Clinical Pharmacist – HEDIS Medication Adherence
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Job Description
Clinical Pharmacist improving HEDIS medication adherence for Guidehealth’s value-based healthcare programs. Analyzing quality data, engaging patients, and guiding clinical teams remotely.
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
- Use motivational interviewing to encourage adherence
- Monitor HEDIS performance metrics and generate effectiveness reports
- Use EHR and pharmacy data to identify at-risk patients and develop action plans
- Report progress toward HEDIS goals to leadership and recommend improvements
- 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 to protect PHI, PII, and company intellectual property
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 in EHR systems and data analysis tools
- Experience in 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 is preferred
- Certification in Medication Therapy Management (MTM), Certified Geriatric Pharmacist (CGP), or other relevant credentials is preferred
- Understanding of value-based care models and their impact on medication adherence is preferred
- Own internet connection with minimum 100 Mbps download and 10 Mbps upload
- Ability to be accessible during stated working hours
Benefits:
- Fully remote work
- 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 options
- Employee Assistance Program (EAP)
- Paid time off plans
- Paid parental leave
- Professional learning and development resources
- Necessary work equipment provided at no charge
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