Bilingual (Spanish) Telehealth Pharmacist

Navitus Health Solutions, LLC

United States

Remote

USD 108,000 - 136,000

Full time

3 days ago

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Benefits offered by this job

Health, Dental, and Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational and ProfessionalMembership

Job summary

Navitus Health Solutions, LLC is expanding its Telehealth Pharmacy team with a bilingual (Spanish) pharmacist focused on MTM services for commercial and Medicare members. The Telehealth Pharmacist will help deliver medication therapy management through the new Clinical Engagement Center (CEC) and support clinical outreach programs to exceed client expectations.

The role requires active pharmacist licensure, 2+ years clinical experience, and strong knowledge of CMS MTM guidelines.

Qualifications

Current, unrestricted licensure as a Registered Pharmacist in the state of residence or reciprocity within 4 months.
Minimum of two years clinical experience including direct consultation.
Spanish-speaking is strongly preferred.

Responsibilities

Conduct medication therapy management (MTM) and expanded clinical programs per CMS requirements.
Develop clinical algorithms, pathways, and call scripts to support MTM delivery by staff.
Review and update MTM algorithms and call scripts annually with updated guidelines.
Develop documentation standards for all clinical outreach.
Collaborate with CEC staff to maintain a high quality MTM product.
Assist leadership to develop programs supporting STAR ratings outreach.
Provide Medicare Part D clinical and educational support and stay updated on MTM regulations.
Serve as a preceptor for APPE students in the CEC department.
Adhere to HIPAA and compliance requirements.
Other duties as assigned.

Skills

Pharmacist licensure

Clinical experience

Spanish language

Call center leadership

Multidisciplinary teamwork

PBM industry experience

HIPAA knowledge

Job description

Company

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $108,428.82 - USD $135,536.02 /Yr.

STAR Bonus % (At Risk Maximum)

10.00 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr

Work Schedule Description (e.g. M-F 8am to 5pm)

M-Th 9am-5:30pm CT with one shift until 7pm CT, Fri 8:30am-5pm CT

Remote Work Notification

ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.

Overview

The expected start timeframe for this position is January 2027 or later.

Our team is growing! We're excited to be expanding our team with a new Bilingual (Spanish) Telehealth Pharmacist position. If you're ready for a new challenge and an opportunity to use your pharmacy skills in a different way, check out the openings and take your next step with us!

ThePharmacist, Telehealthwill be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This pharmacist is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach program to exceed client expectations.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

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 all algorithms and call scripts at least yearly and with updated clinical guidelines.
Develop documentation standards for all clinical outreach.
Collaborate with other CEC staff to develop and maintain a high quality and consistent MTM product.
Assist CEC leadership to develop programs to support STAR ratings outreach.
Provide Medicare Part D clinical, operational and educational support by maintaining knowledge of all existing updates and regulations regarding the MTM program and Medicare Part C and D performance measures (STAR ratings).
Serve as a preceptor for APPE students within the CEC department.
Adhere to compliance and HIPAA regulations
Other duties as assigned

Qualifications

What our team expects from you?

Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts. Other State Pharmacy Licenses may be required as business need dictates. Must continually maintain education credits to maintain active licensure.
Minimum of two years clinical experience including direct consultation experience.
Spanish-speaking is strongly preferred.
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
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?