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Navitus Health Solutions is a healthcare-focused pharmacy benefit manager serving health plans, employers, government programs, and other plan sponsors. Its pharmacy benefit services include formulary and specialty drug management, claims adjudication, pharmacy network administration, member support, and digital health integrations. The company uses a 100% pass-through, cost-plus model and works with plan sponsors as a fiduciary partner focused on medication affordability, regulatory compliance, clinical quality, and better health outcomes.
Clinical Operations Pharmacist - Winchester, VA (Onsite)
Provide specialty medication counseling, clinical documentation, prescription verification, and pharmacy quality support for Lumicera Health Services. Help ensure accurate orders and effective patient care in Winchester.
United States
Virginia$101,335 – $126,669 / year
On-siteFull-timeJuniorMiddleEnglish RequiredClinical OperationsDescription
- Conduct telephone consultations with patients about specialty medications and disease-state management
- Reconcile medications, identify potential drug interactions, and recommend side-effect management
- Complete high-volume product verification to confirm order accuracy before shipment
- Interpret prescriptions and contact prescribers and patients to validate prescription details
- Accelerate order processing while meeting production targets and service-level requirements
- Resolve patient concerns and uphold pharmacy quality standards
- Verify prescriptions, maintain transaction records, and submit third-party reimbursement claims
- Advise physicians and nurses on pharmaceutical questions, formulary options, and cost-effective therapies
- Monitor pharmaceutical storage, distribution, and use
- Record patient consultations and interventions in pharmacy software and electronic medical record systems
- Provide pharmacy technicians with oversight and quality assurance
- Validate controlled-substance prescriptions and system-entered prescription information
- Coordinate new prescriptions, transfers, and conversions to generic, biosimilar, or preferred medications
- Respond to clinical questions from patients, caregivers, and pharmacy staff
- Maintain current knowledge of specialty therapies, drug approvals, and disease-state treatment guidelines
- Document and report medication errors while supporting error reduction under ISMP standards and pharmacovigilance requirements
- Support quality management and continuous improvement initiatives
- Complete other assigned duties
Requirements
- Hold a B.S. in Pharmacy or PharmD from an ACPE-accredited school of pharmacy
- Maintain a current, unrestricted pharmacist license in any state where onsite pharmacy work is performed
- Complete continuing education requirements to keep the pharmacist license active
- At least two years of licensed pharmacist practice experience is preferred
- Specialty pharmacy experience or strong knowledge of specialty medications, including REMS and limited distribution product practices, is preferred
- Participate in and support compliance program objectives
- Interact consistently and respectfully with colleagues
Benefits
- Health, dental, and vision insurance benefits
- 20 days of paid time off
- Four weeks of paid parental leave
- Nine paid holidays
- 401(k) company match of up to 5% with no vesting requirement
- Adoption assistance program
- Flexible Spending Account
- Educational assistance and professional membership support
- Referral bonus of up to $750
- STAR bonus with a maximum at-risk percentage of 10%
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