Specialty Pharmacy Coverage & Access Manager Job at Confidential, Gilbert, AZ

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  • Confidential
  • Gilbert, AZ

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

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