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Navitus Health Solutions

Pharmacist, Utilization Case Manager

Navitus Health Solutions

Pharmacist coordinating care and access to specialty medications for patients with complex disease states. Involves utilization management and collaboration with physicians and pharmacies.

Posted 6/16/2026full-timeIdaho, Montana, Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact
  • Coordinate care between physicians, patients, and pharmacies
  • Facilitate access to specialty medications for patients with complex disease states
  • Review chart notes and perform utilization management on patient/drug specific case basis
  • Handle case assignments, review case progress, properly document case notes, and determine case closure
  • Provide clinical expertise to prescribers around preferred therapy
  • Follow established procedures, processes, and standards for production, productivity, quality, and customer service
  • Meet performance targets for speed, efficiency, and quality
  • Ensure all external and internal customers receive the level of customer service required by Archimedes

Requirements

What you’ll need
  • PharmD required
  • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months
  • Retail, hospital, or specialty pharmacy experience required
  • Utilization and Case management experience preferred
  • Experience in an infusion setting, physician office, or pharmacy preferred
  • Experience with managing specialty medications for patients with chronic illness preferred
  • Expert in Microsoft Office Suite

Benefits

Comp & perks
  • 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
utilization managementcase managementspecialty medications managementclinical expertisechart review
Soft Skills
customer servicecoordinationdocumentationperformance targetsquality assurance
Certifications
PharmDRegistered Pharmacist licensure