Remote Pharmacist, Population Health & Clinical Programs

Navitus; Jefferson City (MO); Remote; USD 110,000 - 170,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance

Flexible Spending Account

Educational Assistance Plan

Referral Bonus Program

Job summary

Navitus Health Solutions seeks a Pharmacist, Population Health to join our team to oversee clinical programs, including drug utilization reviews and health management initiatives across lines of business.

The Pharmacist will review health outcomes data, support PBM program management, and translate clinical guidelines into actionable program requirements while collaborating with Account Management, Lumicera, and P&T committees.

Qualifications

• Pharmacist degree (PharmD) and active state license.
• 2+ years of clinical or managed care pharmacy experience, or residency with 1 year clinical practice.
• Knowledge of PBM industry, formulary management, and managed care principles.
• Proficiency with drug literature and clinical trial evaluation; database experience preferred.
• MS Word, Excel, PowerPoint proficiency including tables and figures.

Responsibilities

• Lead the development of new clinical programs and manage the maintenance of existing programs
• Facilitate communication and education to clients, members, providers, and internal staff regarding clinical programs and program outcomes
• Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination
• Provide support to operational departments on the implementation of various PBM programs and daily functioning in support of member/patient quality of care. This involves frequent interdepartmental collaboration and guidance to develop, implement, and maintain all clinical programs
• Have strong knowledge of various standards, regulations, and guidance including Medicare Part D, PQA, and HEDIS measures and concisely communicate that information to stakeholders and clients
• Assist Residency Program Director (RPD) with the PGY1 Managed Care Residency Program
• Provide leadership, training, supervision, and strategic direction to Product Managers
• Provide expertise through active involvement with the Specialty Clinical Group
• Participate in the Coverage Determination (Certification, Prior Authorization, Medical Exception, Exception to Coverage, etc.) process when needed
• Provide clinical expertise related to formulary decisions made by the P&T Committee and Formulary Advisory Committee
• Other duties as assigned

Skills

Clinical pharmacy

PBM industry knowledge

Regulatory knowledge

Leadership & mentorship

Data interpretation

Education

Bachelor’s degree in Pharmacy or PharmD

Tools

Micromedex

Medline

Facts & Comparisons

MS Word

Excel

PowerPoint

Job description

Navitus Health Solutions seeks a Pharmacist, Population Health to join our team to oversee clinical programs, including drug utilization reviews and health management initiatives across lines of business.

The Pharmacist will review health outcomes data, support PBM program management, and translate clinical guidelines into actionable program requirements while collaborating with Account Management, Lumicera, and P&T committees.