Specialty Pharmacy Partnerships Navigator

RXinsider LTD.; Orlando (FL); Hybrid; USD 120,000 - 150,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Dependent care assistance

Adoption assistance

Infertility coverage

Family building support

Wellness programs

Paid parental leave

Mentorship programs

Volunteer activities

Job summary

Cencora seeks a Specialty Pharmacist Navigator to develop relationships with physicians using specialty medications, train staff, and support patient access in a hybrid role largely remote, targeting the Orlando and Daytona Beach area.

Qualified candidates hold a current pharmacist license, PharmD preferred, and 5+ years in community/retail/ambulatory pharmacy or health-system settings. Experience with prior authorizations is highly desirable.

Qualifications

• Must be a licensed pharmacist in the appropriate state.
• PharmD degree strongly preferred and clinical pharmacy experience.
• 5+ years in community/retail/ambulatory pharmacy or health-system setting is desirable.

Responsibilities

• Access physician practices for potential specialty Rx value using available tools/data.
• Establish communication with targeted specialty practices and arrange meetings with key decision makers.
• Demonstrate value of ambulatory pharmacy partnerships to specialty practices.
• Ensure prescriptions flow to ambulatory pharmacy and are identified by staff.
• Establish patient profiles, including third-party payors and clinical information.
• Process prescriptions, including insurance adjudication and product sourcing.
• Prepare and submit prior authorization paperwork; manage denials.
• Triage prescriptions that are limited distribution or out-of-network.
• Coordinate patient access with financial resources and manufacturer programs.
• Coordinate pickup or courier delivery of prescriptions with patients.
• Follow up to ensure refills are ordered and address ADRs or clinical questions.
• Document patient information and communicate with physician offices.
• Maintain relationships with physician offices through visits/meetings.
• Assist with program financial reporting and data collection.
• Cross-train to ambulatory pharmacy and support staffing needs, including weekends/holidays.
• Provide oversight and direction per organizational policies; mentor staff.

Skills

Microsoft Office

Pharmacy systems

Insurance adjudication

Clinical data review

Education

Pharmacist license (state)

PharmD degree preferred

5+ years pharmacy/health-system experience

Tools

EMR systems

Prior authorization tools

Job description

Cencora seeks a Specialty Pharmacist Navigator to develop relationships with physicians using specialty medications, train staff, and support patient access in a hybrid role largely remote, targeting the Orlando and Daytona Beach area.

Qualified candidates hold a current pharmacist license, PharmD preferred, and 5+ years in community/retail/ambulatory pharmacy or health-system settings. Experience with prior authorizations is highly desirable.