Sr. Pharmacist, Population Health
About The Position
Navitus Health Solutions is seeking a Sr. Pharmacist, Population Health to join their team. This role is responsible for the development, implementation, outcomes reporting, and ongoing administration and support of Navitus Clinical Programs. These programs include Drug Utilization Review, Health Management (clinical edits, Asthma Management, COPD Management, Pharmacogenomics, Pharmacoadherence, Prescriber Insights), and other strategic clinical initiatives like the Residency Program across all lines of business. The Sr. Pharmacist will also support other clinical areas such as Account Management, Lumicera, Drug Information and Pipeline, Clinical Quality Team, Drug Utilization Review Board, and the Pharmacy and Therapeutics (P&T) Committee. A key function is to develop and maintain appropriate clinical, evidence-based documentation supporting PBM programs, ensuring clinically sound programs (products, edits, reports) are provided in a cost-effective manner. This involves utilizing technology for program implementation, translating technical guidelines to clinical program business requirements, and program testing. This position is an active member of the Clinical Services Team within the Health Strategies Division.
Requirements
- Bachelor’s degree in pharmacy or PharmD degree required.
- Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts.
- Minimum three years clinical experience, or clinical or managed care pharmacy practice residency and 2-years clinical experience
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
Nice To Haves
- Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired
Responsibilities
- Lead the development of new clinical programs and manage the maintenance of existing programs
- Function as the lead pharmacist in core teams that work on new program/product development and innovative enhancements
- Facilitate communication and education to clients, members, providers, and internal staff regarding clinical programs and program outcomes
- Provide support to operational departments on the implementation of various PBM programs and daily functioning in support of member/patient quality of care. This involves frequent interdepartmental collaboration and guidance to develop, implement, and maintain all clinical programs
- Have strong knowledge of various standards, regulations, and guidance including CMS, PQA, and HEDIS measures and concisely communicate that information to stakeholders and clients
- Assist Residency Program Director (RPD) with the PGY1 Managed Care Residency Program
- Provide leadership, training, supervision, and strategic direction to Product Managers
- Assist Customer Care, Client Services, and other internal customers in responding to and resolving pharmacy-related inquiries from members, clients, providers, or pharmacies
- Review Population Health P&Ps and assure appropriate posting internally and externally as requested by clients
- Other duties as assigned
Benefits
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5%
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
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What This Job Offers
Job Type
Full-time
Career Level
Senior
