Specialty Pharmacist Navigator

About the role

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

Responsibilities

• 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.
• 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.
• 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.

Skills and Knowledge

• Proficient in Microsoft Office, including Word, Excel, and PowerPoint.
• Prior experience on pharmacy dispensing systems and familiarity with insurance adjudication processes.
• Comfortable working with complex disease states and clinical data, lab values, and reading/writing notes in patient medical records.

Benefits

What Cencora offers includes compensation, benefits, and resources that enable a highly inclusive culture and support team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we provide a comprehensive suite of benefits focusing on physical, emotional, financial, and social wellness. This encompasses support for working families, including backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. For details, visit here.

Pay

Full time Salary Range: $73,600 - 147,290. This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Schedule

This role may require weekend and/or holiday work as per business needs.