Clinical Pharmacist – HEDIS Medication Adherence
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Job Description
Clinical Pharmacist improving HEDIS medication adherence for Guidehealth, a data-powered healthcare company. Analyzing quality data, engaging patients, and supporting 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 healthcare providers, care managers, and stakeholders on adherence strategies
- Conduct medication therapy management sessions and provide patient education
- Identify and resolve adherence barriers including cost, side effects, and complex dosing schedules
- Use motivational interviewing to encourage medication adherence
- Monitor and track HEDIS performance metrics
- Generate reports evaluating intervention and program effectiveness
- Use EHR and pharmacy data to identify patients at risk of non-adherence and develop action plans
- Provide leadership with updates and recommendations toward HEDIS goals
- Serve as the organization’s medication adherence subject matter expert
- Train and support pharmacists, care managers, and clinical staff
- Participate in quality improvement, population health management, and value-based care initiatives
- Follow security policies and procedures to protect PHI, PII, and company intellectual property
Requirements:
- Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy
- Active pharmacist license
- Willingness 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 using 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 a managed care setting, PBM, or healthcare quality improvement role 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
- Employees must provide their own internet connection with at least 100 Mbps download and 10 Mbps upload
- Employees must be accessible during stated working hours
Benefits:
- Fully remote work arrangement
- Medical, dental, and vision plans
- 401(k) plan with a 3% employer match to the employee’s 6% contribution
- Life and disability insurance
- Voluntary life insurance options
- Employee Assistance Program (EAP)
- Paid time off plans
- Paid parental leave
- Learning and development resources
- Necessary work equipment provided at no charge
- Equal opportunity employment
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