Bilingual Pharmacist, Telehealth
Navitus Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Idaho • United States
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Salary
💰 $105,271 - $131,588 per year
About the role
- 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
Requirements
- Pharm.D. degree with unrestricted licensure
- Minimum of two years clinical experience including direct consultation experience
- 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
- Spanish-speaking is preferred
Benefits
- Health insurance
- 401K company match of up to 5% - No vesting requirement
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medication therapy managementclinical algorithmscall scriptsdocumentation standardsclinical outreachMedicare Part DSTAR ratingscare coordinationdata privacy practicesHIPAA regulations
Soft Skills
communicationcollaborationeducationleadershipteamworkconsultationproblem-solvingadaptabilityinterpersonal skillspreceptorship
Certifications
Pharm.D. degreeunrestricted licensure