Patient Navigator

Join to apply for the Patient Navigator role at Pharma Cord

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Join to apply for the Patient Navigator role at Pharma Cord

Important Notice

Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official

Important Notice

Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official and/or email address regarding next steps in our interview process.

Please Note:

• Pharma Cord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an  or  email address, or through our scheduling platform, Calendly.
• We will never request your bank account information at any stage of the hiring process.
• We will never send a check (electronic or physical) to purchase home office equipment.

If you receive any suspicious communication regarding employment with Pharma Cord, please report it to our Talent Acquisition team immediately at

The Patient Navigator role involves building trusted relationships with patients and providing personalized case management to support their healthcare journey. The role focuses on helping patients navigate their healthcare options and ensuring they receive the necessary support and resources. In this role, patient navigators will advise patients on their insurance coverage options and potential copayments, prior authorizations, and formulary restrictions. They will help patients understand their insurance plans and their options to acquire medications.

Patient navigators will additionally offer patient assistance, when requested, in locating healthcare providers that align with their individualized insurance plan requirements.

As a Patient Navigator, your responsibilities will include, but are not limited to, the following:

Relationship Management:

• Build and maintain trusted relationships with patients by demonstrating proactive communication, delivering timely and accurate services, and showing a strong commitment to patient well-being.
• Ensure all interactions and relationship management practices comply with relevant healthcare laws and regulations.
• Demonstrate prior experience working with pharmacy benefit products and patients, or in immunology practices, to better understand patient needs and concerns.

Communications:

• Conduct program welcome calls to patients, engaging them effectively and explaining available services and resources for their support.
• Utilize motivational interviewing techniques to actively involve patients in goal setting and achieving their healthcare objectives.
• Perform post Benefits Investigation calls to patients, clearly explaining coverage options to enhance patient understanding.
• Effectively handle all client inquiries that cannot be resolved through standard reporting processes.
• Address patient inquiries in accordance with applicable business rules, providing accurate and helpful information.
• Articulate complex reimbursement and billing information in a clear and concise manner to ensure patients comprehend their coverage benefits and financial responsibilities.

Inbound Call Management:

• Handle inbound calls as per the program-approved Frequently Asked Questions (FAQs).
• Exhibit excellent customer service skills, even in a fast-paced environment, and de-escalate any challenging situations in a professional and appropriate manner.
• Triage patients to appropriate internal or external resources, depending on their needs and requirements.
• Ensure proper documentation and recording of patient enrollment into the program, following established business rules.

Personalized Case Management:

• Provide patients with comprehensive information and education about products, including the course of treatment, insurance coverage benefits, anticipated out-of-pocket costs, potential financial assistance resources, and ongoing treatment support.
• Proactively manage assigned cases and tasks to maintain service levels and deliver excellent customer service to patients.
• Empower and inspire patients to take charge of their therapy plan as prescribed by their healthcare provider.
• Leverage electronic tools to identify benefits and payer coverage, conducting manual benefit investigations when necessary.
• Identify and communicate patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements.
• Utilize electronic resources to obtain benefit coverage outcomes, and if needed, conduct outbound calls to payers and healthcare providers for follow-up.
• Support adherence services through the coordination of nurse follow-up, as applicable to the program.
• Identify and recommend peer support resources for patients to enhance…