Pharmacist, Clinical Grievance and Appeals

Today
Remote - Nationwide$98K - $123KFull TimePharmacy

Job Description

About the Role

Join Navitus Health Solutions, LLC as a Clinical Pharmacist – Grievance & Appeals – Remote in United States. Company Navitus About Us Navitus - 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.

Key Responsibilities

  • The Clinical Grievance and Appeals Pharmacist is also responsible for interfacing with physicians, pharmacists, and specialty pharmacy providers with respect to beneficiaries’.

Requirements

  • clinical audiences Emphasis on problem

Benefits & Compensation

  • Salary: $98K - $123K
  • 20 days PTO.
  • 401(k) with employer match.

Work Schedule

  • Full-Time position.
  • Remote position - work from anywhere.
  • Call responsibilities required.
  • Weekend coverage may be required.

Apply to join Navitus Health Solutions, LLC as a Clinical Pharmacist – Grievance & Appeals – Remote.

Key Skills

Clinical PharmacyPharmacy Benefit ManagementDrug Utilization ReviewFormulary ManagementClinical Trials EvaluationProblem-SolvingAttention to DetailMS WordMS ExcelMS Power Point
HealthcareAdministrativevia Icims

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pharmacist, Clinical Grievance and Appeals at Navitus Health Solutions a 4.4 out of 10 for work-life balance — classified as below average. This places the position in the average range of all Pharmacy pharmacist listings evaluated on our platform. Contributing factors include remote work flexibility.

Candidates should carefully assess workload expectations and scheduling demands before applying.

Pharmacy — Pharmacist Career Context

This Pharmacy position at Navitus Health Solutions is open to pharmacist candidates.

Pharmacists are expanding beyond traditional dispensing roles into clinical consulting, medication management, and remote pharmacy services.

Remote pharmacist positions in Pharmacy have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Compensation Analysis

Navitus Health Solutions lists compensation for this pharmacist position at $98k to $123k annually.

Location & Logistics

This is a fully remote pharmacist position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

  • Fully remote — work from anywhere with an active license
  • Transparent compensation ($98k–$123k)

Skills, Responsibilities & Benefits

Key skills and qualifications: Clinical Pharmacy, Pharmacy Benefit Management, Drug Utilization Review, Formulary Management, Clinical Trials Evaluation, Problem-Solving, Attention to Detail, MS Word. Candidates with experience in these areas may be especially well-suited for this Pharmacy role.

Core responsibilities: The Clinical Grievance and Appeals Pharmacist will perform Appeals and Redeterminations, Grievance Quality of Care reviews, and serve as a liaison for clinical calls requiring pharmacist intervention. They will also review health surveys and coordinate with Clinical Account Executives to enhance sup...

Benefits package: 20 days paid time off, 4 weeks paid parental leave, 9 paid holidays, 401K company match up to 5%, Adoption Assistance Program, Flexible Spending Account, Educational Assistance Plan, Professional Membership assistance. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Pharmacy pharmacist jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.

Navitus Health Solutions logo

About Navitus Health Solutions

Hospitals and Health Care
Madison, WI
2-5

Benefits & Perks

20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match up to 5%
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan
Professional Membership assistance
4.4

Work-Life Balance Score

Below Average

Protective Factors (1)

Remote work (RR 0.57; 14-23% ↓ burnout)

Interpretation: Position includes 1 validated protective factor against burnout.

Job Details

Employment Type

Full-time

Posted

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