Health Equity - Clinical Pharmacist - Population Health 148-2003

About the role

The Clinical Pharmacist - Population Health supports Population Health Management (PHM) and Case Management by optimizing medication safety, effectiveness, adherence, and affordability. Working with members, providers, and interdisciplinary teams, this role conducts medication reviews, supports chronic condition management and care transitions, oversees PHM opioid safety initiatives, and provides pharmacy leadership for high-risk member care.

Responsibilities

• Conduct medication reviews to identify safety concerns, interactions, duplication, adherence barriers, and opportunities to optimize therapy.
• Recommend evidence-based medication interventions to providers and document recommendations, follow-up actions, and outcomes.
• Reconcile medications following hospitalizations and care transitions.
• Participate in interdisciplinary care planning and patient-at-risk committees to support safe, effective, and coordinated medication management.
• Educate members and caregivers on medication use, adherence, safety, and potential side effects while identifying and addressing access and affordability barriers.
• Oversee the PHM opioid safety program and maintain the high-risk medication list.
• Perform comprehensive, patient-specific clinical reviews of specialty and high-cost medications, considering diagnosis, patient weight, prior therapies, laboratory values, disease severity, treatment history, and other relevant clinical factors.
• Review patient-specific dosing and treatment regimens to promote appropriate therapy, improve clinical outcomes, and minimize medication waste.
• Identify safe, clinically appropriate, and cost-effective therapeutic alternatives, including preferred products, biosimilars, alternative dosing strategies, and other treatment options.
• Collaborate with behavioral health staff and other clinicians to support complex medication needs and chronic condition management.
• Support Pharmacy Case Management through comprehensive and targeted medication reviews.
• Collaborate with Pharmacy and Utilization Management teams to identify and resolve coverage, formulary, and other medication access barriers.
• Develop and maintain pharmacy workflows, clinical guidance, educational materials, and staff training to support consistent and effective medication management.
• Monitor pharmacy intervention outcomes, medication utilization, and cost trends; identify opportunities for improvement and support quality improvement, accreditation, and regulatory readiness.
• Maintain accurate and timely clinical documentation.