Patient Navigation Specialist

6 days ago


Anderson, Indiana, United States AndHealth Full time

About Us: AndHealth is a healthcare technology company dedicated to helping people reverse chronic disease. We partner with health systems, community health centers, plans, and employers to remove barriers to care and make world-class specialty care accessible and affordable to all.

Job Description:

We are looking for a highly skilled Patient Navigation Specialist to play a critical role at AndHealth. This is an onsite position located in Anderson, Indiana. The ideal candidate will have 3+ years of experience in pharmacy or nurse navigation and excellent written and oral communication skills.

Responsibilities:

  1. Proactively engage with patients to verify benefits and assist with identifying secondary coverage.
  2. Verify insurance and medication coverage determinations, and collaborate with providers to resolve formulary restrictions.
  3. Complete prior authorizations or appeals to ensure medication access for patients.
  4. Communicate with patients about current medication utilization and ongoing needs, working closely with in-house or contract pharmacies.
  5. Consult with pharmacists or providers to address clinical needs of patients, ensuring seamless transitions between interventions and counseling.
  6. Schedule prescriptions, fills, or deliveries for patients, documenting all interactions in specialty pharmacy software.
  7. Generate reports to track new patients, upcoming medication needs, and adherence-related data.
  8. Travel to visit patients who attend in-person visits, collecting vital signs and updating relevant health information.

Requirements:

  • Bachelor's degree (preferred).
  • Certified Pharmacy Technician (PTCB or ExCPT) certification required.

Salary Range: $65,000 - $80,000 per year, depending on experience.



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