Job 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!

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health

As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.