Clinical Pharmacist
- Employer
- Collabera
- Location
- Pennington, New Jersey, US
- Closing date
- Jun 4, 2024
View more categoriesView less categories
- Position Type
- Clinical Pharmacist
- Specialty Area
- Other
- Work Setting
- Other
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Description
Home Search Jobs Job Description
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
Apply Now
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
- Recruiter
- Phone
- Amey Yelure
- amey.yelure@collabera.com
Apply Now
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