Clinical Pharmacist

Medical ReviewerMedical ReviewerContractRemote

Location

United States

Posted

4 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

We are seeking a Clinical Pharmacist to support medication adherence initiatives and chronic disease management for a large healthcare population. In this role, you will conduct targeted outreach to members, providers, and pharmacies to address medication-related barriers, improve adherence, and optimize treatment outcomes.

The Clinical Pharmacist plays a critical role in helping improve outcomes for patients with chronic conditions such as diabetes, hypertension, and hyperlipidemia by performing medication therapy reviews, identifying care gaps, and collaborating with providers. This position requires strong clinical knowledge, excellent communication skills, and the ability to manage a high volume of outreach in a remote environment.

Key Responsibilities

  • Member & Provider Outreach:
    • Conduct pharmacist-led outreach to members, providers, and pharmacies to identify and resolve medication-related barriers.
    • Perform 40+ outreach encounters per day with the goal of ensuring multiple member engagement points annually.
    • Provide education to members regarding medication use, adherence strategies, and chronic disease management.
    • Collaborate with providers to support medication access, therapy changes, and adherence solutions.
  • Clinical Review & Medication Management:
    • Perform Medication Therapy Reviews (MTRs) and provide clinical recommendations to optimize therapy.
    • Identify medication adherence issues and recommend interventions to improve outcomes.
    • Support the transition of members from uncontrolled to controlled chronic disease status through medication adherence strategies.
    • Utilize payer-approved population health tools and adherence platforms to prioritize outreach.
  • Documentation & Reporting:
    • Accurately document outreach, interventions, and clinical recommendations in required systems and tracking tools.
    • Maintain timely and compliant documentation aligned with quality reporting requirements.
    • Monitor progress toward performance and quality goals.
  • Collaboration & Quality Improvement:
    • Participate in scheduled performance and quality review meetings.
    • Work collaboratively with population health teams, providers, and operations to address medication access and adherence barriers.
    • Support initiatives aimed at improving healthcare quality measures and closing care gaps.

Qualifications

  • Doctor of Pharmacy (PharmD) degree.
  • Active, unrestricted California Pharmacist license.
  • Strong clinical knowledge of chronic disease management including diabetes, hypertension, and hyperlipidemia.
  • Experience with medication therapy management (MTM), adherence strategies, and barrier assessments.
  • Ability to manage high-volume outreach (40+ encounters daily) in a remote environment.
  • Excellent communication and interpersonal skills when engaging with patients, providers, and care teams.
  • Strong organizational and documentation skills.

Preferred Qualifications

  • Board Certification (e.g., BCPS, BCGP).
  • Experience working with Medicare Advantage, Medicaid, or Stars quality programs.
  • Background in population health, care gap closure, or medication adherence programs.
  • Familiarity with clinical guidelines related to diabetes, hypertension, and lipid management.
  • Experience using population health or quality reporting platforms (e.g., Cozeva or similar systems).

Work Environment

  • 100% Remote position.
  • Must be available during Pacific Standard Time business hours (8:00 AM – 5:00 PM PST).
  • High-volume outreach role requiring strong time management and documentation accuracy.

Job Requirements

  • Doctor of Pharmacy (PharmD) degree.
  • Active, unrestricted California Pharmacist license.
  • Strong clinical knowledge of chronic disease management including diabetes, hypertension, and hyperlipidemia.
  • Experience with medication therapy management (MTM), adherence strategies, and barrier assessments.
  • Ability to manage high-volume outreach (40+ encounters daily) in a remote environment.
  • Excellent communication and interpersonal skills when engaging with patients, providers, and care teams.
  • Strong organizational and documentation skills.
  • Preferred Qualifications
  • Board Certification (e.g., BCPS, BCGP).
  • Experience working with Medicare Advantage, Medicaid, or Stars quality programs.
  • Background in population health, care gap closure, or medication adherence programs.
  • Familiarity with clinical guidelines related to diabetes, hypertension, and lipid management.
  • Experience using population health or quality reporting platforms (e.g., Cozeva or similar systems).
  • Work Environment
  • 100% Remote position.
  • Must be available during Pacific Standard Time business hours (8:00 AM – 5:00 PM PST).
  • High-volume outreach role requiring strong time management and documentation accuracy.

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