Hybrid Remote Specialty Pharmacy Navigator

American Health Packaging; Atlanta (GA); Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical, dental, and vision

Adoption assistance

Paid parental leave

Mentorship programs

Job summary

Cencora is seeking a pharmacist to lead engagement with specialty physician practices and optimize ambulatory pharmacy partnerships. The role focuses on value demonstration, patient access, and coordinating prescription workflows to ensure smooth dispensing and payer adjudication.

Ideal candidates will have a pharmacist license in the appropriate state, a PharmD, and 5+ years in community/retail/ambulatory settings or health-system environments, with prior specialty experience and PA processing

Qualifications

• Current unrestricted pharmacist license in the appropriate state of practice.
• 5+ years community/retail/ambulatory pharmacy or health-system experience.
• Experience in specialty pharmacy and/or processing prior authorizations is highly desirable.

Responsibilities

• Access physician practices for specialty Rx value using tools and data.
• Establish contact with targeted practices and arrange meetings with stakeholders.
• Demonstrate ambulatory pharmacy partnership value to practices.
• Ensure prescriptions flow to ambulatory pharmacy and are identified by staff.
• Establish patient profiles including payors and clinical information.
• Process prescriptions including insurance adjudication and sourcing.
• Prepare and submit prior authorization paperwork; manage denials.
• Triage prescriptions for limited distribution or out-of-network status.
• Act as financial advocate for patient; leverage programs for access.
• Coordinate pickup/courier delivery of prescriptions with patient.
• Follow up to ensure refills and address ADRs or clinical questions.
• Inform physician offices of patient progress; document in EMR.
• Maintain relationships with physician offices via visits/meetings.
• Assist with program financial reporting for client/data collection.
• Cross-train to ambulatory pharmacy; assist with staffing as required.
• Provide oversight to associates and support onboarding and career development.

Skills

MS Office

Pharmacy dispensing systems

Insurance adjudication

Clinical data interpretation

Education

Pharmacist license

PharmD degree preferred

5+ years community/retail/ambulatory pharmacy experience

Job description

Cencora is seeking a pharmacist to lead engagement with specialty physician practices and optimize ambulatory pharmacy partnerships. The role focuses on value demonstration, patient access, and coordinating prescription workflows to ensure smooth dispensing and payer adjudication.

Ideal candidates will have a pharmacist license in the appropriate state, a PharmD, and 5+ years in community/retail/ambulatory settings or health-system environments, with prior specialty experience and PA processing