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.

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Pay

The hourly pay for this role will range from $112,700 to $193,00 per annum based on full-time employment.

Equal Opportunity Employer

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Drug-Free Workplace

Candidates are required to pass a drug test before beginning employment.