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Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details The Pharmacy Navigator seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients. 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. Coordinate with physician practices to identify patients, conduct medication therapy management visits and follow-up accordingly with patients and practices Triage prescriptions which are limited distribution drugs or out-of-network. Act as advocate for patients where needed; coordinating insurance barriers, prior authorization and denials, leveraging charitable foundations, state programs, and/or manufacturer programs to ensure maximal patient access. Coordinate introduction and communication between patient and pharmacy. Follow up with patients to ensure refills are ordered on time and address any ADR's or clinical questions. Inform physician office of patient through process; document in EMR as necessary. Maintain relationships with physician practices 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 CH 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 NY State. 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: 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. Salary Range USD $126,750.00 - USD $165,750.00 /Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.