Pharmacist, Telehealth

Navitus Health Solutions, LLC•,
•$108,429 - $135,536•Remote

About The Position

The Pharmacist, Telehealth will contribute to Navitus’s newly launched Clinical Engagement Center (CEC), which focuses on improving members’ health and wellness through tele-pharmacy and wellness coaching. The role delivers Medication Therapy Management (MTM) services for commercial and Medicare members and helps develop and execute additional clinical outreach programs to exceed client expectations. The expected start timeframe is January 2027 or later. The role is remote and is available only to residents of the states and Washington, DC listed in the posting.

Requirements

  • Current, unrestricted Registered Pharmacist licensure in the state of residence, or ability to obtain reciprocity within four months; additional state pharmacy licenses may be required based on business needs.
  • Maintain continuing education credits required to keep pharmacist licensure active.
  • At least two years of clinical experience, including direct consultation experience.
  • Knowledge of healthcare industry practices and HIPAA regulations.
  • Ability to interact consistently, cooperatively, and respectfully with other employees.

Nice To Haves

  • Experience as a clinical call center lead.
  • Experience as a member of a multidisciplinary team.
  • Professional PBM industry work experience.
  • Knowledge of applicable data privacy practices and laws.
  • Spanish-speaking ability.

Responsibilities

  • Conduct medication therapy management (MTM) and expanded clinical programs in accordance with Centers for Medicare & Medicaid Services (CMS) requirements.
  • Develop clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services.
  • Review and update algorithms and call scripts at least annually and when clinical guidelines are updated.
  • Develop documentation standards for clinical outreach.
  • Collaborate with other CEC staff to develop and maintain a high-quality, consistent MTM product.
  • Assist CEC leadership in developing programs to support STAR ratings outreach.
  • Provide Medicare Part D clinical, operational, and educational support by maintaining knowledge of 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.
  • Participate in, adhere to, and support compliance program objectives.
  • Perform other duties as assigned.

Benefits

  • Health, dental, and vision insurance
  • 20 days paid time off
  • Four weeks paid parental leave
  • Nine paid holidays
  • 401(k) company match of up to 5%, with no vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan
  • Professional Membership assistance
  • Referral Bonus Program of up to $750
  • STAR bonus opportunity of 10% at-risk maximum
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