Supervisor, CEC

Putting People First in Pharmacy- Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

The Supervisor, CEC (RN) will be a key contributor to the success of the CEC focused on improving members’ health and wellness via telehealth outreach programs. The programs complete an analysis of a member’s medication regimen, discuss benefits, or perform other interventions to exceed clinical expectations. This position will also oversee the day-to-day execution of activities that support the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members.

The Supervisor, CEC (RN) will initially oversee a team of clinicians (RN) and requires a leader who can assess, discuss, display, and train best-in-class services for our members and associates. The RN Supervisor will work closely with leaders in our operations and program areas to ensure our programs are staffed, trained, and executed effectively.

Is this you? Find out more below

How do I make an impact on my team?

• Supervise the day-to-day performance of the CEC clinical operations RN team.
• Assist the Manager to monitor and report on staff productivity and quality metrics.
• Assess operational capacity and capabilities for managing new clients.
• Execute project and program work.
• Develop and continually improve the operational process to align with best-in-class strategy.
• Collaborate with other CEC staff to develop and maintain a high-quality service.
• Facilitate communication and education with clients, providers, and internal staff regarding CEC programs and program outcomes.
• Maintain open lines of communication with other functional areas/departments.
• Contribute to clinical operational tasks when workload requires it by conducting medication therapy management (MTM) and other clinical programs.
• Develop, review, and update appropriate clinical algorithms, pathways, documentation standards, and call scripts to support pharmacy staff in delivering clinical outreaches.
• Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination through clinical, operational, and educational support by maintaining knowledge

What our team expects from you?

• Registered Nurse with a bachelor’s degree (BSN) with unrestricted licensure
• Minimum of 5 years of clinical experience including direct consultation experience.
• Experience as a member of a multi-disciplinary team is preferred.
• Professional PBM industry work experience is preferred.
• Knowledge of applicable data privacy practices and laws is preferred.
• Knowledge of healthcare industry practices and HIPAA regulations.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Navitus?

• Hours/Location: Monday-Friday 8:00am-5:00pm, CST-Remote
• Paid Volunteer Hours
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750
• Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Eight paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program

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