Manager, Clinical Operations (RPh)

Navitus Health Solutions, LLC; United States; Remote; USD 120,000 - 151,000; Full time

Job summary

An established industry player is seeking a Manager of Clinical Operations to lead a dynamic team in delivering exceptional patient care. This role is pivotal in overseeing clinical interventions and Medication Therapy Management services, ensuring that operations are efficient and effective. The ideal candidate will have extensive clinical experience and a commitment to compliance and quality. With top-tier benefits and a focus on diversity and inclusion, this opportunity allows you to make a significant impact on patient health while working in a supportive environment.

Benefits

Health, Dental, and Vision Insurance

20 Days Paid Time Off

4 Weeks Paid Parental Leave

9 Paid Holidays

401K Company Match

Adoption Assistance Program

Flexible Spending Account

Qualifications

• Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree.
• Current, unrestricted Pharmacist license in state of residence.

Responsibilities

• Manage day-to-day performance of clinical operations.
• Provide guidance and coaching to direct reports.
• Monitor staff productivity and quality metrics.

Skills

Clinical Operations Management

Medication Therapy Management (MTM)

Team Leadership

Project Management

HIPAA Compliance

Education

B.S. Pharmacy or PharmD

Job description

Company

Navitus

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.

Pay Range

USD $120,524.61 - USD $150,655.75 /Yr.

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

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

This exciting position will have the opportunity to impact patients’ health every day via the delivery of best-in-class interventions and patient care within Navitus’ Clinical Engagement Center (CEC). The Manager, Clinical Operations will oversee the day-to-day execution of activities that support the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members. These programs include telehealth outreach to members to complete an analysis of a member’s medication regimen, discuss benefits, or perform other types of interventions.

The Manager will initially oversee a large team of clinicians (RN and RPh) and requires a leader who can assess, discuss, display, and train best-in-class services for our members and associates. The Manager, Clinical Operations will work closely with leaders in our operations and program management areas to ensure our programs are staffed, trained, and executed effectively.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Manage the day-to-day performance of CEC clinical operations.
• Provide guidance, feedback, and coaching to direct reports.
• Ensure resources are aligned with meeting the timeliness requirements of operational processes.
• Monitor and report on staff productivity and quality metrics.
• Assess operational capacity and capabilities for managing new clients.
• Execute project and program work.
• Develop and continually improve the operational process to align with best-in-class strategy.
• Collaborate with other CEC staff to maintain a high-quality service.
• Facilitate communication with clients, providers, and internal staff regarding CEC programs and program outcomes.
• Maintain knowledge of regulations regarding CEC programs.
• Maintain open lines of communication with other functional areas/departments.
• Develop a full understanding of Navitus Clients’ member experience and how the clinical engagement center contributes to improved health and wellness.
• Contribute to clinical operational tasks when workload requires it.
• Compliance with all applicable HIPAA and CMS regulations.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
• Other duties as assigned.

Qualifications

What our team expects from you?

• Education: Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree.
• Certification/Licenses: Current, unrestricted Pharmacist license in state of residence.
• Experience:
  • 5+ years of clinical experience including direct consultation experience; 10+ years of clinical experience preferred.
  • Experience as a member of a multi-disciplinary team is preferred.
  • Professional PBM industry work experience is preferred.

What can you expect from Navitus? • 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

#LI-Remote

Location : Address

Remote

Location : Country

US