Remote Telehealth Pharmacist for MTM & Wellness

Navitus; Richmond (VA); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

PTO 20 days

Parental leave 4 weeks

Holidays 9 days

401K match 5%

Adoption assistance

FSAs

Education assistance

Membership assistance

Referral bonus

Job summary

Navitus Health Solutions is expanding our Telehealth Pharmacist team, starting January 2027 or later. The Telehealth Pharmacist will deliver MTM services for commercial and Medicare members within a Clinical Engagement Center (CEC) focused on wellness coaching and tele-pharmacy.

You will develop MTM programs, ensure compliance with CMS guidelines, and support STAR ratings initiatives while mentoring APPE students in a remote-capable role.

Qualifications

• 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.
• 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 per CMS.
• Develop clinical algorithms, pathways and scripts to support MTM delivery.
• Review and update MTM algorithms and call scripts yearly with new guidelines.
• Develop documentation standards for all clinical outreach.
• Collaborate with CEC staff to maintain a high quality MTM product.
• Assist leadership to develop programs supporting STAR ratings outreach.
• Provide Medicare Part D clinical, operational and educational support and stay updated on MTM regulations.
• Serve as a preceptor for APPE students in the CEC department.
• Adhere to HIPAA regulations and compliance; perform other duties as assigned.

Skills

Clinical experience

Call center leadership

Team collaboration

PBM experience

HIPAA knowledge

Spanish language

Job description

Navitus Health Solutions is expanding our Telehealth Pharmacist team, starting January 2027 or later. The Telehealth Pharmacist will deliver MTM services for commercial and Medicare members within a Clinical Engagement Center (CEC) focused on wellness coaching and tele-pharmacy.

You will develop MTM programs, ensure compliance with CMS guidelines, and support STAR ratings initiatives while mentoring APPE students in a remote-capable role.