Specialty Pharmacist Navigator

American Health Packaging; Tampa (FL); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

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

Job summary

Cencora is seeking a Speciality Pharmacist Navigator to support ambulatory pharmacy partnerships across the greater Tampa, Florida area and Polk County with hybrid and remote scheduling. Responsibilities include engaging physician practices, processing specialty prescriptions, and coordinating patient care with payors.

Education requirements include a PharmD and an unrestricted pharmacist license. Strong experience with prior authorizations and pharmacy systems is preferred.

Qualifications

• PharmD degree strongly preferred and active pharmacist license in the appropriate state.
• Clinical experience in ambulatory, retail, or health-system pharmacy is required or highly desirable.
• Proficiency with Microsoft Office (Word, Excel, PowerPoint) is expected.

Responsibilities

• Access physician practices for specialty Rx value using available tools/data.
• Coordinate meetings with stakeholders/decision makers at targeted practices.
• Ensure prescriptions flow to ambulatory pharmacy and are identified by staff.
• Establish patient profiles including payor information and clinical data.
• Process prescriptions including insurance adjudication and prior authorizations.
• Provide oversight and direction to associates and participate in staff onboarding.

Skills

Office Suite

Education

PharmD degree

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.

Job Details

Position: Speciality Pharmacist Navigator

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

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

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses 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. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

• 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

Full time

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.