Remote Telehealth Pharmacist: MTM & Wellness

Navitus

Baton Rouge (LA)

Remote

USD 90,000 - 120,000

Full time

14 days+

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Benefits offered by this job

Health insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match up to 5%
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Pro. M
Referral Bonus Program – up to $750!

Job summary

Navitus Health Solutions is expanding its Telehealth Pharmacist team within a Clinical Engagement Center (CEC) to deliver MTM services for commercial and Medicare members through tele-pharmacy and wellness coaching.

The Telehealth Pharmacist will develop and execute MTM programs, create clinical algorithms and call scripts, review materials annually, and support STAR ratings initiatives while ensuring HIPAA compliance and collaborating with CEC leadership.

Qualifications

  • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months.
  • 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 HIPAA regulations and healthcare industry practices.
  • Spanish-speaking is preferred.

Responsibilities

  • Conduct MTM and expanded clinical programs per CMS guidelines.
  • Develop clinical algorithms, pathways, and call scripts for MTM delivery.
  • Review and update algorithms and scripts annually.
  • Develop documentation standards for clinical outreach.
  • Collaborate with CEC staff to maintain MTM quality.
  • Assist leadership with STAR ratings outreach programs.
  • Provide Medicare Part D clinical, operational, and educational support.
  • Serve as a preceptor for APPE students.
  • Adhere to HIPAA and compliance requirements.
  • Other duties as assigned.

Skills

Clinical MTM experience
Call center coordination
HIPAA knowledge
Spanish speaking (preferred)

Education

Unrestricted Pharmacist license

Job description

Navitus Health Solutions is expanding its Telehealth Pharmacist team within a Clinical Engagement Center (CEC) to deliver MTM services for commercial and Medicare members through tele-pharmacy and wellness coaching.

The Telehealth Pharmacist will develop and execute MTM programs, create clinical algorithms and call scripts, review materials annually, and support STAR ratings initiatives while ensuring HIPAA compliance and collaborating with CEC leadership.

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