Clinical Pharmacist – HEDIS Medication Adherence

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

📋 Description

• Lead initiatives aimed at enhancing HEDIS medication adherence and pharmacy quality metrics.

• Examine medication adherence data, pinpoint care deficiencies, and execute targeted interventions.

• Partner with healthcare providers, care managers, and stakeholders to develop adherence strategies.

• Conduct sessions for medication therapy management (MTM).

• Educate patients and address barriers related to cost, side effects, and dosing.

• Utilize motivational interviewing techniques to promote medication adherence.

• Oversee and monitor HEDIS performance indicators.

• Create reports evaluating the effectiveness of interventions and programs.

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

• Provide leadership with updates on progress and recommendations for improvement.

• Act as the organization's expert on medication adherence.

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

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

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

⛳️ Requirements

• Doctor of Pharmacy (PharmD) degree from a recognized school of pharmacy.

• Current pharmacist license; willingness to obtain licenses in TX, TN, AL, and PA (company sponsored).

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

• In-depth knowledge of HEDIS measures, especially those related to medication adherence.

• Proficient in electronic health record (EHR) systems and data analysis tools.

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

• Capability to work independently as well as collaboratively in a team environment.

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

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

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

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

• Employees must secure their own internet connection suitable for video conferencing and access to internal/external systems.

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

• Employees must be reachable during designated working hours.

• Willingness to participate in virtual meetings with cameras enabled.

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

🏝️ Benefits

• Fully remote work arrangement.

• Medical, Dental, and Vision insurance plans.

• 401(k) plan with a 3% employer match to the employee's 6% contribution.

• Life and Disability insurance coverage.

• Options for Voluntary Life insurance.

• Employee Assistance Program (EAP).

• Paid time off plans.

• Paid parental leave.

• Resources for learning and development.

• Necessary work equipment provided at no cost.

• Flexible work arrangement that reduces commuting time.