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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Telehealth Pharmacist

PharmacyConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listedRemote

About the Job

Requirements

  • A Bachelor's degree in pharmacy or a PharmD degree is required.
  • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within four months, may be required based on state of residence laws or client contracts.
  • Other state pharmacy licenses may be required as business needs dictate.
  • Maintain education credits to keep active licensure.
  • Have knowledge of applicable data privacy practices and laws.
  • Have knowledge of healthcare industry practices and HIPAA regulations.
  • Participate in, adhere to, and support compliance program objectives.

Responsibilities

  • Develop clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering services.
  • Review and update algorithms and call scripts at least yearly and when clinical guidelines are updated.
  • Develop documentation standards for all clinical outreach.
  • Collaborate with department staff to develop and maintain a high-quality, consistent product.
  • Facilitate communication and education for clients, providers, and internal staff regarding programs and program outcomes.
  • Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination.
  • Stay current with guidelines, literature, recommendations, and medications, and integrate that information into clinical programs and outreach efforts.
  • Serve as a preceptor for APPE students within the department (optional).
  • Maintain communication with other functional areas and departments.
  • Develop an understanding of clients' member experience and how engagement efforts contribute to improved health and wellness.
  • Adhere to compliance and HIPAA regulations.
  • Support department leadership with clinical resources, targeted medication review recommendations, and policies and procedures.
  • Provide telehealth coaching to members through program offerings intended to improve adherence and promote lower-net-cost formulary options.
  • Provide clinical oversight of certified pharmacy technicians, pharmacy interns, and products, including reporting and audit support.

Desired Qualifications

  • Two years of clinical experience, including direct consultation experience.
  • Experience as a clinical call center lead.
  • Experience as a member of a multidisciplinary team.
  • Professional work experience in the pharmacy benefit management industry.
  • Spanish-speaking ability.

About the Company

Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Navitus Health Solutions is a pharmacy benefits manager that offers transparent pricing by passing 100% of negotiated rebates and discounts to its health-plan clients. It runs a spend-management clinical model designed to control drug costs from the outset while supporting member health, delivering both immediate value and long-term savings as drug spend trends are managed over time. The company markets its services through its portfolio brands—Navitus, Lumicera, and Archimedes—and serves over 18 million members across 800 clients, including public and private employers, unions, health plans, and health systems. It is owned by SSM Health and Costco Wholesale Corporation. Unlike traditional PBMs with opaque pricing, Navitus emphasizes transparency and direct savings for plan sponsors. The overarching goal is to reduce prescription drug costs for plans while improving member health outcomes.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Appleton, WI
Founded
2003

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