Clinical Pharmacist – HEDIS Medication Adherence

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Lead initiatives to enhance HEDIS medication adherence and pharmacy quality metrics.

• Analyze data related to medication adherence, pinpoint care gaps, and implement focused interventions.

• Collaborate with healthcare providers, care managers, and stakeholders on strategies for adherence.

• Conduct sessions for medication therapy management and offer patient education.

• Identify and address barriers to adherence related to costs, side effects, and complex dosing.

• Utilize motivational interviewing techniques to promote adherence.

• Track HEDIS performance metrics and produce effectiveness reports.

• Leverage EHR and pharmacy data to identify patients at risk of non-adherence and formulate action plans.

• Report on progress towards HEDIS objectives to leadership and suggest enhancements.

• Act as the organization’s subject matter expert on medication adherence.

• Train and assist pharmacists, care managers, and clinical staff.

• Engage in cross-functional quality improvement, population health management, and value-based care teams.

• Adhere to security policies and procedures to safeguard patient and company data.

⛳️ Requirements

• Doctor of Pharmacy (PharmD) degree from an accredited pharmacy school.

• Active pharmacist license.

• Willingness to obtain licenses in TX, TN, AL, and PA (company funded).

• At least 2 years of experience in HEDIS-related medication adherence, quality improvement, or population health.

• Strong understanding of HEDIS measures, especially those related to medication adherence.

• Proficiency in EHR systems and data analysis tools.

• Exceptional communication, problem-solving, and organizational abilities.

• Capability to work independently as well as within a team-oriented environment.

• Experience with motivational interviewing or other patient engagement methods is advantageous.

• Background in managed care, pharmacy benefits management (PBM), or healthcare quality improvement is preferred.

• Certification in Medication Therapy Management (MTM), Certified Geriatric Pharmacist (CGP), or other relevant credentials is preferred.

• Familiarity with value-based care models and their influence on medication adherence.

• Ability to provide a personal internet connection suitable for video calls and access to internal/external systems.

• Minimum internet speed of 100 Mbps download and 10 Mbps upload is required.

• Must be available during designated working hours.

• Must disclose any secondary employment.

• Must comply with security policies and procedures to protect PHI, PII, and company intellectual property.

🏝️ Benefits

• Fully remote work arrangement.

• Medical, Dental, and Vision plans.

• 401(k) plan with a 3% employer match on your 6% contribution.

• Life and Disability insurance.

• Options for Voluntary Life insurance.

• Employee Assistance Program (EAP).

• Paid time off plans.

• Paid parental leave.

• Access to learning and development resources.

• Necessary work equipment provided at no cost.

• Employees are responsible for providing their own internet connection that meets minimum speed requirements.