Remote Pharmacist, Population Health Leader

Navitus; Salem (OR); Remote; USD 120.000 - 150.000; Vollzeit

Benefits dieser Stelle

Health insurance

PTO 20 days

Parental leave

Paid holidays

401K match

Adoption assistance

FSAs

Educational assistance

Referral bonus

Zusammenfassung

Navitus Health Solutions is seeking a Pharmacist, Population Health to join our team. This role leads the development and maintenance of clinical programs, including Drug Utilization Review and population health initiatives, across all lines of business.

The Pharmacist will review health outcomes data, develop evidence-based documentation, and support cross-functional teams including Account Management and the P&T Committee, ensuring cost-effective, clinically sound programs.

Qualifikationen

• Bachelor’s degree in Pharmacy or PharmD required.
• Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months.
• 2+ years of clinical experience, or clinical or managed care pharmacy practice residency and 1-year clinical experience.
• Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired.
• Proficiency in drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Facts & Comparisons) preferred.
• Proficiency in MS Word, Excel, PowerPoint including tables, charts and figures preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees.

Aufgaben

• 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.
• 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

Kenntnisse

Pharmacist License

Clinical Experience

PBM Knowledge

Residency Program

Communication

Ausbildung

PharmD or B.Pharm

Pharmacy Degree

Tools

MS Word

Excel

PowerPoint

Micromedex

Medline

Facts & Comparisons

Jobbeschreibung

Navitus Health Solutions is seeking a Pharmacist, Population Health to join our team. This role leads the development and maintenance of clinical programs, including Drug Utilization Review and population health initiatives, across all lines of business.

The Pharmacist will review health outcomes data, develop evidence-based documentation, and support cross-functional teams including Account Management and the P&T Committee, ensuring cost-effective, clinically sound programs.