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Job Details

The Pharmacy Technician Navigator will act as triage for identified pharmacy partners to facilitate authorization, reimbursement and dispensing of medications. This position is categorized as compliance critical and, as such, requires and is assigned specific responsibility for ensuring continual and proper compliance with all division, corporate and regulatory requirements.

Responsibilities:

• Communicating via email with Wholesaler,Manufacturer and Possibly payers.

• Maintaining Issues and follow ups while managing spreadsheets and trackers

• Assisting with quality audits

• Medication Dispensing: Assist pharmacists in accurately dispensing specialty medications, including measuring, counting, labeling, and packaging prescriptions with precision. 

• Prescription Processing: Review and enter prescription orders into pharmacy system accurately and efficiently. Verify patient information and insurance coverage and resolve any discrepancies or issues. 

• Prescription Delivery: Coordinate, track, manage and facilitate prescription delivery. Adhere to packing and tracking processes. 

• Inventory Management: Monitor and maintain inventory levels of medications, ensuring adequate stock is available for patient needs. Collaborate with the pharmacy team to place orders and track shipments. 

• Patient Support: Provide excellent customer service to patients and healthcare professionals by answering inquiries, addressing pharmacy-related concerns, and triaging to pharmacist as appropriate. Manage multiple patients with diverse needs autonomously. 

• Adherence Monitoring: Conduct initial and follow-up calls with patients to assess medication adherence. Document appropriately and defer to pharmacist as agreed upon. 

• Benefits Investigation: Review patient insurance for affordability. 

• Financial Assistance: Assess availability of financial assistance options. Support patients through application process. This includes, but is not limited to, manufacturer coupon cards, secondary insurance options, foundation assistance, and manufacturer assistance. 

• Prior Authorization Assistance: Demonstrate ability to assist in prior authorization process by gathering necessary documentation, completing forms, and communicating with healthcare providers and insurance companies to obtain approval for medications. (we have PA team, but still a worthy goal for some of our techs to learn) 

• Communication: Display professionalism in all interactions. Communicate effectively in-person, via telephone, and in other electronic communication. Document pertinent patient information professionally and succinctly in patient chart, as agreed upon by pharmacist. 

• Team Collaboration: Act as liaison between patient, pharmacy, and other healthcare providers to ensure smooth workflow and effective communication.  

• Training: Participate in training of new staff. 

• Program Continuity: Oversees continuity of pharmacy processes and adherence to clinical and specialty programs and policies. Participate in quality improvement projects, as deemed relevant and approved by manager.  

• Continuous Learning: Stay updated with latest developments in practice area. Participate in training programs and continuing education opportunities to enhance knowledge and skills. 

• Perform related duties as assigned

Education:

Requires a minimum of two (2)+ years directly related and progressively responsible pharmacy experience; bachelor's degree program preferred. Pharmacy technician certification with a national technical certification organization, such as Pharmacy Technician Certification Board (PTCB) or other comparable national certification or comparable state certification is preferred. 

 
Skills and Knowledge:

• Ability to communicate professionally and effectively both orally and in writing 

• Ability to work independently and as part of a team in a fast-paced environment. 

• Excepti