Sr. Pharmacist, Population Health

Company

Work Schedule Description (e.g. M-F 8am to 5pm)

Remote Work Notification

Hiring Manager : Full Name: First Last

Overview

Navitus Health Solutions is seeking a Sr. Pharmacist, Population Health to join our team!

The Sr. Pharmacist, Population Health is responsible to perform duties related to the 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), and other strategic clinical initiatives (i.e., Residency Program) across all lines of business. The Sr. Pharmacist, Population Health will also provide support to other clinical areas including Account Management, Lumicera, Drug Information and Pipeline, Clinical Quality Team, Drug Utilization Review Board and the Pharmacy and Therapeutics (P&T) Committee. The Sr. Pharmacist, Population Health will develop and maintain appropriate clinical, evidence-based documentation that supports PBM programs. The primary functions involve ensuring that Navitus can provide clinically sound programs (including products, edits, and reports) in the most cost-effective manner and utilize technology to implement clinical programs. This utilization of technology frequently involves translation between technical guidelines and clinical program business requirements as well as program testing. This position will be an active member of the Clinical Services Team within the Health Strategies Division.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

• 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

Qualifications

What our team expects from you?

• 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
• Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus? 

• 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! 

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