Job Description

The Specialty Pharmacist Navigator seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients. $10,000 Sign on is bonus available. Location: Hybrid- Knoxville TN (UT Medical Center). Hours: Monday-Friday Day Shift, Staff inpatient rotation required every 6th weekend. Responsibilities include accessing various oncology practices for potential specialty Rx value using tools/data available; establishing communication with targeted oncology practices, arranging meetings with key stakeholders/decision makers; demonstrating value of ambulatory pharmacy partnership to oncology practices; ensuring oncology prescriptions flow through to ambulatory pharmacy and are identified by pharmacy staff; establishing patient profiles, including third-party payor(s) and clinical information; processing oncology prescriptions, including insurance adjudication and product sourcing; preparing and submitting prior authorization paperwork; managing denials; triaging oncology prescriptions which are limited distribution drugs, with REMS requirements or are out-of-network; acting as financial advocate for oncology patients where needed; leveraging charitable foundations, state programs, and/or manufacturer programs to ensure maximal patient access; coordinating pickup/courier delivery of oncology Rx's with patient and ensuring auditable records showing proof-of-delivery are maintained; following up with oncology patients to ensure refills are ordered on time and addressing any ADR's or clinical questions; informing oncologist office of patient through process and documenting in EMR as necessary; maintaining relationships with oncology offices through periodic visits/meetings; assisting with program financial reporting to client/data collection; cross-training to ambulatory pharmacy; assisting with staffing needs as required including weekends and/or holidays as per business needs; providing oversight and direction to associates in accordance with the organization’s policies and procedures; coaching, mentoring, and developing 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 preferred. Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable. Skills and Knowledge: 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.

By applying, you consent to your information being transmitted by Jooble to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See myhrabc Privacy Policy at and Terms & Conditions at and SonicJobs Privacy Policy at and Terms of Use at

Job Tags

Similar Jobs