Pharmacist – Clinical Managed Care - PCMC26-06088

Location: Portland, OR

Schedule Notes: Rare weekend coverage (a few times per year)

• PharmD required
• Active Pharmacist License in OR, WA, or CA required
• PGY-1 Residency OR equivalent clinical experience required
• Minimum 3 years managed care experience (prior authorization, audits, appeals, drug utilization review, etc.)
• Strong knowledge of clinical pharmacy, pharmacotherapy, and evidence-based medicine
• Experience with pharmacy claims systems and managed care workflows
• Strong analytical, communication, and documentation skills
• Proficiency in Microsoft Office and data analysis tools
• Experience in medication therapy management (MTM) and population health preferred

• Provide clinical pharmacy services and medication therapy management (MTM) support
• Evaluate medication-related problems and develop patient-specific care plans
• Conduct drug utilization reviews and support prior authorization processes
• Collaborate with physicians, nurses, and case managers on therapy decisions
• Support clinical policy development and Pharmacy & Therapeutics (P&T) committee work
• Monitor medication outcomes and ensure evidence-based therapy recommendations
• Provide education to healthcare providers and internal teams
• Participate in quality improvement and pharmacy program development
• Analyze clinical and claims data to support pharmacy interventions
• Ensure compliance with regulatory, safety, and quality standards

For more details contact at sthakur@navitashealth.com

We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.