Remote Clinical Pharmacist – HEDIS Medication Adherence

About the Role

We are seeking a highly motivated and detail-oriented Clinical Pharmacist with a PharmD degree and experience in HEDIS medication adherence initiatives. The ideal candidate will play a crucial role in improving medication adherence rates among patients, ensuring compliance with HEDIS/Medicare quality measures, and driving overall health outcomes.

Responsibilities

• Lead efforts to improve HEDIS medication adherence and other pharmacy quality measures, including but not limited to adherence to antihypertensive, cholesterol-lowering, and diabetes medications.
• Analyze medication adherence data, identify gaps in care, and implement targeted interventions to improve adherence rates.
• Collaborate with healthcare providers, care managers, and other stakeholders to develop and implement strategies that promote adherence to prescribed therapies.
• Conduct medication therapy management (MTM) sessions to address barriers to adherence, provide patient education, and ensure understanding of medication regimens.
• Work directly with patients to identify and resolve issues related to medication adherence, including cost, side effects, and complex dosing schedules.
• Utilize motivational interviewing techniques to encourage patients to adhere to their prescribed medication regimens.
• Monitor and track HEDIS performance metrics, generating reports to assess the effectiveness of interventions and programs.
• Use electronic health records (EHR) and pharmacy data to identify patients at risk of non-adherence and develop action plans.
• Provide regular updates to leadership on progress towards HEDIS goals and make recommendations for improvement.
• Serve as a medication adherence subject matter expert (SME) within the organization.
• Provide training and support to other pharmacists, care managers, and clinical staff on best practices in medication adherence.
• Participate in cross-functional teams focused on quality improvement, population health management, and value-based care initiatives.

Qualifications

• Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy.
• Active pharmacist license in one or more of the following states: TX, PA, AL, TN.
• Minimum of 2 years of experience in HEDIS-related medication adherence work, quality improvement, or population health.
• Strong knowledge of HEDIS measures, particularly those related to medication adherence.
• Proficiency in using EHR systems and data analysis tools.
• Excellent communication, problem-solving, and organizational skills.
• Ability to work independently as well as in a team-oriented environment.

Preferred Skills

• Experience with motivational interviewing or other patient engagement techniques.
• Experience in a managed care setting, pharmacy benefits management (PBM), or a 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.

Pay

The salary range for this role is between $120,000.00 to $130,000.00 per year.

Benefits

• Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.

All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.

Schedule & Remote Requirements

• Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee.
• Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems.
• Required internet speed is a minimum of 100 mbps download, 10 mbps upload.
• Employees must be accessible during our stated working hours.
• We foster connection and engagement by asking team members to join virtual meetings with their cameras on.