[Hiring] Bilingual Pharmacist @Navitus Health Solutions, LLC

Role Description

Navitus Health Solutions is seeking a Bilingual (Spanish) Pharmacist, Telehealth to join our team! The Pharmacist, Telehealth will be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This pharmacist is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach programs to exceed client expectations.

Responsibilities

• Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (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.
• Facilitate communication and education to clients, providers, and internal staff regarding MTM programs and program outcomes.
• Provide clinical outreach to members, prescribers, and pharmacy providers in order to enhance care coordination.
• 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).
• Stay current with new guidelines, literature, recommendations, and medications, and integrate that information into the MTM and STARs programs, such that our clinical outreaches remain up to date.
• Serve as a preceptor for APPE students within the CEC department.
• Maintain open lines of communication with other functional areas/departments.
• Develop a full understanding of Navitus Clients’ member experience and how the engagement center contributes to improved health and wellness.
• Adhere to compliance and HIPAA regulations.
• Other duties as assigned.

Qualifications

• Pharm.D. degree with unrestricted licensure.
• Minimum of two years clinical experience including direct consultation experience.
• Spanish-speaking is strongly preferred.
• 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.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

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% - No vesting requirement.
• Adoption Assistance Program.
• Flexible Spending Account.
• Educational Assistance Plan and Professional Membership assistance.
• Referral Bonus Program – up to $750!