Pharmacy Navigator Manager

This position leads a team of clinic-embedded pharmacists, technicians and/or personnel working alongside physicians and other clinical providers with the goal of optimizing the provision of specialty pharmacy services, pharmaceutical care, and patient outcomes related to medication usage.

Job Description:

Primary Duties and responsibilities include, but are not limited to the following

• Establish, manage, and hold direct responsibility over client-level disease state portfolios.
• Create and maintain workflows and standards across corresponding clinics and staff.
• Provide education and industry updates to the team.
• Maintain responsibility for performance across the portfolio.
• Have responsibility to serve as an SME to the larger PHS Navigator group.
• Serve a role in any steering committee activity.
• Assess 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.
• Assist with recruitment, interviewing, and hiring necessary staff to support program goals in agreement with the client.
• Train, mentor, and performance manage direct reports, including pharmacists, technicians, and support personnel.
• Oversee specialty prescription workflow, optimizing use of client preferred pharmacies where applicable.
• Ensure navigator team drives patient access to costly medications through a variety of affordability solutions. Leverage charitable foundations, state programs, and/or manufacturer programs for maximal patient access.
• Maintain relationships with physician offices through periodic visits/meetings.
• Field questions from practitioners on formulary product selection, product dosing, ADR's, and other considerations.
• Meet with client site senior leadership to provide program updates and QBR's; lead data collection & financial reporting to client. Provide reports and status updates as requested by client.
• Cross-train to client ambulatory pharmacy if applicable; assist with staffing needs as required. This may include occasional weekends and/or holidays as per business needs.
• Support enterprise-wide initiatives and development of navigator staff at other facilities as periodically called upon.

Experience and Educational Requirements:

• PharmD degree required
• PGY1 residency desirable
• Current, unrestricted pharmacist license in the state of NY required
• 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
• Experience with 340B purchasing program

Minimum Skills, Knowledge, and Ability Requirements:

• Must be proficient in Microsoft Office, including Word, Excel, Outlook, and PowerPoint
• Experience in Epic or similar EMR platforms
• Experience with retail pharmacy prescription processing and claims adjudication 
• Prior experience on pharmacy dispensing systems and familiar with insurance adjudication processes
• This 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