Pharmacy Care Navigator

Job Description:

The Pharmacy Care Navigator collaborates with comprehensive interdisciplinary roles as part of a managed care team to minimize gaps in treatment and eliminate barriers to medication adherence.Provide members with medication reconciliation, access, adherence and affordability services, identifying and communicating discrepancies to build long-term solutions. Connect Cityblock members and care teams to pharmacy resources and support enrollment in qualifying copay assistance programs. This position acts as a medication therapy liaison and navigator for the member, the Cityblock care team, external providers, and the health plan. Also serves as a clinical pharmacist extender, performing administrative and clinical support tasks to enhance the delivery of comprehensive medication management services.

Responsibilities:

• Serve as the pharmacy team’s first line of triage and subject matter expert for medication access, adherence and affordability needs including prior authorizations (PA), PA appeals, copay assistance, rx billing issues with the pharmacy, med synchronization, blister packing and delivery. Assist in upkeep of market specific medication formularies and network pharmacies. Provide ongoing care team education on medication access, adherence and affordability tools and resources. Proactively screen disease state registries, medication adherence reports, and incoming referrals from our care teams to confirm member eligibility for the clinical pharmacy program. .

• Schedule members referred or identified as eligible for initial pharmacist consult visits; perform reminder phone calls and appointment rescheduling as necessary. Assist with verifying medication list details (medication history taking), alerting the pharmacist of discrepancies as per clinical protocol. Facilitate sending of pharmacist correspondence and communications to external prescribers and outside pharmacies for loop closure.

Work Experience:

• 6 years experience as a pharmacy technician in a retail and/or outpatient pharmacy

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is: 

24.663 - 27.00 Hourly

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.