SMG Pharmacy Navigator

About the role

City/State: Chesapeake, VA

Work Shift: First (Days)

Remote work eligible states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming.

The Pharmacy Navigator guides specialty pharmacy patients through every step of their medication journey. They coordinate refills and deliveries, monitor adherence, and help resolve insurance or financial challenges. Working closely with pharmacists, prescribers, and clinic staff, they address patient concerns quickly and efficiently. By coordinating across the care team, they ensure patients receive seamless, personalized support throughout their treatment. Deliver exceptional, personalized care to specialty pharmacy patients, providing a full suite of medication management services. Collaborate seamlessly with clinic and ambulatory care teams, supporting patients both in-person and over the phone. Educate prospective and current patients on the benefits of the preferred specialty pharmacy and its impact on care outcomes. Support outpatient retail and specialty prescription needs, including managing refills and ensuring medication adherence. Monitor patients’ medication regimens through outbound check-ins and coordinate timely refills. Identify medications requiring special handling or storage, such as hazardous or refrigerated drugs. Respond to, resolve, and triage inbound patient and provider inquiries. Address insurance-related issues, including prior authorizations (PAs), and assist patients with financial assistance programs. Maintain accurate and up-to-date documentation in all required systems and tracking mechanisms. Manage and organize patient and operational data using relevant database applications. Apply insights from patient interactions and operational observations to improve workflow, productivity, and quality of service. Perform other duties as assigned.

Responsibilities

• Guides specialty pharmacy patients through every step of their medication journey.
• Coordinates refills and deliveries.
• Monitors adherence.
• Helps resolve insurance or financial challenges.
• Works closely with pharmacists, prescribers, and clinic staff to address patient concerns quickly and efficiently.
• Coordinates across the care team to ensure patients receive seamless, personalized support throughout treatment.
• Delivers exceptional, personalized care to specialty pharmacy patients, providing a full suite of medication management services.
• Collaborates seamlessly with clinic and ambulatory care teams, supporting patients both in-person and over the phone