Senior Specialist, Pharmacist

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical.

At Collective Health, Care Navigation plays a crucial role in helping people get the right support, at the right time, across a wide range of complex health needs. Care Navigation is a comprehensive care management program made up of our team of pharmacists, social workers, nurses, dietitians, and care coordinators that support people dealing with chronic or serious illnesses by guiding them on their journey to help them understand and navigate the disjointed U.S. healthcare system. In joining our Care Navigation team, you’ll have the important role of helping our members achieve better health at a lower cost. You will report to the Manager of Care Navigation.

What You’ll Do :

• Leading outreach efforts to high-risk individuals through telephonic or electronic outreach
• Completing telephonic assessments and creating goal oriented care plans for members enrolled in the program, and supporting the members as they work to achieve those goals.
• Use evidence-based medicine and professional guideline recommendations to improve members’ health through interventions including but not limited to : suggesting formulary alternatives to ask about, coaching on medication adherence strategies, coordinating receiving medications through lower cost of care settings, working with providers to address drug interactions or adverse drug reactions, recommending dosage adjustments to optimize therapy, identifying opportunities for preventive care like immunizations and cancer screenings, etc.
• Educating and empowering members using decision support through multiple modalities including telephone and email
• Provide accurate documentation of member assessments and follow up member interactions
• Identification of opportunities for maximizing value on medical and pharmacy health plan benefits
• Collaborate with other clinicians on the Care Navigation team on a daily basis and presentation of complex cases to the medical director on a monthly basis
• Provide subject matter expertise to support the Collective Health operations teams in response to complex or escalated pharmacy inquiries
• Other duties as assigned

Your skills include :

Pay transparency statement

This is a hybrid position based out of one of our offices : Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT). #LI-hybrid

The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off.