Remote Telehealth Pharmacist — MTM Lead

Navitus; Nashville (TN); Remote; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health insurance

PTO 20 days

Parental leave 4 weeks

9 paid holidays

401K with match up to 5%

Adoption Assistance

FSAs and educational assistance

Professional membership assistance

Referral bonus up to $750

Job summary

Navitus Health Solutions is expanding its Telehealth Pharmacist team to support a newly launched Clinical Engagement Center focused on MTM services for commercial and Medicare members via tele-pharmacy and wellness coaching. The Telehealth Pharmacist will deliver MTM and assist in clinical outreach programs.

The role emphasizes developing MTM algorithms, maintaining documentation standards, collaborating with CEC staff, supporting STAR ratings outreach, and ensuring HIPAA compliance.

Qualifications

• Active pharmacist license in the state of residence or eligible for reciprocity within 4 months.
• Minimum 2 years of clinical MTM experience including direct patient 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 HIPAA, data privacy, and healthcare industry practices.
• Spanish-speaking is preferred.
• Participate in compliance program objectives.
• Ability to interact cooperatively and respectfully with colleagues.

Responsibilities

• Conduct MTM and expanded clinical programs per CMS guidelines.
• Develop clinical algorithms, pathways and call scripts for MTM delivery.
• Review/update algorithms and scripts yearly with new guidelines.
• Develop documentation standards for clinical outreach.
• Collaborate with CEC staff to maintain high-quality MTM products.
• Support STAR ratings outreach programs for Medicare plans.
• Provide Part D clinical, operational and educational support per updates.
• Serve as APPE preceptor in the CEC department.
• Adhere to HIPAA and compliance requirements.
• Other duties as assigned.

Skills

MTM experience

Telehealth

CMS/Medicare knowledge

Call center leadership

HIPAA/data privacy

Multi-disciplinary teamwork

Spanish-speaking (preferred)

Compliance programs

Professional communication

Job description

Navitus Health Solutions is expanding its Telehealth Pharmacist team to support a newly launched Clinical Engagement Center focused on MTM services for commercial and Medicare members via tele-pharmacy and wellness coaching. The Telehealth Pharmacist will deliver MTM and assist in clinical outreach programs.

The role emphasizes developing MTM algorithms, maintaining documentation standards, collaborating with CEC staff, supporting STAR ratings outreach, and ensuring HIPAA compliance.