[Hiring] Pharmacist, Population Health @Navitus Health Solutions, LLC

Role Description

Navitus Health Solutions is seeking a Pharmacist, Population Health to join our team! The Pharmacist, Population Health will be responsible for:

• Development, implementation, outcomes reporting, and ongoing administration and support of Navitus Clinical Programs including:
  • Drug Utilization Review (i.e., RDUR, CDUR)
  • Health Management (i.e., clinical edits, Asthma Management, COPD Management, Pharmacogenomics, Pharmacoadherence, Prescriber Insights, MTM)
  • Other strategic clinical initiatives (i.e., Residency Program)
• Providing support to other clinical areas including Account Management, Lumicera, Drug Information and Pipeline, and the Pharmacy and Therapeutics (P&T) Committee.
• Reviewing, evaluating, and sharing health outcomes and utilization data for program management and development.
• Developing and maintaining appropriate clinical, evidence-based documentation that supports PBM programs.
• Ensuring that Navitus can provide clinically sound programs in the most cost-effective manner and utilizing technology to implement clinical programs.
• Translating between technical guidelines and clinical program business requirements as well as program testing.

Responsibilities

• Lead the development of new clinical programs and manage the maintenance of existing programs.
• Facilitate communication and education to clients, members, providers, and internal staff regarding clinical programs and program outcomes.
• Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination.
• Support operational departments on the implementation of various PBM programs and daily functioning in support of member/patient quality of care.
• Have strong knowledge of various standards, regulations, and guidance including Medicare Part D, PQA, and HEDIS measures.
• Assist Residency Program Director (RPD) with the PGY1 Managed Care Residency Program.
• Provide leadership, training, supervision, and strategic direction to Product Managers.
• Provide expertise through active involvement with the Specialty Clinical Group.
• Participate in the Coverage Determination process when needed.
• Provide clinical expertise related to formulary decisions made by the P&T Committee and Formulary Advisory Committee.
• Other duties as assigned.

Qualifications

• Bachelor’s degree in Pharmacy or PharmD required.
• Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months.
• 2+ years of clinical experience, or clinical or managed care pharmacy practice residency and 1-year clinical experience.
• Knowledge of PBM industry, formulary management, pharmacy claims, and managed care principles and practices desired.
• Proficiency in drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Facts & Comparisons) preferred.
• Proficiency in MS Word, Excel, PowerPoint including tables, charts, and figures 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!