Job Description

Job Title: Clinical Pharmacist
Job Location: 100% Remote

Job Duration: 5 months (possible extension)

Schedule: Mon to Fri 8 hr day shift

This is a 100% Remote role, but the candidate must be located in any of the following states: NJ/NY/PA/CT/DE.
You will be required to travel for the pickup and return of equipment, and/or laptops that need servicing. Office Location: Hopewell, NJ
Candidate must have an Active Pharmacist License of NJ State.

Job Description:
This position serves as internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing and managing initiatives to achieve 5 stars. The position has oversight responsibilities driven by metrics to manage vendors, retail pharmacy , prime, Client and health systems to deliver outcomes as outlined in different programs as well as reporting to internal stake holders.

Major Responsibilities:

· The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.

· Clinical pharmacist will be responsible for managing outreach efforts and pull-through for Star/HEDIS clinical programs. Coordinate between the pharmacy department, health systems, and Client. Clinical pharmacist will be responsible for driving results to obtain 5-Stars for Medicare Part D Star clinical programs including Adherence (DM, RAS, Statins), SUPD, and CMRs for MTM.

· Oversee the daily clinical activities related to Star/HEDIS measure goals for various health systems. Ensure clinical goals and objectives are met.

· Identify problems related to Star/HEDIS measures that require a clinical solution, implement and monitor clinical pharmacy solutions in support of Client’s Star/HEDIS goals to save money and improve care.

· Major responsibility is to serve as clinical liaison between Client pharmacy department and health systems, assisting with managing overall relationship and driving adoption of recommended clinical solutions.

· Develop, review and monitor clinical programs, therapeutic initiatives, pathways of care and other drug use policies and practices in support of Star/HEDIS initiatives. Works closely with the pharmacy department managers, vendors, and health systems to ensure execution of programs.

· Maintain continuity among health systems by communicating and documenting program design and execution in accordance with pharmacy department expectations. Track, analyze and report on patient interventions, interactions and findings of disease management activities.

· With support of the Client data team, develop and track the appropriate metrics to monitor the quality, care, and cost impact of the Star/HEDIS program and monitor overall healthcare trends within the Medicare populations.

· Conduct member, provider, and pharmacy outreach/interventions and Comprehensive Medication Reviews as needed to achieve Stars goals.

· The position requires communication across all departments; an understanding of the strategic impact of the programs; and extensive knowledge of how the Star/HEDIS programs integrate with other clinical initiatives.

· Understand the financial impact of all clinical recommendations: Programs must address the impact on customers, operations, program integrity, pricing, quality and satisfaction.

Careers Integrated Resources Inc

Job Tags

Remote job, Day shift,

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