Pharmacist, Population Health & Clinical Programs (Remote)

Navitus; Madison (WI); Remote; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health, Dental, and Vision insurance

20 days paid time off

4 weeks paid parental leave

401K company match of up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro Mg

Referral Bonus Program – up to $750!

Job summary

Navitus Health Solutions is hiring a Pharmacist, Population Health to develop and manage clinical programs, drive outcomes reporting, and support drug utilization reviews across lines of business.

The role involves translating clinical guidelines into program requirements, supporting Residency programs, and collaborating with Account Management, Lumicera, and P&T committees to optimize cost-effective patient care.

Qualifications

• Pharmacist with active license in residence or able to obtain reciprocity within 4 months.
• 2+ years of clinical or managed care experience or residency with clinical experience.
• Knowledge of PBM industry, formulary management, and managed care principles.
• Proficient with drug literature and clinical trial evaluation; familiarity with electronic databases.

Responsibilities

• Lead development and maintenance of clinical programs.
• Educate clients, members, providers, and staff about clinical programs and outcomes.
• Provide clinical outreach to members and prescribers to improve care coordination.
• Support operational departments in implementing PBM programs; collaborate across teams.
• Explain Medicare Part D, PQA, and HEDIS guidance to stakeholders.
• Assist Residency Program Director with the PGY1 Managed Care Residency Program.
• Provide leadership and direction to Product Managers and clinical groups.
• Participate in Coverage Determination processes and formulary decisions.

Skills

Clinical experience

PBM knowledge

Drug literature proficiency

MS Office proficiency

Education

Bachelor's degree in Pharmacy

PharmD

Tools

Micromedex

Medline

Facts & Comparisons

Job description

Navitus Health Solutions is hiring a Pharmacist, Population Health to develop and manage clinical programs, drive outcomes reporting, and support drug utilization reviews across lines of business.

The role involves translating clinical guidelines into program requirements, supporting Residency programs, and collaborating with Account Management, Lumicera, and P&T committees to optimize cost-effective patient care.