Specialty Pharmacist Navigator

# **Job Details**The Speciality Pharmacist Navigator position seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients.**Location:** This hybrid role covers the greater Louisville and Manchester areas of Kentucky, with a greater emphasis on remote work 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:** 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.* The role involves working with a broad array of complex disease states and medical conditions; candidates should be comfortable working with clinical data, lab values, and reading/writing notes in patient medical records. #LI-DL1 #J-18808-Ljbffr