: Review patient insurance for affordability
Financial Assistance: Assess availability of financial assistance options. Support patients through application process. This includes, but is not limited to, manufacturer coupon cards, secondary insurance options, foundation assistance, and manufacturer assistance
Prior Authorization Assistance: Demonstrate ability to assist in prior authorization process by gathering necessary documentation, completing forms, and communicating with healthcare providers and insurance companies to obtain approval for medications
Prescription Delivery: Coordinate, track, manage and facilitate prescription delivery. Adhere to packing and tracking processes
Prescription Processing: Review and enter prescription orders into pharmacy system accurately and efficiently. Verify patient information and insurance coverage and resolve any discrepancies or issues
Medication Dispensing: Assist pharmacists in accurately dispensing specialty medications, including measuring, counting, labeling, and packaging prescriptions with precision
Inventory Management: Monitor and maintain inventory levels of medications, ensuring adequate stock is available for patient needs. Collaborate with the pharmacy team to place orders and track shipments
Communication: Display professionalism in all interactions. Communicate effectively in-person, via telephone, and in other electronic communication. Document pertinent patient information professionally and succinctly in patient chart, as agreed upon by pharmacist
Team Collaboration: Act as liaison between patient, pharmacy, and other healthcare providers to ensure smooth workflow and effective communication
Training: Participate in training of new staff
Program Continuity: Oversees continuity of pharmacy processes and adherence to clinical and specialty programs and policies. Participate in quality improvement projects, as deemed relevant and approved by manager
Continuous Learning: Stay updated with latest developments in practice area. Participate in training programs and continuing education opportunities to enhance knowledge and skills
Perform related duties as assigned
Requirements:
Minimum of two (2)+ years directly related and progressively responsible pharmacy experience
Ability to communicate professionally and effectively both orally and in writing
Ability to work independently and as part of a team in a fast-paced environment
Exceptional interpersonal and communication skills, with ability to effectively address patient issues and collaborate with healthcare providers
Familiarity with pharmaceutical products, pharmaceutical terminology, and clinical pharmacy services
Strong organizational skills
attention to detail
Familiarity with prior authorization process and insurance verification
Good analytical skills
Commitment to maintaining patient confidentiality and privacy
Experience in using pharmacy software systems and electronic health records
Nice to have:
Bachelor's degree program preferred
What we offer:
Medical, dental, and vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
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