Bilingual Telehealth Pharmacist: MTM & Wellness

Navitus; Baton Rouge (LA); A distancia; USD 90.000 - 120.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, Dental, Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan

Referral Bonus Program – up to $750

Descripción de la vacante

Navitus Health Solutions seeks a bilingual Telehealth Pharmacist to deliver MTM services for commercial and Medicare members via a newly launched Clinical Engagement Center (CEC). You will develop MTM programs, support CMS guidelines, and help improve STAR ratings while collaborating with a multi-disciplinary team.

The role requires a current pharmacist license, at least two years of clinical experience, and strong HIPAA knowledge. Remote-friendly with excellent benefits and growth opportunities.

Formación

• Current, unrestricted licensure as a Registered Pharmacist in the state of residence.
• Minimum of two years clinical experience including direct consultation.
• 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.

Responsabilidades

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

Conocimientos

Spanish-speaking

MTM

Clinical call center leadership

HIPAA knowledge

Educación

Pharmacist license

Descripción del empleo

Navitus Health Solutions seeks a bilingual Telehealth Pharmacist to deliver MTM services for commercial and Medicare members via a newly launched Clinical Engagement Center (CEC). You will develop MTM programs, support CMS guidelines, and help improve STAR ratings while collaborating with a multi-disciplinary team.

The role requires a current pharmacist license, at least two years of clinical experience, and strong HIPAA knowledge. Remote-friendly with excellent benefits and growth opportunities.