Navitus Health Solutions

Pharmacist, Clinical Operations

Navitus Health Solutions  •  $98k - $123k/yr  •  Scottsdale, AZ (Onsite)  •  3 months ago
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Job Description

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. ._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.

Pay Range

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

STAR Bonus % (At Risk Maximum)

7.50 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr

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

M-F 7:30am to 6pm

Lumicera Health Services is seeking a Pharmacist, Clinical Operations to join our team!

The Pharmacist, Clinical Operations will be responsible for performing telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. They will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Another main duty of this role will include a high volume of product verification to ensure accuracy of orders prior to shipment. The Pharmacist, Clinical Operations can expect to interpret prescribers’ prescriptions, contact prescribers and/or patients to verify information on prescriptions, and expedite 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 Operations works independently with minimal guidance and represents the organization in 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?

  • Verify prescriptions for pharmaceutical preparations and devices for patients at company facilities; maintain accurate and detailed records of all prescription transactions, and submit appropriate claims for third-party reimbursement; consult with physicians and nurses regarding pharmaceutical questions; advise physicians on formulary medications and cost-effective and innovative therapies; answer pharmaceutical questions from patients and staff; monitor storage, distribution, and use of pharmaceuticals.
  • Provide clear, detailed clinical documentation of patient consultations and interventions in pharmacy software in compliance with internal policies and procedures and external regulatory bodies (such as URAC) and/or EMR systems efficiently.
  • Provide oversight and quality assurance to pharmacy technicians.
  • 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 providers for new prescriptions, consult with prescribers and nurses regarding clinical questions, and contact pharmacies for prescription transfers. Work with providers to convert prescriptions to generic, biosimilar, or preferred drugs whenever possible.
  • Verify prescription information entered in the system by data entry or 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.
  • 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, while following a patient-centered care model. Answer clinical questions from patients and caregivers.
  • Document and report medication errors in accordance with company policies and manufacturer contracts. Facilitate error reduction and prevention methods based off errors and ISMP standards. Adhere to all Lumicera pharmacovigilance standards.
  • Contribute to the quality management program through daily operations and efforts toward sustaining key pharmacy performance metrics. Participation in quality improvement activities through routinely sharing ideas for improvements or implementing improvement opportunities with supervisors or quality team members
  • Other duties as assigned

Qualifications

What our team expects from you?

  • Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree
  • Current, unrestricted Pharmacist license in state where any on-site pharmacy work will be conducted; must continually maintain education credits to maintain active licensure
  • At least 2 years of experience as a practicing licensed Pharmacist preferred
  • Specialty pharmacy experience or solid understanding of specialty pharmacy drugs including REMS and Limited Distribution Products best practices preferred
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees

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
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

#LI-Onsite

Location : Address

9185 E. Pima Center Pkwy. STE 200

Location : City

Scottsdale

Location : State/Province

AZ

Location : Postal Code

85258

Location : Country

US

Navitus Health Solutions

About Navitus Health Solutions

Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time.

Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Madison, WI
Year Founded
2003
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