Pharmacist, Telehealth

Navitus Health Solutions; United States; Remote; USD 108,000 - 136,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

PTO 20 days

Parental leave 4 weeks

9 holidays

401K match up to 5%

Adoption Assistance

FSAs (FSA)

Educational assistance

Professional membership assistance

Referral bonus up to $750

Job summary

Navitus Health Solutions is expanding its Telehealth Pharmacist team. The role focuses on delivering MTM services for commercial and Medicare members via a newly launched Clinical Engagement Center (CEC).

You will help develop and execute clinical outreach programs to exceed client expectations. The position supports the delivery of MTM programs, maintains knowledge of CMS and Medicare Part C and D regulations, and acts as a preceptor for APPE students within the CEC.

Qualifications

• Active, unrestricted pharmacist license in the resident state.
• Minimum of two years clinical experience including direct consultation.
• Experience as a clinical call center lead is preferred.
• Experience as a member of a multi-disciplinary team is preferred.

Responsibilities

• Conduct medication therapy management (MTM) and expanded clinical programs per CMS guidelines.
• Develop clinical algorithms, pathways, and call scripts to support MTM delivery.
• Review and update MTM algorithms and scripts annually with updated guidelines.
• Develop documentation standards for all clinical outreach.
• Collaborate with CEC staff to maintain MTM quality.
• Support STAR ratings outreach programs by CEC leadership.
• Provide Medicare Part D clinical and educational support with current updates.
• Serve as a preceptor for APPE students in the CEC.
• Adhere to compliance and HIPAA regulations.
• Other duties as assigned.

Skills

Clinical MTM

CMS guidelines

HIPAA compliance

Multidisciplinary teamwork

Call center leadership

Spanish speaking

Job description

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.

_____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $108,428.82 - USD $135,536.02 /Yr.

STAR Bonus % (At Risk Maximum)

10.00 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr

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

M-Th 9am-5:30pm CT with one shift until 7pm CT, Fri 8:30am-5pm CT

Remote Work Notification

ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.

Overview

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! The Pharmacist, Telehealth will 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.

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

Qualifications

• 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!

Location : Address

Remote

Location : Country

US