[Hiring] Manager, Clinical Operations @Navitus Health Solutions, LLC

Role Description

Navitus Health Solutions is seeking a Manager, Clinical Operations to join our team! This exciting position will have the opportunity to impact patients’ health every day via the delivery of best-in-class interventions and patient care within Navitus’ Clinical Engagement Center (CEC). The Manager, Clinical Operations will oversee the day-to-day execution of activities that support the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members. These programs include telehealth outreach to members to complete an analysis of a member’s medication regimen, discuss benefits, or perform other types of interventions.

The Manager will initially oversee a large team of clinicians (RN and RPh) and requires a leader who can assess, discuss, display, and train best-in-class services for our members and associates. The Manager, Clinical Operations will work closely with leaders in our operations and program management areas to ensure our programs are staffed, trained, and executed effectively.

Is this you? Find out more below!

Responsibilities

• Manage the day-to-day performance of CEC clinical operations
• Provide guidance, feedback, and coaching to direct reports
• Ensure resources are aligned with meeting the timeliness requirements of operational processes
• Monitor and report on staff productivity and quality metrics
• Assess operational capacity and capabilities for managing new clients
• Execute project and program work
• Develop and continually improve the operational process to align with best-in-class strategy
• Facilitate communication with clients, providers, and internal staff regarding CEC programs and program outcomes
• Maintain knowledge of regulations regarding CEC programs
• Develop a full understanding of Navitus Clients’ member experience and how the clinical engagement center contributes to improved health and wellness
• Contribute to clinical operational tasks when workload requires it
• Compliance with all applicable HIPAA and CMS regulations
• Other duties as assigned

Qualifications

• Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree
• Current, unrestricted Pharmacist license in state of residence
• 5+ years of clinical experience including direct consultation experience required
• 10+ years of clinical experience preferred
• Experience as a member of a multi-disciplinary team is preferred
• Professional PBM industry work experience is preferred
• 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!