Specialty Pharmacist Navigator

4 days ago

Dallas, Texas, United States Value Apothecaries Inc Full time

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today

Job Details

This position seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients. Methodist Community Pharmacy - Dallas is proud to announce that we are becoming dual accredited for Specialty Pharmacy functions with ACHC and URAC. With the process underway, we are looking for a new Specialty Navigator role to bring on board. Our ideal candidate will be highly motivated, task oriented, and flexible in helping to build and create our specialty program. Trainings will involve working with our current clinical pharmacy team and providers they service, working with the Director of Ambulatory Pharmacy, as well as learning our new specialty platform and fulfilment platform within the pharmacy. Previous Specialty Pharmacy experience - preferred/ not required-BCPS - preferred/ not required, Completion of pharmacy residency program - preferred/ not required. This candidate must be willing to be on call - work cell phone will be provided.

Location:

Onsite at Methodist Community Pharmacy Dallas, TX- Located inside of Methodist Dallas Medical Center

Hours:

M-F 9am to 5pm. Closed weekends and major holidays

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:

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.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

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