Description
HealthPartners is looking to hire a Pharmacy Navigator to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.
Position Summary:
- Navigate customers through our complex system by working across the health plan and care network to ensure customers receive and understand their pharmacy care/benefit options.
- Customer-focused resource to anticipate, coordinate, solicit, respond and research customer needs related to pharmacy costs, benefits, accumulators, communications, changes, formulary status, appropriate medication options and coverage criteria.
- Guide customers through HealthPartners pharmacy networks, internal & external medical resources, policies, procedures, online tools, etc.
- Act proactively on customers' behalf with complex benefits, referrals and prior authorization processes.
- Provide strong support for our Medication Optimization initiative by acting as a part of the Medication Management Hub in which engagement, assessment and coordination of care for members identified with non-optimal medication use will take place.
Work Schedule:
- Remote; Monday through Friday, 8:30 a.m. to 5:00 p.m.
Required Qualifications:
- Education, Experience or Equivalent Combination:
- Bachelor's degree in health care related field or equivalent associate’s degree with 3 years’ experience in a health care setting.
- Knowledge, Skills, and Abilities:
- Pharmacy benefit and medication knowledge
- Proficient customer service, care delivery, organizational and time management skills
- Excellent oral, written and interpersonal communication skills with the ability to establish and maintain working relationships across all levels of the organization
- Robust critical thinking problem solving and follow through skills
- Strong interpersonal skills and the ability to engage others
- Experienced with computer programs including but not limited to Microsoft Office (Word, Excel), Outlook, etc.
- Working knowledge of Internet based resources
- Must be self-motivated and able to function independently, taking independent action to facilitate resolution of customers' issues according to departmental procedures
Preferred Qualifications:
- Education, Experience or Equivalent Combination:
- Pharmacy benefit management or managed care customer service experience employee
- Advanced course work in computer programs such as Microsoft Office, Internet Explorer, etc.
- Managed care experience such as prior authorizations
- Licensure/ Registration/ Certification:
- Nationally certified pharmacy technician
- Knowledge, Skills, and Abilities:
- Working knowledge of HealthPartners information systems, benefits, networks, policies & procedures, etc.
Benefits:
- HealthPartners offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, and much more!