Specialty Pharmacist Navigator

MWI Animal Health; Louisville (KY); Hybrid; USD 120,000 - 150,000; Full time

Job summary

MWI Animal Health in the Louisville area seeks a Speciality Pharmacist Navigator to build relationships with physicians and practices using specialty meds. This hybrid role emphasizes remote work with on-site activities in Louisville and Manchester, KY.

You will access physician practices, demonstrate ambulatory pharmacy value, process prescriptions including adjudication and prior authorizations, coordinate patient pickups, maintain EMR notes, and coach staff while ensuring compliance and

Qualifications

• PharmD degree and current unrestricted pharmacist license
• 5+ years in community/retail/ambulatory pharmacy or health-system related experience
• Experience in specialty pharmacy and prior authorizations preferred

Responsibilities

• Access physician practices and arrange meetings with key stakeholders/decision makers
• Demonstrate the value of ambulatory pharmacy partnership to specialty practices
• Process prescriptions including insurance adjudication and prior authorizations
• Coordinate pickup/courier delivery of meds and ensure auditable delivery records
• Maintain patient profiles including payor information and clinical data in EMR
• Coach, mentor and develop staff and oversee onboarding and training

Skills

Microsoft Office

Clinical data interpretation

Communication with physician offices

Patient counseling

Education

PharmD degree

Tools

Pharmacy dispensing systems

Insurance adjudication software

EMR systems

Job description

# **Job Details**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.**Location:** This hybrid role covers the greater Louisville and Manchester areas of Kentucky, with a greater emphasis on remote work than on-site work. **Responsibilities**: * Access various physician practices for potential specialty Rx value using tools/data available.* 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.* Establish patient profiles, including third-party payor(s) and clinical information.* 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. This may include weekends and/or holidays as per business needs.* 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. **Education:** 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:** * Must be proficient in Microsoft Office, including Word, Excel, and PowerPoint* Candidates should have prior experience on pharmacy dispensing systems and be familiar with insurance adjudication processes.* The role involves working with a broad array of complex disease states and medical conditions; candidates should be comfortable working with clinical data, lab values, and reading/writing notes in patient medical records. #LI-DL1