Pharmacy Benefits Navigator

OU Health; Oklahoma City (OK); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

PTO

401(k)

Medical and dental plans

Job summary

OU Health seeks a Pharmacy Benefits Navigator II to proactively identify and overcome barriers to medication access for patients. You will manage complex prior authorizations, copay assistance programs, and care coordination to ensure timely therapy initiation and continuation.

The role requires strong judgment, independence, and professionalism, with background as a pharmacy technician or similar role involving payer interactions.

Qualifications

• High school diploma or GED required.
• At least 3 years as a pharmacy technician.
• Active Oklahoma Pharmacy Technician permit within 6 weeks of hire.
• National Pharmacy Technician Certification (CPhT) required.

Responsibilities

• Resolve medication access barriers including prior authorizations and copay assistance.
• Submit clinical and insurance documentation for prior authorizations.
• Navigate copay programs and grant funding to reduce patient costs.
• Act as liaison between patients, providers, pharmacies and payers.
• Recruit and enroll eligible patients into OU Health's specialty pharmacy program.
• Provide medication adherence support and education to patients.

Skills

Pharmacy benefits

Prior authorizations

Copay programs

Attention to detail

Communication skills

Independence

Customer focus

Prioritization

Cultural competence

Pharmacy software

Education

High school diploma or GED

Tools

Pharmacy systems

Documentation tools

Office software

Job description

Position Title: Pharmacy Benefits Navigator

Department: OCH Retail Pharmacy

Job Description:

General Description:

The Pharmacy Benefits Navigator II is a specialized, experienced role responsible for proactively identifying and overcoming barriers to medication access for OU Health patients. This position manages complex prior authorizations, copay assistance, and coordination of care activities to ensure timely initiation and continuation of therapy. The role requires strong judgment, independence, and professionalism and typically draws upon experience as a pharmacy technician or similar healthcare role providing direct patient and payer interaction.

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position.

Essential Responsibilities:

• Serves as a primary resource for resolving medication access barriers, including prior authorizations, copay assistance, grant funding, and delivery coordination.
• Gathers, reviews, and submits comprehensive clinical and insurance documentation required to support prior authorization approvals.
• Independently navigates manufacturer copay programs, foundation grants, and other financial assistance resources to reduce patient outofpocket costs.
• Acts as a liaison between patients, prescribers' offices, pharmacies, and payers to expedite access to prescribed medications.
• Recruits and enrolls eligible patients into OU Health's specialty pharmacy program.
• Provides medication adherence support and education to patients, reinforcing therapy initiation and continuation.
• Builds and maintains strong patient relationships through compassionate, professional, and efficient service delivery.
• Appropriately identifies and escalates clinical concerns or therapyrelated issues to clinical or specialty pharmacists.
• Demonstrates strong timemanagement skills to independently manage workload, prioritize tasks, and meet service expectations.
• Applies cultural sensitivity and patientcentered communication when working with diverse patient populations.
• Maintains accurate, timely documentation within pharmacy systems and patient records.
• Collaborates effectively with pharmacy staff and interdisciplinary healthcare teams to support coordinated care.
• Complies with all organizational, regulatory, and payer requirements related to patient access services.

General Responsibilities:

• Performs other duties as assigned.

Minimum Qualifications:

Education: High school diploma or GED required.

Experience: At least three (3) years of experience as a pharmacy technician required.

License(s)/Certification(s)/Registration(s) Required: Active permit as a Pharmacy Technician by the Oklahoma State Board of Pharmacy within 6 weeks of hire. National Pharmacy Technician Certification (CPhT) required.

Knowledge, Skills and Abilities:

• Strong working knowledge of pharmacy benefit structures, prior authorization processes, and payer requirements.
• Demonstrated ability to navigate copay assistance and grant funding programs.
• High level of attention to detail and organizational skills.
• Strong verbal and written communication skills with patients, providers, and payers.
• Ability to work independently and exercise sound judgment in complex situations.
• Customerfocused mindset with the ability to build trust and rapport with patients.
• Ability to manage competing priorities in a fastpaced, serviceoriented environment.
• Cultural competence and sensitivity in patient interactions.
• Proficiency with pharmacy systems, documentation tools, and standard office software.

OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.