Job Description

Specialty Pharmacy Coverage & Access Manager

Location: Gilbert, AZ (Onsite) or Bronx, NY (Hybrid after training)
Salary: $140,000–$155,000 (flexible based on experience and location)

Summary:
Our client, a growing specialty pharmacy focused on rare and complex disease therapies, is hiring a pharmacist leader to oversee Coverage & Access operations.
This role leads the Coordination of Benefits and Access team, ensuring patients receive high-cost specialty medications through efficient prior authorization and insurance navigation processes.

What You’ll Do:

• Lead and grow a Coverage & Access team (3, expanding to 5)
• Oversee benefits verification, prior authorizations, appeals, and claims workflows
• Build SOPs, train staff, and standardize access processes
• Monitor intake metrics and optimize workflow performance
• Serve as the insurance navigation subject matter expert
• Partner with pharmacists, providers, and payers to resolve access barriers
• Support accreditation and regulatory compliance

What You Bring:

• PharmD required
• Leadership experience
• Active NY or AZ pharmacist license
• Specialty pharmacy experience
• Prior authorization and benefits investigation expertise
• CSP preferred

Therapeutic Focus:

• Transplant immunosuppressive therapies
• Rare and orphan diseases (HAE, PKU, alkaptonuria, primary periodic paralysis)

This is a growth-stage leadership role. The right pharmacist will help build structure, train teams, and scale access operations in an expanding specialty pharmacy.

Job Tags

Flexible hours

Similar Jobs