Specialty Pharmacist Navigator

Access physician practices for potential specialty Rx value using available tools and data Establish communication with targeted specialty practices and arrange meetings with key stakeholders and decision makers Demonstrate the value of ambulatory pharmacy partnerships to specialty practices Ensure prescriptions flow through to ambulatory pharmacy and are identified by pharmacy 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 and manage denials Triage limited-distribution or out-of-network prescriptions Act as a financial advocate by leveraging charitable foundations, state programs, and manufacturer programs Coordinate prescription pickup/courier delivery with patients Follow up with patients to ensure timely refills and address adverse drug reactions or clinical questions Inform physician offices of patient progress and document in EMR as necessary Maintain relationships with physician offices through periodic visits and meetings Assist with program financial reporting and data collection Cross-train to ambulatory pharmacy and assist with staffing needs, including weekends and/or holidays as required Provide oversight and direction to associates in accordance with organizational policies and procedures Coach, mentor, and develop staff, including new employee onboarding and career development Requirements Current unrestricted pharmacist license in the appropriate state of practice PharmD degree strongly preferred 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 Proficient in Microsoft Office, including Word, Excel, and PowerPoint Prior experience on pharmacy dispensing systems Familiarity with insurance adjudication processes Comfortable working with clinical data and lab values Ability to read/write notes in patient medical records Core Competencies Demonstrates expertise in specialty pharmacy operations, including prior authorization processes, insurance adjudication, and patient management. Proficient in establishing relationships with healthcare providers and advocating for patients through financial assistance programs. Highest-signal resume keywords Current Unrestricted Pharmacist License PharmD Degree 5+ Years Pharmacy Experience Prior Authorization Processing Microsoft Office Proficiency Hard Skills Insurance Adjudication Prescription Processing Patient Profile Management Clinical Data Analysis Prior Authorization Submission Limited-Distribution Prescription Triage Pharmacy Dispensing Systems Ambulatory Pharmacy Operations Financial Advocacy Patient Medical Record Documentation Soft Skills Communication Coaching Mentoring Relationship Management Team Development Certifications & Qualifications Pharmacist License Industry Keywords Specialty Pharmacy Ambulatory Pharmacy Community Pharmacy Health-System Pharmacy Patient Advocacy Tools & Technologies Microsoft Word Microsoft Excel Microsoft PowerPoint EMR Systems #J-18808-Ljbffr