Pharmacy Benefits Navigator

OUH Specialty Pharmacy; United States; On-site; USD 48,000 - 72,000; Full time

Benefits offered by this job

PTO

401(k)

Medical and dental plans

Job summary

OU Health is seeking a Pharmacy Benefits Navigator II to proactively remove barriers to medication access for patients. This role handles prior authorizations, copay assistance, and care coordination, drawing on pharmacy technician background and payer interaction.

The candidate will work with patients, prescribers, pharmacies and payers to ensure timely therapy initiation and continuation while upholding regulatory and organizational standards.

Qualifications

• Requires high school diploma or GED and pharmacy technician experience.
• Proven ability to manage prior authorizations and financial assistance programs.
• Strong attention to detail and organizational skills, with effective communication.

Responsibilities

• Resolve medication access barriers: prior auths, copay and grants.
• Collect and submit clinical and insurance documentation for approvals.
• Navigate manufacturer copay programs and patient financial assistance.
• Coordinate between patients, prescribers, pharmacies and payers.
• Recruit and enroll eligible patients into OU Health’s specialty program.
• Provide adherence support and education to patients.
• Document activities in pharmacy systems accurately.

Skills

Pharmacy benefits knowledge

Prior authorization

Payer requirements

Copay assistance navigation

Grant funding navigation

Communication with patients

Detail oriented

Independent judgment

Time management

Cultural competence

Pharmacy systems proficiency

Documentation tools

Education

High school diploma or GED

Tools

Pharmacy systems

Documentation tools

Job description

Position Title: Pharmacy Benefits Navigator Department: OCH Retail Pharmacy

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.

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 out‑of‑pocket 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 therapy‑related issues to clinical or specialty pharmacists.
• Demonstrates strong time‑management skills to independently manage workload, prioritize tasks, and meet service expectations.
• Applies cultural sensitivity and patient‑centered 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. Customer‑focused mindset with the ability to build trust and rapport with patients. Ability to manage competing priorities in a fast‑paced, service‑oriented environment. Cultural competence and sensitivity in patient interactions. Proficiency with pharmacy systems, documentation tools, and standard office software.

Benefits

• 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.

About OU Health

OU Health is an equal opportunity employer.

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care.

OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community.

Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure.

OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals.

We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non‑clinical opportunities to further your career and we invite you to explore our available positions.

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.