Remote Telehealth Pharmacist: MTM & Wellness Coach

Navitus; Boise (ID); Remote; USD 110,000 - 140,000; 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 Program

Flexible Spending Account

Educational Assistance Plan and Pro/M.

Referral Bonus Program – up to $750

Job summary

Navitus Health Solutions is hiring a Telehealth Pharmacist to deliver MTM services for commercial and Medicare members as part of a new Clinical Engagement Center. You will develop MTM programs, work with the team to improve patient outcomes, and ensure compliance with HIPAA and CMS requirements.

The role emphasizes collaboration with other CEC staff, development of outreach programs, and precepting APPE students. A positive impact on STAR ratings and member wellness is central to the position.

Qualifications

• 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.
• Knowledge of healthcare industry practices and HIPAA regulations is preferred.

Responsibilities

• Conduct MTM and expanded clinical programs in accordance with CMS.
• Develop clinical algorithms, pathways, and call scripts to support MTM services.
• Review and update all algorithms and call scripts at least yearly with updated guidelines.
• Develop documentation standards for all clinical outreach.
• Collaborate with CEC staff to maintain a high quality MTM product.
• Assist leadership to develop programs to support STAR ratings outreach.
• Provide Medicare Part D clinical, operational and educational support and stay updated on MTM/STAR measures.
• Serve as a preceptor for APPE students within the CEC department.
• Adhere to compliance and HIPAA regulations.
• Other duties as assigned.

Skills

Clinical MTM

Call center leadership

PBM industry experience

HIPAA knowledge

Spanish language

Interpersonal skills

Job description

Navitus Health Solutions is hiring a Telehealth Pharmacist to deliver MTM services for commercial and Medicare members as part of a new Clinical Engagement Center. You will develop MTM programs, work with the team to improve patient outcomes, and ensure compliance with HIPAA and CMS requirements.

The role emphasizes collaboration with other CEC staff, development of outreach programs, and precepting APPE students. A positive impact on STAR ratings and member wellness is central to the position.