Pharmacy Care Navigator at Cityblock Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jan, 26

Salary

27.0

Posted On

04 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medication Reconciliation, Medication Adherence, Pharmacy Resources, Copay Assistance, Prior Authorizations, Medication History Taking, Clinical Support, Care Team Education, Disease State Screening, Appointment Scheduling, Pharmacist Correspondence, Medication Formularies, Rx Billing Issues, Med Synchronization, Blister Packing, Delivery

Industry

Hospitals and Health Care

Description

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. Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs along with some of the top healthcare investors in the country. Our mission is to improve the health of underserved communities. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings. In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve. Over the next year, we’ll grow quickly to bring better care to many more members and their communities. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community. Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community. Our Values: Aim for Understanding Be All In Bring Your Whole Self Lean Into Discomfort Put Members First About our Team: We employ a field-based, home-based care model and are committed to meeting members where they are--in their homes, in their community, and in our Hubs. We will go above and beyond to connect with Cityblock members in a non-judgmental, respectful and empathic manner, to meet their needs, and to provide feedback to the system as a whole as we strive to do better every day.

Responsibilities

The Pharmacy Care Navigator collaborates with interdisciplinary roles to minimize treatment gaps and enhance medication adherence. This position serves as a liaison for members, care teams, external providers, and health plans, providing medication access and support services.