Pharmacy Care Navigator - REMOTE

Responsibilities

• Serve as the pharmacy team’s first line of triage and subject matter expert for medication access, adherence and affordability needs including prior authorizations (PA), PA appeals, copay assistance, rx billing issues with the pharmacy, med synchronization, blister packing and delivery.
• Aid in maintaining market-specific medication formularies and network pharmacies.
• Provide ongoing care team education on medication access, adherence and affordability tools and resources.
• Proactively screen disease state registries, medication adherence reports, and incoming referrals from our care teams to confirm member eligibility for the clinical pharmacy program.
• Schedule members referred or identified as eligible for initial pharmacist consult visits; perform reminder phone calls and appointment rescheduling as necessary.
• Assist with verifying medication list details (medication history taking), alerting the pharmacist of discrepancies as per clinical protocol.
• Facilitate sending of pharmacist correspondence and communications to external prescribers and outside pharmacies for loop closure.

Requirements

• 6 years experience as a pharmacy technician in a retail and/or outpatient pharmacy

Qualifications

We take into account an individual’s qualifications, skillset, and experience in determining final salary.

Skills

The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

Benefits

This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave.

Pay

The expected salary range for this position is: $22.60 - $29.21 Hourly

Schedule

N/A