Senior Specialist, Pharmacist Jobs

Collective Health is transforming the way self-funded employers approach their employee healthcare offering, and improving the way members experience and interact with their healthcare benefits. The Care Navigation team is on the frontline of this transformation, and is looking for talented pharmacists to play a key role in the expansion of case management functions that touch Collective Health's clients, members, and internal teams.

The Senior Specialist, Pharmacist, reporting to a Care Navigation manager, is responsible for daily member facing calls in our Care Navigation program with a focus on pharmacist led case management interventions. The Pharmacist will function as a clinical case manager on our team which also includes Social Workers, Nurses, Dieticians, and Care Coordinators. The Pharmacist will collaborate with other Care Navigation team members and be the key contact for Collective Health members regarding their healthcare needs.

What You'll Do:

• Identification of opportunities for maximizing value on medical and pharmacy health plan benefits
• Use evidence-based medicine and professional guideline recommendations to improve members' health through interventions including but not limited to: suggesting formulary alternatives to ask about, coaching on medication adherence strategies, coordinating receiving medications through lower cost of care settings, working with providers to address drug interactions or adverse drug reactions, recommending dosage adjustments to optimize therapy, identifying opportunities for preventive care like immunizations and cancer screenings, etc.
• Educating and empowering members using decision support through multiple modalities including telephone and email
• Collaborate with other clinicians on the Care Navigation team on a daily basis and presentation of complex cases to the medical director on a monthly basis
• Completing telephonic assessments and creating goal oriented care plans for members enrolled in the program, and supporting the members as they work to achieve those goals.
• Other duties as assigned
• Leading outreach efforts to high-risk individuals through telephonic or electronic outreach
• Provide subject matter expertise to support the Collective Health operations teams in response to complex or escalated pharmacy inquiries
• Provide accurate documentation of member assessments and follow up member interactions

What You'll Need

• Having 2-3 years experience in Medication Therapy Management, Clinical Specialty Programs, experience at a payer (PBM, TPA, health plan, etc.), or residency training is preferred
• Minimum of 2 years experience in a PBM, hospital or clinic, retail pharmacy, health plan, or other managed care setting
• A strong moral compass and commitment to Collective Health's core values of integrity, transparency and trust
• You are tech savvy; able to talk, type, and navigate an electronic chart with ease
• You're okay with working in a telephonic role (no direct/face to face patient contact)
• You are a problem solver using best practices to achieve goals
• You are comfortable with ambiguity and open to collaborating with people across different teams
• You are independent, tenacious, and capable of identifying and implementing best practices
• You are driven, able to carry a caseload and prioritize to complete daily tasks and outreach
• 90% remote work with an ability to commute to our office in Lehi, UT
• A PharmD
• You are capable of thinking creatively to implement care navigation solutions that challenge status quo
• You are passionate, empathetic, and excited to help people

Pay Transparency Statement

This is a hybrid position based out of our Lehi office. The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. #LI-hybrid

In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/#benefits. #LI-hybrid