Specialty Pharmacy Access & Assistance Navigator

DCH Health System; Tuscaloosa (AL); On-site; USD 55,000 - 75,000; Full time

Job summary

DCH Health System in Tuscaloosa, AL seeks a Specialty Pharmacy Access & Assistance Coordinator to manage access, dispensing, and patient financial navigation for specialty medications.

This role coordinates prior authorizations, patient assistance programs, drug recovery, and URAC/ACHC documentation while collaborating with pharmacists, payers, and providers to ensure timely access.

Qualifications

• Active Alabama Pharmacy Technician registration required by start date.
• National certification by PTCB or ExCPT required.
• Minimum of two years of combined experience in medication reimbursement, health care insurance prior authorization, and/or patient assistance program coordination.
• Three or more years of pharmacy practice experience preferred.
• Proficient in Microsoft Office, pharmacy dispensing systems, and third-party reimbursement/PAP software platforms.
• Must be able to read, write, speak, and comprehend English.

Responsibilities

• Proactively review and verify patients’ drug benefit information in EMR and pharmacy system.
• Submit third-party prior authorization requests, including complex oncology authorizations.
• Process test claims for medications and maximize revenue for high-cost take-home medications.
• Communicate with providers, payers, and patients regarding coverage determinations and appeals.
• Initiate and track Patient Assistance Program (PAP) applications and secure funding from manufacturers and foundations.
• Manage Specialty Orders, including cold-chain and time-sensitive oncology agents, and track shipments.

Skills

Strong communication

Interpersonal skills

Detail-oriented

Follow-up skills

English proficiency

Education

PTCB or ExCPT certification

Baccalaureate degree preferred

Tools

Microsoft Office

pharmacy dispensing systems

third-party PAP software

Job description

DCH Health System in Tuscaloosa, AL seeks a Specialty Pharmacy Access & Assistance Coordinator to manage access, dispensing, and patient financial navigation for specialty medications.

This role coordinates prior authorizations, patient assistance programs, drug recovery, and URAC/ACHC documentation while collaborating with pharmacists, payers, and providers to ensure timely access.