Clinical Pharmacist – HEDIS Medication Adherence
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Job Description
Clinical Pharmacist improving HEDIS medication adherence for Guidehealth’s data-powered healthcare company. Analyzing quality data, engaging patients, and guiding value-based care initiatives.
Responsibilities:
- Lead efforts to improve HEDIS medication adherence and pharmacy quality measures
- Analyze medication adherence data, identify care gaps, and implement targeted interventions
- Collaborate with providers, care managers, and stakeholders on adherence strategies
- Conduct medication therapy management sessions and provide patient education
- Identify and resolve adherence barriers such as cost, side effects, and complex dosing schedules
- Use motivational interviewing to encourage adherence
- Monitor HEDIS performance metrics and generate effectiveness reports
- Use EHR and pharmacy data to identify patients at risk of non-adherence and create action plans
- Provide leadership with progress updates and improvement recommendations
- Serve as the medication adherence subject matter expert
- Train and support pharmacists, care managers, and clinical staff
- Participate in quality improvement, population health, and value-based care initiatives
- Follow security policies to protect PHI, PII, and company intellectual property
- Disclose secondary employment and remain accessible during stated working hours
Requirements:
- Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy
- Active pharmacist license; willing to obtain licenses in TX, TN, AL, and PA (company paid)
- Minimum of 2 years of experience in HEDIS-related medication adherence work, quality improvement, or population health
- Strong knowledge of HEDIS measures, particularly medication adherence measures
- Proficiency with EHR systems and data analysis tools
- Excellent communication, problem-solving, and organizational skills
- Ability to work independently and in a team-oriented environment
- Experience with motivational interviewing or other patient engagement techniques is a plus
- Experience in managed care, PBM, or healthcare quality improvement is preferred
- Certification in MTM, CGP, or other relevant credentials is preferred
- Understanding of value-based care models and their impact on medication adherence is preferred
- Ability to work during stated working hours and participate in virtual meetings with cameras on
- Minimum internet speed of 100 Mbps download and 10 Mbps upload
Benefits:
- Fully remote work arrangement
- Medical, dental, and vision plans
- 401(k) plan with a 3% employer match to a 6% employee contribution
- Life and disability insurance
- Voluntary life insurance options
- Employee Assistance Program (EAP)
- Paid time off
- Paid parental leave
- Learning and development resources
- Necessary work equipment provided at no charge
- Employees provide their own internet connection meeting minimum speed requirements
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