Specialty Pharmacist Navigator

MWI Buying Group; Orlando (FL); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical

Dental

Vision care

Paid parental leave

Mentorship programs

Employee resource groups

Job summary

Cencora is seeking an experienced Pharmacist to join our hybrid team serving the Orlando area, with a focus on ambulatory and specialty pharmacy workflows. This role involves coordinating with physician offices, processing prescriptions, and navigating insurance adjudication to maximize patient access.

The ideal candidate holds a PharmD, an unrestricted license, and 5+ years of relevant experience in community/retail/ambulatory settings, including prior authorizations.

Qualifications

• Proficient in MS Office (Word, Excel, PowerPoint).
• Experience with pharmacy dispensing systems and insurance adjudication.
• Comfortable reading/writing notes in patient medical records and clinical data.

Responsibilities

• Access physician practices for specialty Rx value and arrange meetings with stakeholders.
• Demonstrate ambulatory pharmacy partnership value to specialty practices.
• Process prescriptions including insurance adjudication and prior authorizations.
• Coordinate patient pickup/courier delivery and ensure refills are ordered on time.
• Coach and develop staff and oversee onboarding and career development.
• Provide oversight to associates in line with policies and procedures.

Skills

MS Office

Pharmacy dispensing systems

Insurance adjudication

Clinical data interpretation

Education

PharmD degree

Current unrestricted pharmacist license

Tools

EMR systems

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere.

Job Details

Location: This hybrid role is largely remote and is intended for an Rph in the Orlando, Fl or Daytona Beach, FL area, as well as the surrounding areas.

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.
• 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

• Current unrestricted pharmacist license in the appropriate state of practice,PharmD degree strongly preferred.
• 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

What Cencora offers

• compensation
• medical
• dental
• vision care
• backup dependent care
• adoption assistance
• infertility coverage
• family building support
• behavioral health solutions
• paid parental leave
• paid caregiver leave
• training programs
• professional development resources
• mentorship programs
• employee resource groups
• volunteer activities

For details, visit https://www.virtualfairhub.com/cencora

Temps Plein Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [e-mail]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Affiliated Companies

Affiliated Companies: Value Apothecaries Inc

Cencora is a leading global pharmaceutical solutions company that is committed to improving the lives of people and animals everywhere. We connect manufacturers, providers, and patients to ensure that anyone can get the therapies they need, where and when they need them. We’re a purpose-driven organization, where all of our team members around the world are united in our responsibility to create healthier futures. We work together every day to help our partners bring their innovations to patients worldwide, creating unparalleled access and impact at the center of health.