SMG Pharmacy Navigator
Sentara Health
Summary
The Pharmacy Navigator guides specialty pharmacy patients through every step of their medication journey. They coordinate refills and deliveries, monitor adherence, and help resolve insurance or financial challenges. Working closely with pharmacists, prescribers, and clinic staff, they address patient concerns quickly and efficiently. By coordinating across the care team, they ensure patients receive seamless, personalized support throughout their treatment.
Job description
Overview
The Pharmacy Navigator guides specialty pharmacy patients through every step of their medication journey. They coordinate refills and deliveries, monitor adherence, and help resolve insurance or financial challenges. Working closely with pharmacists, prescribers, and clinic staff, they address patient concerns quickly and efficiently. By coordinating across the care team, they ensure patients receive seamless, personalized support throughout their treatment.
- Deliver exceptional, personalized care to specialty pharmacy patients, providing a full suite of medication management services.
- Collaborate seamlessly with clinic and ambulatory care teams, supporting patients both in-person and over the phone.
- Educate prospective and current patients on the benefits of the preferred specialty pharmacy and its impact on care outcomes.
- Support outpatient retail and specialty prescription needs, including managing refills and ensuring medication adherence.
- Monitor patients’ medication regimens through outbound check-ins and coordinate timely refills.
- Identify medications requiring special handling or storage, such as hazardous or refrigerated drugs.
- Respond to, resolve, and triage inbound patient and provider inquiries.
- Address insurance-related issues, including prior authorizations (PAs), and assist patients with financial assistance programs.
- Maintain accurate and up-to-date documentation in all required systems and tracking mechanisms.
- Manage and organize patient and operational data using relevant database applications.
- Apply insights from patient interactions and operational observations to improve workflow, productivity, and quality of service.
- Perform other duties as assigned.
License/Certification
- Pharmacy Technician license valid in state(s) of practice required.
Experience
- 2 years of pharmacy tech experience required.
Requirements
- Pharmacy Technician license valid in state(s) of practice required.
- 2 years of pharmacy tech experience required.
Benefits
- Medical, Dental & Vision
- Adoption, Fertility & Surrogacy Reimbursement
- Paid Time Off
- Sick Leave
- Paid Parental Leave
- Family Caregiver Leave
- Emergency Backup Care
- Long-Term Disability
- Short-Term Disability
- Critical Illness Plans
- Life Insurance
- 401(k) Matching
- 403(b) Matching
- Tuition Assistance
- Student Debt Pay Down
- Pet Insurance
- Legal Resources Plan
- Discretionary Annual Bonus
Company overview
Sentara Health is a leading not-for-profit integrated healthcare delivery system serving Virginia, northeastern North Carolina, and Florida. Founded in 1888 and headquartered in Hampton Roads, Virginia, Sentara operates 12 acute care hospitals across its service area, with 10 hospitals holding prestigious Magnet® recognition for nursing excellence. The organization employs approximately 34,000 healthcare professionals and serves over 1 million health plan members through its Sentara Health Plans division. As one of the top 20 largest not-for-profit integrated health systems in the United States, Sentara is nationally recognized for clinical quality, safety, and innovation. The system has received numerous accolades including Health Quality Innovator of the Year (2024), Forbes' "America's Best-In-State Employer" (2024), and inclusion in IBM Watson Health's "Top 15 Health Systems." Sentara's comprehensive services span hospital care, outpatient facilities, home health, hospice services, and specialized programs like the Nightingale air ambulance service, which has completed over 20,000 missions since 1982.