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Job Description
Position Title:
Pharmacy Benefits Navigator Department:
OUHPB Retail Pharmacy Job Description:
General Description:
The Pharmacy Benefits Navigator II is a specialized, experienced role responsible for proactively identifying and overcoming barriers to medication access for OU Health patients. This position manages complex prior authorizations, copay assistance, and coordination of care activities to ensure timely initiation and continuation of therapy. The role requires strong judgment, independence, and professionalism and typically draws upon experience as a pharmacy technician or similar healthcare role providing direct patient and payer interaction.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position. Serves as a primary resource for resolving medication access barriers, including prior authorizations, copay assistance, grant funding, and delivery coordination. Gathers, reviews, and submits comprehensive clinical and insurance documentation required to support prior authorization approvals. Independently navigates manufacturer copay programs, foundation grants, and other financial assistance resources to reduce patient out‑of‑pocket costs. Acts as a liaison between patients, prescribers' offices, pharmacies, and payers to expedite access to prescribed medications. Recruits and enrolls eligible patients into OU Health's specialty pharmacy program. Provides medication adherence support and education to patients, reinforcing therapy initiation and continuation. Builds and maintains strong patient relationships through compassionate, professional, and efficient service delivery. Appropriately identifies and escalates clinical concerns or therapy‑related issues to clinical or specialty pharmacists. Demonstrates strong time‑management skills to independently manage workload, prioritize tasks, and meet service expectations. Applies cultural sensitivity and patient‑centered communication when working with diverse patient populations. Maintains accurate, timely documentation within pharmacy systems and patient records. Collaborates effectively with pharmacy staff and interdisciplinary healthcare teams to support coordinated care. Complies with all organizational, regulatory, and payer requirements related to patient access services.
General Responsibilities:
Performs other duties as assigned.
Minimum Qualifications:
Education:
High school diploma or GED required.
Experience:
At least three (3) years of experience as a pharmacy technician required. License(s)/Certification(s)/Registration(s)
Required:
Active permit as a Pharmacy Technician by the Oklahoma State Board of Pharmacy within 6 weeks of hire. National Pharmacy Technician Certification (CPhT) required.
Knowledge, Skills and Abilities:
Strong working knowledge of pharmacy benefit structures, prior authorization processes, and payer requirements. Demonstrated ability to navigate copay assistance and grant funding programs. High level of attention to detail and organizational skills. Strong verbal and written communication skills with patients, providers, and payers. Ability to work independently and exercise sound judgment in complex situations. Customer‑focused mindset with the ability to build trust and rapport with patients. Ability to manage competing priorities in a fast‑paced, service‑oriented environment. Cultural competence and sensitivity in patient interactions. Proficiency with pharmacy systems, documentation tools, and standard office software. Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including
PTO, 401
(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family. OU Health is the state's only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma's largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state's only freestanding children's hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma's flagship hospital, which serves as the state's only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker's Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health's oncology program at OU Health Stephenson Cancer Center was named Oklahoma's top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health's mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.
