Remote Telehealth Pharmacist - MTM & Wellness Coaching

Navitus; Topeka (KS); Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off 20 days

Paid parental leave 4 weeks

9 paid holidays

401K company match up to 5%

Adoption assistance

Flexible Spending Account

Educational assistance and membership

Job summary

Navitus Health Solutions is expanding its Telehealth Pharmacist role to deliver MTM services for commercial and Medicare members via a newly launched Clinical Engagement Center focused on improving member health and wellness through tele-pharmacy and wellness coaching.

The Telehealth Pharmacist will develop and execute clinical outreach programs, create algorithms and call scripts, and collaborate with CEC staff to maintain a high-quality MTM product while ensuring CMS and HIPAA compliance.

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 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 applicable data privacy practices and laws is preferred.
• Knowledge of healthcare industry practices and HIPAA regulations
• Spanish-speaking is preferred.

Responsibilities

• Conduct medication therapy management (MTM) and expanded clinical programs in accordance with CMS.
• Develop appropriate clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services.
• Review and update all algorithms and call scripts at least yearly and with updated clinical guidelines.
• Develop documentation standards for all clinical outreach.
• Collaborate with other CEC staff to develop and maintain a high quality and consistent MTM product.
• Assist CEC leadership to develop programs to support STAR ratings outreach.
• Provide Medicare Part D clinical, operational and educational support by maintaining knowledge of all existing updates and regulations regarding the MTM program and Medicare Part C and D performance measures (STAR ratings).
• Serve as a preceptor for APPE students within the CEC department.
• Adhere to compliance and HIPAA regulations
• Other duties as assigned

Skills

Licensure as Pharmacist

Clinical experience

Call center leadership

Team collaboration

HIPAA knowledge

Job description

Navitus Health Solutions is expanding its Telehealth Pharmacist role to deliver MTM services for commercial and Medicare members via a newly launched Clinical Engagement Center focused on improving member health and wellness through tele-pharmacy and wellness coaching.

The Telehealth Pharmacist will develop and execute clinical outreach programs, create algorithms and call scripts, and collaborate with CEC staff to maintain a high-quality MTM product while ensuring CMS and HIPAA compliance.