Remote Clinical Pharmacist – HEDIS Medication Adherence
About the Role:
We are seeking a highly motivated and detail-oriented Clinical Pharmacist with a PharmD degree and experience in HEDIS medication adherence initiatives. The ideal candidate will play a crucial role in improving medication adherence rates among patients, ensuring compliance with HEDIS/Medicare quality measures, and driving overall health outcomes.
Key Responsibilities:
HEDIS Quality Measures:
- Lead efforts to improve HEDIS medication adherence and other pharmacy quality measures, including but not limited to adherence to antihypertensive, cholesterol-lowering, and diabetes medications.
- Analyze medication adherence data, identify gaps in care, and implement targeted interventions to improve adherence rates.
- Collaborate with healthcare providers, care managers, and other stakeholders to develop and implement strategies that promote adherence to prescribed therapies.
Patient Engagement:
- Conduct medication therapy management (MTM) sessions to address barriers to adherence, provide patient education, and ensure understanding of medication regimens.
- Work directly with patients to identify and resolve issues related to medication adherence, including cost, side effects, and complex dosing schedules.
- Utilize motivational interviewing techniques to encourage patients to adhere to their prescribed medication regimens.
Data Analysis & Reporting:
- Monitor and track HEDIS performance metrics, generating reports to assess the effectiveness of interventions and programs.
- Use electronic health records (EHR) and pharmacy data to identify patients at risk of non-adherence and develop action plans.
- Provide regular updates to leadership on progress towards HEDIS goals and make recommendations for improvement.
Collaboration & Training:
- Serve as a medication adherence subject matter expert (SME) within the organization.
- Provide training and support to other pharmacists, care managers, and clinical staff on best practices in medication adherence.
- Participate in cross-functional teams focused on quality improvement, population health management, and value-based care initiatives.
WHAT YOU'LL NEED TO HAVE
- Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy.
- Active pharmacist license in one or more of the following states: TX, PA, AL, TN.
- Minimum of 2 years of experience in HEDIS-related medication adherence work, quality improvement, or population health.
- Strong knowledge of HEDIS measures, particularly those related to medication adherence.
- Proficiency in using EHR systems and data analysis tools.
- Excellent communication, problem-solving, and organizational skills.
- Ability to work independently as well as in a team-oriented environment.
- Experience with motivational interviewing or other patient engagement techniques is a plus.
WOULD LOVE FOR YOU HAVE
- Experience in a managed care setting, pharmacy benefits management (PBM), or a healthcare quality improvement role.
- Certification in Medication Therapy Management (MTM), Certified Geriatric Pharmacist (CGP), or other relevant credentials.
- Understanding of value-based care models and their impact on medication adherence.
The salary range for this role is between $120,000.00 to $130,000.00 per year.
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