Remote Telehealth Pharmacist — MTM & Wellness Coaching

Navitus; Springfield (IL); A distancia; USD 100.000 - 140.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health benefits

PTO 20 days

Parental leave 4 wks

Holidays 9

401K match

Adoption assistance

Flexible Spending Account

Education assistance

Referral bonus up to $750

Descripción de la vacante

Navitus Health Solutions seeks a Telehealth Pharmacist to support a new Clinical Engagement Center delivering MTM services for commercial and Medicare members.

The role emphasizes MTM delivery, CMS-aligned programs, and the development of clinical outreach initiatives with remote work options and cross-functional collaboration.

The ideal candidate has at least two years of MTM experience, full pharmacist licensure, and comfort with HIPAA compliance and clinical analytics.

Formación

• Current, unrestricted licensure as a Registered Pharmacist in the state of residence.
• 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.

Responsabilidades

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

Conocimientos

MTM clinical experience

Call center leadership

Interdisciplinary teamwork

HIPAA/privacy knowledge

Spanish speaking (preferred)

Educación

Pharmacy degree (PharmD/BS Pharm)

Herramientas

PBM systems experience

Descripción del empleo

Navitus Health Solutions seeks a Telehealth Pharmacist to support a new Clinical Engagement Center delivering MTM services for commercial and Medicare members.

The role emphasizes MTM delivery, CMS-aligned programs, and the development of clinical outreach initiatives with remote work options and cross-functional collaboration.

The ideal candidate has at least two years of MTM experience, full pharmacist licensure, and comfort with HIPAA compliance and clinical analytics.