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Clinical Pharmacist

Employer
Collabera
Location
Pennington, New Jersey, US
Closing date
Jun 4, 2024

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Position Type
Clinical Pharmacist
Specialty Area
Other
Work Setting
Other
Description
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  • Clinical Pharmacist

    Contract: Pennington, New Jersey, US

    Salary: $42.00 Per Hour

    Job Code: 349544

    End Date: 2024-06-19
    Days Left: 27 days, 3 hours left

    Apply

    Detailed Job Description:

    Title:

    Clinical Pharmacist

    Location:

    Pennington, NJ 08534

    Duration:

    06 Months

    Responsibilities:

    • 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 Magellan. 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 Horizon's Star/HEDIS goals to save money and improve care. Major responsibility is to serve as clinical liaison between Horizon 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 Horizon 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.

    Qualifications

    Education/Experience:

    BA/BS in Pharmacy or PharmD

    Field(s) of study: Pharmacy

    Experience: 2-5years

    Experience: Health plan or Medicare clinical customer service or Retail management position . Project management experience and knowledge of health plans or Medicare industry. CMS Star/HEDIS measure quality improvement metrics.

    Industry : Healthcare; preferably with retail or health insurance provider.

    Additional licensing, certifications, registrations: A current Pharmacist license in the state of New Jersey

    Knowledge: CMS Star/HEDIS measures.

    Job Requirement
    • HEDIS
    • CMS
    • Pharmacist
    • Medicare clinical customer service
    • Retail management
    Reach Out to a Recruiter
    • Recruiter
    • Email
    • Phone
    • Amey Yelure
    • amey.yelure@collabera.com

    Apply Now

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