This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Navitus Health Solutions is seeking a Pharmacist, Medicaid to join our team! The Pharmacist, Medicaid is responsible for providing Medicaid clinical, operational, and educational support to Navitus teams. This position will serve as a subject matter expert for Medicaid clinical aspects. The Pharmacist, Medicaid will provide operational support for the delivery of Medicaid clinical information to various business units throughout Navitus, interpretation of Medicaid guidance and state regulations, and support of Medicaid clinical operation processes. This position will be an active member of the Government Clinical Services Team within the Health Strategies Division. The ability to have strong regulatory knowledge related to Medicaid and the ability to concisely translate that for stakeholders and clients is a necessity. Responsibilities - Responsible for Medicaid clinical program development and maintenance, performance and outcomes monitoring, and consultative support. - Provide operational support to internal and external customers related to Medicaid clinical product offerings. - Provide clinical support for Medicaid related audits and requirements including but not limited to readiness reviews and administrative reviews. - Serve as a key stakeholder and decision-maker on implementation of new Medicaid clinical requirements. - Ensure compliance of Federal and State specific regulations as applicable to clients, including but not limited to the Social Security Act, the SUPPORT Act, and State Plans +/- Amendments. - Responsible for educating internal customers related to Medicaid regulations, programs, and audits. - Work with Government Programs and Formulary teams to assure timely and accurate submission of all formulary files and UM restrictions in accordance with CMS and state requirements. - Assist the Clinical Account Executive, Implementation, and Government Programs teams with new Medicaid implementations and with the annual re-implementations including support of the transition process to ensure clinical and operational functionality. - Serve as a clinical liaison to Navitus Government Programs teams and Clinical Account teams as needed. - Provide support for quality improvement projects per CMS requirements as needed. - Provide support for URAC clinical initiatives and projects as needed. - Collaborate with client vendors as requested by client. - Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. - Other duties as assigned. Qualifications - Bachelor’s degree or Pharm. D required. - Registered pharmacist with current unrestricted licensure in the State of home office or the ability to gain reciprocity within 4 months. - Two years of PBM and/or Medicare Part D experience preferred. - Strong analytical capability. - Strong positive interpersonal skills to support staff development and retention. 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!

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We invite applications for Board Certified or Eligible Family Medicine or Internal Medicine physician to join our 100% Virtual Primary Care team virtually supporting Longview/Kelso Primary Care clinic located in Longview, WA. Our ideal candidate will have the ability to provide high-quality, comprehensive care. You will join an integrated and compassionate team of physicians and supportive clinical and administrative staff, providing a mix of telephonic and video visits for regional Kaiser Permanente members and manage a dedicated panel of patients, ages 18 and older. Candidates should have experience with telehealth and digital health, or adaptability to incorporate virtual care into practice. What You Can Expect: - No night or weekend calls - An experienced support staff - Access to a physician-friendly advanced Epic EMR - Opportunities for leadership positions within the medical group if desired - Public Service Loan Forgiveness (PSLF) eligibility - Full-time and part-time schedules available Qualifications - Board Certified or Eligible in Family Medicine or Internal Medicine - Minimum three years of experience providing direct patient primary care post-resident training Requirements - Candidates for fully remote virtual positions must reside and practice in the following states: Alabama, Arizona, California, Colorado, Florida, Georgia, North Carolina, Nebraska, New Mexico, Oregon, Washington, Texas - Candidates must be located outside of Northwest Permanente’s regional service area Benefits - Generous automatic employer-funded pension and retirement contributions totaling 21% of clinician eligible earnings with additional employee contribution optional - Competitive compensation that is not based on fee-for-service model - Pathway for physicians to become shareholders of Northwest Permanente - Paid annual education leave + annual education allowance - Comprehensive benefits including largely employer-funded medical, dental insurance premiums, life insurance, and paid leave - Complete professional liability coverage provided at no cost - 100% reimbursement for obtaining and maintaining board certification - Continuing medical education reimbursement, and in-house CME opportunities - Total Rewards value range of $298,000-$354,000 (1.0 FTE) - Current hiring incentives for this role: Primary Care Panel Incentive (up to $20,000) - The annual salary for this position at full-time is $212,800 - $239,500 which considers an applicant’s skills and qualifications, certain degrees and certifications, training, market data, and other relevant factors. Company Description Northwest Permanente (NWP) is the largest multispecialty medical group in Oregon and southwest Washington with 1,500+ physicians and 300+ administrative professionals caring for 615,000+ Kaiser Permanente members. Northwest Permanente is owned and led by physicians who earn competitive salaries, without income based on providing individual services. Our medical group comprises board-certified physicians across 50+ specialties. Practicing in an integrated health care model like ours means that our clinicians have instant access to dozens of specialties, which allows for a level of collaboration and comprehensive treatment not found just anywhere. Northwest Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

• Lead Headway's clinical quality strategy, developing protocols and processes that uphold safety, efficiency, and effectiveness standards for the practice. • Build and scale our Professional Practice Evaluation programs, directly improving clinical outcomes across our provider network of NPs and MDs/DOs • Conduct routine chart reviews and monitoring, providing feedback to clinicians and creating remediation plans for documentation concerns • Collaborate with Operations team to develop automated quality monitoring systems • Lead response to acute patient safety issues • Supervise clinical teams and peer reviewers, building clinical oversight capabilities as we scale • Partner with cross-functional teams to optimize workflows and create scalable feedback systems for providers

• Conduct utilization and medical necessity reviews using benefit language, medical policies, and evidence-based guidelines • Apply benefit interpretation to ensure accurate, compliant, and well-supported determinations • Prepare detailed documentation that meets regulatory, accreditation, and internal quality standards • Participate in peer-to-peer conversations with treating clinicians when required • Work collaboratively with Medical Directors across regions and specialties to support consistent clinical decision-making