Clinical Pharmacist – HEDIS Medication Adherence
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Job Description
Clinical Pharmacist improving HEDIS medication adherence and patient outcomes at Guidehealth, a data-powered healthcare company. Leading quality initiatives, MTM sessions, analytics, and clinical staff training.
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 (MTM) sessions
- Provide patient education and address cost, side-effect, and dosing barriers
- Use motivational interviewing to encourage medication adherence
- Monitor and track HEDIS performance metrics
- Generate reports assessing intervention and program effectiveness
- Use EHR and pharmacy data to identify patients at risk of non-adherence and develop action plans
- Provide leadership with progress updates and improvement recommendations
- Serve as the organization's medication adherence subject matter expert
- Train and support pharmacists, care managers, and clinical staff
- Participate in cross-functional quality improvement, population health management, and value-based care initiatives
- Follow security policies and procedures to protect patient and company data
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 in electronic health record (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, pharmacy benefits management (PBM), or healthcare quality improvement role
- Certification in Medication Therapy Management (MTM), Certified Geriatric Pharmacist (CGP), or other relevant credentials
- Understanding of value-based care models and their impact on medication adherence
- Employees must provide their own internet connection capable of video calls and internal/external systems access
- Minimum internet speed of 100 Mbps download and 10 Mbps upload
- Employees must be accessible during stated working hours
- Willingness to join virtual meetings with cameras on
- Must follow security policies and procedures protecting PHI, PII, and Guidehealth intellectual property
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
- Flexible work arrangement with reduced commuting time
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