Pharmacist, Population Health

Job not on LinkedIn

🕒 August 24

Where this job comes from

Posted on Navitus Health Solutions's careers page, not through a job board

First seen by Remote Rocketship August 24

Logo of Navitus Health Solutions

Navitus Health Solutions

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Lead the development of new clinical programs and manage the maintenance of existing programs • Facilitate communication and education to clients, members, providers, and internal staff regarding clinical programs and program outcomes • Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination • Support operational departments with implementation and daily functioning of PBM programs to support member/patient quality of care • Collaborate across departments to develop, implement, and maintain clinical programs • Communicate standards, regulations, and guidance including Medicare Part D, PQA, and HEDIS measures to stakeholders and clients • Assist the Residency Program Director with the PGY1 Managed Care Residency Program • Provide leadership, training, supervision, and strategic direction to Product Managers • Provide expertise through active involvement with the Specialty Clinical Group • Participate in the Coverage Determination process when needed • Provide clinical expertise related to formulary decisions made by the P&T Committee and Formulary Advisory Committee • Review, evaluate, and share health outcomes and utilization data for program management and development • Develop and maintain clinical, evidence-based documentation supporting PBM programs • Translate technical guidelines into clinical program business requirements and support program testing • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Pharmacy or PharmD required • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months • 2+ years of clinical experience, or clinical or managed care pharmacy practice residency and 1-year clinical experience • Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired • Proficiency in drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Facts & Comparisons) preferred • Proficiency in MS Word, Excel, PowerPoint including tables, charts and figures preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees

🏖️ Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750! • STAR Bonus % (At Risk Maximum): 10.00%

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