Senior Manager, Population Health

This is a fully remote position, open to applicants in Idaho.

📋 Description

• Provide guidance, training, oversight, and strategic vision to department Pharmacists and Product Managers.

• Support the financial management of the department, encompassing forecasting, budget creation, staffing, and program trend analysis in alignment with Navitus’ strategic and business objectives.

• Proactively identify and address issues related to population health.

• Spearhead the creation of new clinical programs and oversee the upkeep and enhancement of current programs, ensuring that innovation and evidence-based practices remain a distinguishing factor for Navitus.

• Act as a primary stakeholder and decision-maker in the execution of new clinical requirements.

• Possess a robust understanding of current standards, regulations, and guidelines such as CMS, PQA, and HEDIS measures, along with the capability to effectively communicate this information to stakeholders and clients.

• Assist the RPD with the accredited PGY1 Managed Care Residency Program.

• Provide support for URAC and NCQA clinical initiatives and projects as necessary.

• Perform additional duties as assigned.

⛳️ Requirements

• A Bachelor’s degree in pharmacy or Pharm D is required.

• At least 6 years of clinical experience, or completion of a clinical or managed care pharmacy practice residency coupled with four years of clinical experience is required.

• Desired knowledge of the PBM industry, formulary management, clinical outcomes research, pharmacy claims, and principles and practices of managed care.

• Commitment to participating in, adhering to, and supporting compliance program objectives.

• Ability to consistently engage with colleagues in a cooperative and respectful manner.

🏝️ Benefits

• Competitive benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of 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 support for Professional Membership fees.

• Referral Bonus Program – up to $750!