Pharmacist, Telehealth

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $108.4k - $135.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

👻 Ghost score 0%

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

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

• Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS) • Develop appropriate clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services • Review and update algorithms and call scripts at least yearly and when clinical guidelines are updated • Develop documentation standards for all clinical outreach • Collaborate with other Clinical Engagement Center staff to develop and maintain a high-quality and consistent MTM product • Assist Clinical Engagement Center leadership in developing programs to support STAR ratings outreach • Provide Medicare Part D clinical, operational, and educational support by maintaining knowledge of MTM updates and regulations and Medicare Part C and D performance measures • Serve as a preceptor for APPE students within the Clinical Engagement Center department • Adhere to compliance and HIPAA regulations • Perform other duties as assigned

🎯 Requirements

• Pharm.D. degree with unrestricted licensure • Minimum of two years clinical experience including direct consultation experience • Experience as a clinical call center lead is preferred • Experience as a member of a multi-disciplinary team is preferred • Professional PBM industry work experience is preferred • Knowledge of applicable data privacy practices and laws is preferred • Knowledge of healthcare industry practices and HIPAA regulations • Spanish-speaking is preferred • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Remote work is unavailable to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming

🏖️ Benefits

• Health insurance • Dental insurance • Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% with no vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan • Professional Membership assistance • Referral Bonus Program – up to $750!