Pharmacist, Telehealth
Navitus Health Solutions, LLC
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Benefits offered by this job
Job summary
Navitus Health Solutions, LLC is expanding its Telehealth Pharmacist role to deliver Medication Therapy Management (MTM) services for commercial and Medicare members. The position supports a newly launched Clinical Engagement Center (CEC) focused on tele-pharmacy and wellness coaching.
The Telehealth Pharmacist will develop and execute MTM programs, collaborate with CEC staff, and assist leadership in STAR ratings outreach, while ensuring HIPAA compliance and quality MTM delivery.
Qualifications
- Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months.
- Minimum of two years clinical experience including direct consultation experience.
- 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.
- Spanish-speaking is preferred.
Responsibilities
- Conduct medication therapy management (MTM) and expanded clinical programs in accordance with 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 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 MTM and STAR measures.
- Serve as a preceptor for APPE students within the CEC department.
- Adhere to compliance and HIPAA regulations.
- Other duties as assigned
Job description
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 new Telehealth Pharmacist positions. 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!
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
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.
- 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
- Spanish-speaking is preferred.
- 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?
- 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
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
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