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 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, 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 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.
• Experience with motivational interviewing or other patient engagement techniques is a plus.

Benefits

• Work from Home: Guidehealth is a fully remote company, providing flexibility to spend less time commuting and more time focusing on professional goals and personal needs.
• Comprehensive Medical, Dental, and Vision plans.
• 401(k) plan includes a 3% employer match to your 6% contribution.
• Life and Disability insurance; voluntary Life options available.
• Employee Assistance Program (EAP).
• Paid time off plans for work-life balance.
• Paid parental leave.
• Learning and development resources for career growth.
• Full-time employees working 30+ hours per week eligible for comprehensive benefits package.

Pay

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