HIV Pharmacy Care Navigator

Get ready for something extraordinary! Picture this - You've got 6 weeks of paid time off in your first year (divided into different categories), plus 12 days of paid holidays. That's just the beginning of the perks at Vivent Health. There is 401k with 100% employer match up to 5%, 12 weeks of fully paid parental leave, employer subsidized medical, dental, vision benefits, and gender-affirming care benefits. And that's not even scratching the surface. Our complete package also includes employer paid short and long-term disability, tuition reimbursement, certification, and licensure assistance, and so much more. We also offer benefits for part-time roles!

But here's the real deal. Your journey with Vivent Health isn't just a job. It's a chance to join an organization dedicated to fostering a workforce that reflects diverse backgrounds, perspectives, and experiences. This makes you a part of something bigger and enables you to have a meaningful impact in our communities and the lives of the amazing patients we serve.

Here are a few highlights of what working at Vivent Health may offer you:

• Equity Practices: Fair treatment, access, and opportunities for all employees, creating an environment where everyone feels valued, respected, and empowered to contribute.
• Professional Growth: Opportunities for professional development and advancement, along with training programs and events that promote cultural competence, unconscious bias training, and awareness.
• Collaboration on an inter-disciplinary team: Within our integrated HIV care and prevention model, we employ a high level of collaboration across disciplines. That means that, in your role, you will have the opportunity to be exposed to whole person-care across medical, behavioral health, pharmaceutical, research, and more!
• Delivery of quality patient care: Our integrated HIV care and prevention model is proven to help patients achieve positive health outcomes.

Working at Vivent Health, you can truly serve the underserved and become an impactful part of their health journey.

YOUR CONTRIBUTION:

Deliver Excellence. Oversee with Integrity. Drive Progress. Exceed Expectations.

The HIV Pharmacy Care Navigator is an integral member of the pharmacy team. You will be responsible for providing excellent coordination of care for our patients on treatment regimens that require extra coverage and administrative support and coordination.

OUR EXPECTATIONS:

Winning skills and behaviors for success.

• Collaborate with Vivent Health stakeholders regarding the ordering, billing, storage, inventory, administration, credentialing, and scheduling care for patients with complex treatment plans (ie. clinic administered long acting injectable antiretrovirals)
• Serve as a critical liaison between patients, providers, pharmacy, billing, and other care team members.
• Work to optimize patient outcomes and minimize financial, safety, and compliance risks associated with complex treatment programs.
• Conduct insurance validation and audit insurance coverages.
• Support medical billing and pharmacy billing teams with medication appeals processes.
• Manage medical and pharmacy prior authorizations related to medications.
• Audit and review incidents and apply continuous quality improvement strategies to medication workflows.
• Coordinate and audit clear bagging and white bagging workflows for all clinic locations.
• Collect, review, and present KPIs to Vivent stakeholders.
• Provide sterling customer service to both internal and external customers.
• Assist in organizational policy and procedure development and education related to complex treatment regimens.
• Adhere to all agency policies including Confidentiality, Employee Handbook, Health Care Corporate Compliance Plan, Standards of Conduct, and other relevant policies.

NOTE: Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

KNOWLEDGE REQUIRED:

Required and preferred knowledge and experiences to succeed.

• Education:

• Bachelors degree in medical or health related field

• Nursing degree preferred

• Other healthcare degree or experience may be considered

• Work Experience:

• Three years of pharmacy, clinic, and/or 340B or Ryan White experience.

• Profound understanding of electronic health record (EHR) systems, healthcare information technology (IT) concepts, and data management.

• Licensure/Certification:

• RN or LPN preferred

• Other healthcare licensure or certification may be considered

• Soft Skills:

• Ability to analyze complex data, identify patterns, and generate insights to support decision-making.

• Excellent verbal and written communication skills to convey technical concepts to non-technical stakeholders.

• Strong problem-solving skills to diagnose and resolve EHR-related issues effectively.

• Meticulous attention to detail in system configuration, data analysis, and troubleshooting.

• A collaborative approach to work effectively with cross-functional teams and stakeholders.

• Ability to adapt to changing technology landscapes and learn new systems quickly.

• Dedication to understanding end-users' needs and providing timely, effective support.

• Effective time management skills to handle multiple tasks and priorities.

• Eagerness to stay updated with the latest trends and developments in healthcare IT and EHR systems.

• Preferred:

• Knowledge of and sensitivity to the HIV/AIDS patient population, and/or an eagerness to learn about this community.

• Knowledge of Epic EHR

Salary Range

$68,640/annually - $82,000/annually (Depending on Experience)

Public Student Loan Forgiveness

Employment at our organization may qualify you for federal student loan forgiveness programs. We do not directly pay for - nor forgive - federal student loans; however, our status as a not-for-profit organization under Section 501 (c) (3), makes us an eligible employer. There may be other determining factors for one to qualify.

Please follow this URL to review one such program and their requirements:

https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service