Navitus Health SolutionsNS

Pharmacist, Clinical Consultation

Navitus Health Solutions is a pharmacy benefit manager (PBM) founded in 2003 with a mission to make prescription medications more affordable through a transparent, 100% pass-through model. They serve nearly 18 million members across almost 800 clients.

Navitus Health Solutions

Employee count: 1001-5000

Salary: 98k-123k USD

United States only

Company

Lumicera

About Us

Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity.

Pay Range

USD $98,384.00 - USD $122,980.00 /Yr.

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

Hours of Operation 8am-7pm CT M-TH; 8am-6pm CT F; This posting is for closing shift with possibility to move to earlier shifts as business needs allow

Remote Work Notification

ATTENTION: Lumicera is unable to offer remote work to residents of Alabama, Alaska, Connecticut, Delaware, Hawaii, Iowa, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming.

Overview

Due to growth we are adding a Clinical Consultation Pharmacist to our team!

The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Consultation will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Additional tasks for this role include interpreting physicians' prescriptions, contacting prescribers for prescription clarification, and expediting the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Consultation works independently with minimal guidance and represents the organization using patient-centered care to enhance the patient experience.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Provide patient education through telephonic consultations for patients of the specialty pharmacy in accordance with Lumicera’s Patient Management Program. The consultations will focus on effective assessment and communication of disease state management, side effect mitigation strategies, administration of medication, appropriate storage, and therapeutic appropriateness, following patient-centered care model. Answer clinical questions from patients and caregivers.• Provide detailed clinical documentation of patient consultations and interventions in pharmacy software system in compliance with internal policies and procedures and external regulatory bodies (such as URAC).• Interpret and clinically evaluate prescriptions for specialty medications based on available information and resources. Contact providers and/or patients to verify information related to prescriptions such as drug strength, intended directions, and diagnosis to expedite processing of orders. Verify and confirm validity of controlled substances.• Contact physicians for new prescriptions, consult with physicians and nurses regarding pharmaceutical questions, and contact pharmacies for prescription transfers. Work with physicians to convert prescriptions to generic, biosimilar, or preferred drugs whenever possible. • Verify prescription information entered in the system by order entry. Answer clinical questions from the pharmacy team.• Adapt to new workflows and processes. Solve unique pharmaceutical problems. Stay current with advancements in specialty pharmacy therapies, including new drug approvals and specialty disease state treatment guidelines.• Back up other pharmacists as needed; train less experienced pharmacists.• Document and report medication errors per company policies and procedures. Facilitate error reduction and prevention methods based off quality department and ISMP standards.• Act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. • Other duties as assigned

Qualifications

What our team expects from you?

• Provide patient education through telephonic consultations for patients of the specialty pharmacy in accordance with Lumicera’s Patient Management Program. The consultations will focus on effective assessment and communication of disease state management, side effect mitigation strategies, administration of medication, appropriate storage, and therapeutic appropriateness, following patient-centered care model. Answer clinical questions from patients and caregivers.• Provide detailed clinical documentation of patient consultations and interventions in pharmacy software system in compliance with internal policies and procedures and external regulatory bodies (such as URAC).• Interpret and clinically evaluate prescriptions for specialty medications based on available information and resources. Contact providers and/or patients to verify information related to prescriptions such as drug strength, intended directions, and diagnosis to expedite processing of orders. Verify and confirm validity of controlled substances.• Contact physicians for new prescriptions, consult with physicians and nurses regarding pharmaceutical questions, and contact pharmacies for prescription transfers. Work with physicians to convert prescriptions to generic, biosimilar, or preferred drugs whenever possible. • Verify prescription information entered in the system by order entry. Answer clinical questions from the pharmacy team.• Adapt to new workflows and processes. Solve unique pharmaceutical problems. Stay current with advancements in specialty pharmacy therapies, including new drug approvals and specialty disease state treatment guidelines.• Back up other pharmacists as needed; train less experienced pharmacists.• Document and report medication errors per company policies and procedures. Facilitate error reduction and prevention methods based off quality department and ISMP standards.• Act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. • Other duties as assigned

What can you expect from Lumicera? • 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

Location : Address

Remote

Location : Country

US

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Mid-level

Salary

Salary: 98k-123k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Navitus Health Solutions

Learn more about Navitus Health Solutions and their company culture.

View company profile

We are Navitus Health Solutions, and for more than two decades, we've been dedicated to transforming the pharmacy benefit management (PBM) landscape. Founded in 2003, our core belief was that the traditional PBM model needed a fundamental shift to better serve the interests of plan sponsors and their members. This conviction led us to pioneer a 100% pass-through business model, a transparent approach designed to eliminate unnecessary costs and ensure that all negotiated rebates, discounts, and fees are returned directly to our clients. We're driven by a profound commitment to helping people access the medications they need at more affordable prices, ultimately enabling them to lead fuller lives.

Our journey began with a vision to disrupt the industry norms and establish a new standard for financial and operational transparency in pharmacy benefits. We're proud to have consistently upheld this unique model, which stands in contrast to other established PBMs. Our purpose is clear: to humanize the pharmacy benefit experience and to relentlessly pursue strategies that lower overall drug spend and the cost of care. We achieve this by providing full financial and operational disclosures, improving medication adherence, and offering alternative treatment options that can reduce long-term drug reliance. We proudly serve almost 18 million members through nearly 800 clients, a testament to the trust placed in our approach. Our mission is to make medications more affordable for those who need them, fostering a healthcare system where honesty and open communication build unwavering trust.

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Navitus Health Solutions

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Navitus Health Solutions hiring Pharmacist, Clinical Consultation • Remote (Work from Home) | Himalayas