Specialty Pharmacy Navigator: Physician Partnerships

Cencora; Tampa (FL); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, and vision care

Backup dependent care / family support

Professional development and mentoring

Job summary

Cencora in the Tampa Bay area is seeking a Speciality Pharmacist Navigator to build relationships with physicians and practices using specialty pharmaceuticals. The hybrid role covers greater Tampa and Polk County, FL with remote work a larger portion of the schedule.

The position requires a PharmD, an active pharmacist license, and 5+ years in pharmacy settings; prior specialty pharmacy or prior authorization experience is highly desirable.

Qualifications

• 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 specialty pharmacy and/or processing prior authorizations is highly desirable.

Responsibilities

• Access physician practices for potential specialty Rx value using tools/data.
• 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.

Skills

MS Office

Insurance adjudication

EMR notes reading/writing

Pharmacy systems experience

Education

PharmD degree

Unrestricted pharmacist license

5+ years pharmacy experience

Tools

Pharmacy dispensing systems

Job description

Cencora in the Tampa Bay area is seeking a Speciality Pharmacist Navigator to build relationships with physicians and practices using specialty pharmaceuticals. The hybrid role covers greater Tampa and Polk County, FL with remote work a larger portion of the schedule.

The position requires a PharmD, an active pharmacist license, and 5+ years in pharmacy settings; prior specialty pharmacy or prior authorization experience is highly desirable.