Remote Telehealth Pharmacist — MTM & Wellness Coaching

Navitus

Carson City (NV)

Remote

USD 110,000 - 140,000

Full time

14 days+

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Benefits offered by this job

Top-tier health, dental, and vision
20 days paid time off
4 weeks parental leave
9 paid holidays
401K company match up to 5%
Adoption Assistance Program
Flexible Spending Account
Educational Assistance and membership
Referral Bonus up to $750

Job summary

Navitus Health Solutions is seeking a Telehealth Pharmacist to deliver MTM services for commercial and Medicare members through a newly launched Clinical Engagement Center (CEC).

The role focuses on MTM program delivery, development of clinical pathways, and collaboration with a multidisciplinary team while ensuring HIPAA compliance and CMS guidelines. This is a remote, nationwide opportunity with potential growth and ongoing clinical outreach initiatives.

Qualifications

  • Current, unrestricted Pharmacist license in the state of residence (reciprocity may be required).
  • Minimum of two years clinical experience including direct MTM or consultation.
  • Clinical call center leadership experience preferred.
  • Experience in a multi-disciplinary team preferred.
  • Professional PBM industry experience preferred.
  • Knowledge of data privacy laws and HIPAA compliance preferred.
  • Spanish-speaking is a plus.
  • Participation in compliance program objectives encouraged.
  • Ability to interact cooperatively with colleagues.

Responsibilities

  • Conduct MTM and expanded clinical programs per CMS guidelines.
  • Develop clinical algorithms, pathways, and call scripts to support MTM delivery.
  • Review and update algorithms and call scripts at least yearly with updated guidelines.
  • Develop documentation standards for 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; stay updated on CMS measures.
  • Serve as a preceptor for APPE students in the CEC department.
  • Adhere to HIPAA and compliance regulations.
  • Other duties as assigned.

Skills

Clinical experience
Direct MTM consultations
Call center leadership
Multidisciplinary team
PBM industry experience
HIPAA compliance
Spanish speaking
Compliance programs
Team collaboration

Education

Licensed Pharmacist license

Job description

Navitus Health Solutions is seeking a Telehealth Pharmacist to deliver MTM services for commercial and Medicare members through a newly launched Clinical Engagement Center (CEC).

The role focuses on MTM program delivery, development of clinical pathways, and collaboration with a multidisciplinary team while ensuring HIPAA compliance and CMS guidelines. This is a remote, nationwide opportunity with potential growth and ongoing clinical outreach initiatives.

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