Bilingual Telehealth Pharmacist - MTM & Wellness Programs

Navitus; Madison (WI); A distancia; USD 110.000 - 150.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K match

Adoption assistance

Flexible Spending Account

Educational assistance

Referral bonus

Descripción de la vacante

Navitus Health Solutions is expanding its Telehealth Pharmacist team to deliver MTM services to commercial and Medicare members through the Clinical Engagement Center. The role requires bilingual capabilities (Spanish) and licensure in the relevant state with reciprocity possible within four months.

You will develop MTM programs, create clinical workflows, and support CMS and STAR ratings initiatives while upholding HIPAA and privacy standards.

Formación

• Licensed pharmacist in the state of residence with potential reciprocity within 4 months.
• Minimum of two years clinical experience including direct consultation.
• Spanish-speaking is strongly preferred.
• Experience as a clinical call center lead is preferred.
• Experience in a multi-disciplinary team setting is preferred.
• PBM industry experience is preferred.
• Knowledge of data privacy and HIPAA regulations is preferred.
• Commitment to compliance objectives and professional conduct.

Responsabilidades

• Perform MTM and expanded clinical programs per CMS.
• Develop clinical algorithms, pathways, and call scripts for MTM.
• Review and update scripts annually with new guidelines.
• Create documentation standards for clinical outreach.
• Collaborate with CEC staff to ensure high-quality MTM.
• Support STAR ratings outreach programs.
• Provide Medicare Part D clinical, operational and education support.
• Serve as APPE preceptor within the CEC.
• Adhere to HIPAA and compliance regulations.
• Perform other duties as assigned.

Conocimientos

Spanish-speaking

MTM expertise

CMS/Medicare knowledge

HIPAA compliance

Clinical call center lead

Team collaboration

PBM industry experience

Descripción del empleo

Navitus Health Solutions is expanding its Telehealth Pharmacist team to deliver MTM services to commercial and Medicare members through the Clinical Engagement Center. The role requires bilingual capabilities (Spanish) and licensure in the relevant state with reciprocity possible within four months.

You will develop MTM programs, create clinical workflows, and support CMS and STAR ratings initiatives while upholding HIPAA and privacy standards.