Navitus Health Solutions

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Clinical Pharmacist, Specialty Pharmacy

at Navitus Health Solutions

Posted: 10/24/2017
Job Reference #: 5000270486306

Job Description

Requisition Number



Lumicera Madison: Madison, Wisconsin

Other Locations


The Clinical Pharmacist, Specialty Pharmacy will work for Lumicera Health Services, LLC. Lumicera is a wholly-owned Navitus subsidiary.  Lumicera functions as a stand-alone specialty pharmacy adhering to Navitus' core principles of transparency and stewardship. In alignment with the Navitus model, clients have access to enhanced trend management opportunities through optimized discounts, cost transparency, and integrated clinical management


·         Licensed Pharmacist with Pharm D Degree or BS Degree from an accredited College of Pharmacy.  Further pharmacy or disease certifications are desired but not required.


·         Possession of a valid Pharmacist license issued by the State where the pharmacy is domiciled (WI)

·         Minimum of five years as a licensed Pharmacist and a minimum of one year of professional experience as a Specialty Pharmacist; or,

·         A combination of training, education, and experience that is equivalent to the employment standard listed above and that provides the required knowledge, abilities, and license.

·         Must understand Specialty Pharmacy drugs including REMS and Limited Distribution Products best practices.

·         Demonstrated ability to manage multiple priorities and ability to function independently and make decisions. 

·         Possess excellent interpersonal skills and the ability to interact with all levels of management. 

·         Knowledge of: inventory control; the compounding of prescriptions and stock pharmaceutical preparations; pharmaceutical chemistry and manufacturing methods; drugs, chemicals, and pharmaceutical supplies required in the operation of a pharmacy; state and federal laws and regulations pertaining to the legal operation of a pharmacy; medical record keeping requirements and procedures; the use and dispensing of narcotics and poisons.

·         Ability to: learn modern pharmacy management, including accounting procedures within medical payment/reimbursement programs; learn to assign, prioritize, and evaluate the work of others; learn to develop and implement operational procedures; collect and analyze data, draw conclusions, and make recommendations; maintain accurate records and document actions taken; make arithmetical calculations; maintain confidentiality of information; understand, interpret, explain, and comply with laws, regulations, and policies governing pharmacy operations; compound a wide variety of drugs and medicines and maintain appropriate related records; communicate effectively, both orally and in writing, with fellow medical professionals and patients; develop harmonious professional relationships with clinic staff; counsel patients on proper use of medication; learn and apply principles and practices of supervision.



Job Description

Job Summary:

The Clinical Pharmacist, Specialty Pharmacy ensures compliance with all applicable laws and regulations for the Specialty pharmacy; compounds and dispenses prescribed medications; provides functional supervision of professional, paraprofessional, and support staff; and performs related duties as required. The Clinical Pharmacist, Specialty Pharmacy is responsible for input to specialty pharmacy clinical programs development, specialty pharmacy care management programs, and assisting in directing the work of the pharmacy operations. The Clinical Pharmacist has team lead responsibility for pharmacy staff (Customer Service, Pharmacists, Reimbursement support, Technicians). The Clinical Pharmacist will also include Infusion services, sterile preparations and compounding.

Roles and Responsibilities:

  • Maintains records of all transactions of the pharmacy necessary to ensure accurate control over and accountability for all drugs as required by applicable state and federal laws, rules, and regulations; ensures legal operation of the pharmacy, including meeting all inspection and other requirements of state and federal laws, rules, and regulations governing pharmacy operations.
  • Fills prescriptions for pharmaceutical preparations and devices for patients at company facilities; maintains accurate and detailed records of all prescription transactions, and submits appropriate claims for third-party reimbursement; consults with physicians and nurses regarding pharmaceutical questions; advises physicians on formulary medications and cost-effective and innovative therapies; answers pharmaceutical questions from patients and staff; monitors storage, distribution, and use of pharmaceuticals.
  • May provide functional supervision to professional, paraprofessional, and support staff in their respective pharmacy, including training, assigning duties, and providing input for performance evaluations.
  • Documents and reports medication errors to direct supervisor. Facilitates error reduction and prevention methods based off errors and ISMP standards.
  • The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee.
  • Review, develop, and manage formularies
  • Data Analysis for formulary changes
  • Develop and maintain prior authorization and medical necessity guidelines
  • Support P & T committees -- Provide therapeutic class reviews & drug evaluations
  • Research and answer appeals for clients with closed formulary programs
  • Create educational and support materials for clients on protocols and available programs
  • Creation and tracking of new/generic products available including analysis of impact to the market
  • Quality reporting
  • Develop & implement clinically sound cost saving programs
  • Support, develop and maintain DUR programs
  • Pharmacy Claims Data Analysis
  • Responsible for claims benefit investigation and processing
  • Other related duties as assigned/required