Specialty Pharmacist Navigator

MWI Buying Group; Tampa (FL); Hybrid; USD 110,000 - 160,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Wellness programs

Paid parental leave

Job summary

Cencora is seeking a Specialty Pharmacist Navigator to lead relationships with physician practices utilizing specialty pharmaceuticals. The hybrid role in the greater Tampa area emphasizes collaboration with physicians, patient advocacy, and ensuring seamless prescriptions through ambulatory pharmacy networks.

You will coordinate prior authorizations, navigation of insurance processes, and patient support programs while maintaining robust clinical documentation and interdepartmental

Qualifications

• PharmD degree or equivalent required.
• Current unrestricted pharmacist license in the applicable state.
• 5+ years in community/retail/ambulatory pharmacy or health-system related experience.
• Experience in specialty pharmacy and prior authorizations is highly desirable.

Responsibilities

• Build relationships with physician practices that use specialty Rx.
• Coordinate meetings with key physicians and stakeholders.
• Demonstrate ambulatory pharmacy partnership value to practices.
• Ensure prescriptions flow to ambulatory pharmacy and are documented.
• Create patient profiles including third-party payors and clinical data.
• Process prescriptions including insurance adjudication and sourcing.
• Prepare and submit prior authorization paperwork; manage denials.
• Triage complex drugs and out-of-network prescriptions.
• Act as financial advocate for patients using assistance programs.
• Coordinate Rx pickup or courier delivery with patients.
• Maintain auditable delivery proof and records.
• Follow up on refills and address ADRs or clinical questions.
• Document patient communication in EMR and inform physicians.

Skills

Microsoft Office

Clinical data handling

Insurance adjudication

Pharmacy communications

Education

PharmD degree

Unrestricted Pharmacist License

Tools

Pharmacy dispensing 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.

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 Tampa, Florida area and Polk County, Florida, with remote work making up a larger portion of the schedule 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.

What Cencora offers

• Compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day.
• Traditional offerings like medical, dental, and vision care.
• Comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness.
• Support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
• Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

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

Equal Employment Opportunity

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.