Senior Manager, Population Health

Role Overview

• Provide leadership, training, supervision, and strategic direction to department Pharmacists and Product Managers.
• Assist with the fiscal management of the department, including forecasting, budget development, staffing, and trending of programs in support of Navitus’ strategic and business initiatives.
• Proactively anticipate and solve population health related issues.
• Lead the development of new clinical programs and manage the maintenance and continuous improvement of existing programs, to keep innovation and evidence-based programs a differentiator for Navitus.
• Serve as a key stakeholder and decision-maker on implementation of new clinical requirements.
• Have strong knowledge of current standards, regulations, and guidance including CMS, PQA, and HEDIS measures and have the ability to concisely communicate that information to stakeholders and clients.
• Assist RPD with the accredited PGY1 Managed Care Residency Program.
• Support URAC and NCQA clinical initiatives and projects as needed.

Requirements

• Bachelor’s degree in pharmacy or Pharm D required.
• 6 years clinical experience, or clinical or managed care pharmacy practice residency and four years clinical experience required.
• Knowledge of PBM industry, formulary management, clinical outcomes research, pharmacy claims, and managed care principles and practices desired.
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

• 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!