Senior Clinical Market Pharmacist,
Primary Responsibilities
- Provide clinical pharmacy advice and guidance on any or all of the following:
- Quality of care programs including HEDIS and CMS Stars programs
- Develop and train best practices to improve medication adherence and medication related measure gap closures
- Interpret pharmacy programs to write clinical guidelines, job aids, and decision trees
- Write and collaborate on member/provider collateral materials for pharmacy programs
- Work on program implementation teams and contribute to business process design and systems set up, trouble shooting and updates
- Monitor impending legislation for potential impact on current and future programs
- Analyze data and prepare management summaries related to work stream results, performance management results, audit results, CMS reporting, and client reporting
- Perform quality audits, determine performance gaps and root causes, prepare reports and collaborate on remediation
- Examine, evaluate, and provide recommendations to evolve and enhance clinical pharmacy programs and best practices
Required Qualifications
- High School Diploma/GED
- Current and unrestricted pharmacist licensure in State of residence
- 5+ years of experience working as a Licensed Pharmacist within varied practice settings
- 5+ years of experience and/or knowledge of Medicare Part D, Medicaid, and/or commercial
- 1+ year of experience delivering presentations to large audiences
- Intermediate level of proficiency with navigating MS Office and Windows-based environment
- Ability to travel up to 25% of the time
Preferred Qualifications
- Doctor of Pharmacy (PharmD)
- Residency and/or Board Certification (ie: BCPS, BCACP, BCGP)
- Clinical quality experience (ie: HEDIS, Stars, NCQA)
- Experience with Medicare Advantage
- Experience working closely with and influencing providers
- Experience teaching, training, and presenting accurate clinical information verbally to variety of audiences
Soft Skills
- Excellent written, verbal and presentation skills
Work Schedule
Work Schedule (40 hrs./week): Monday - Friday 8am - 5pm local time with flexibility based on travel requirements
There will be local, state, and national travel up to 25% of the time based on business needs.
Pay and Benefits
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
The hourly pay for this role will range from $112,700 to $193,00 per annum based on full-time employment.
We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.