Pharmacist, Telehealth

Navitus Health Solutions

. Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS) .

Posted 10/26/2026full-timeRemote • United StatesJuniorMid-Level💰 $108,429 - $135,536 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medication Therapy Management (MTM) and compliance with CMS guidelines, while effectively collaborating with multidisciplinary teams to enhance clinical programs and support STAR ratings outreach. Maintains active licensure as a Registered Pharmacist and upholds knowledge of Medicare Part D regulations and HIPAA compliance.

Highest-signal resume keywords

Registered Pharmacist LicensureMedication Therapy Management (MTM)Clinical ExperienceHIPAA ComplianceSpanish-Speaking

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Algorithms DevelopmentCall Scripts DevelopmentClinical Outreach Documentation StandardsMedicare Part D SupportSTAR Ratings Knowledge

Soft Skills

Collaborative TeamworkRespectful InteractionLeadership in Clinical Call Center

Industry Keywords

Centers for Medicare & Medicaid Services (CMS)Pharmacy Benefit Manager (PBM)Data Privacy PracticesHealthcare Industry PracticesCompliance Program Objectives

About the role

Key responsibilities & impact

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 algorithms and call scripts at least yearly and with updated clinical guidelines
Develop documentation standards for all clinical outreach
Collaborate with CEC staff to develop and maintain a high quality and consistent MTM product
Assist CEC leadership to develop programs supporting STAR ratings outreach
Provide Medicare Part D clinical, operational, and educational support
Maintain knowledge of MTM program updates and Medicare Part C and D performance measures (STAR ratings)
Serve as a preceptor for APPE students within the CEC department
Adhere to compliance and HIPAA regulations
Perform other duties as assigned

Requirements

What you’ll need

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
Other State Pharmacy Licenses may be required as business need dictates
Must continually maintain education credits to maintain active 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
Participate in, adhere to, and support compliance program objectives
Ability to consistently interact cooperatively and respectfully with other employees
Must reside in one of the approved states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, or Wisconsin

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
Referral Bonus Program – up to $750!
Remote work