Clinical Pharmacy Specialist
Meds Talent LLC · Dover, DE
Apply & track with Apply EdgePopulation Health Clinical Pharmacy Specialist
This role is ideal for a clinical pharmacist interested in population health management, ambulatory care, medication therapy management, and value-based healthcare initiatives.The selected candidate will provide clinical pharmacy support to health plans and healthcare providers, focusing on improving medication-related quality outcomes, optimizing patient care, reducing avoidable hospital admissions, and implementing cost-containment strategies.The position supports Medicare and commercial populations and works collaboratively with healthcare providers to improve clinical quality performance, medication adherence, and overall patient health outcomes.Key ResponsibilitiesAnalyze clinical reports, electronic medical records (EMR), and pharmacy data to identify opportunities to improve patient outcomes and reduce medication-related costs.Evaluate and support pharmacy-related STAR and HEDIS quality measures to improve health plan performance.Assess members with specific medical conditions and identify barriers to treatment, medication adherence, and access to care.Provide Medication Therapy Management (MTM), patient education, and individualized medication management recommendations.Develop personalized health improvement plans, including appropriate screenings, self-management education, and clinical interventions.Collaborate with healthcare providers and interdisciplinary teams to implement evidence-based treatment strategies.Support initiatives designed to achieve and maintain a 5-STAR quality rating, with a target of 90% or greater for applicable measures.Identify members at risk for preventable hospital admissions or readmissions and coordinate appropriate interventions.Document clinical interventions and evaluate their effectiveness in improving patient outcomes.Serve as a subject matter expert for pharmacy-related clinical quality measures associated with value-based care agreements.Educate providers and health plan members regarding annual formulary changes.Participate in quality improvement committees, meetings, audits, and health plan initiatives.Develop and maintain clinical policies and procedures in accordance with applicable state and federal regulations.Perform other duties as assigned within the scope of the position.Required QualificationsEducationBachelor's degree in Pharmacy required.Licensure and CertificationsActive pharmacist license required.Board of Pharmacy Specialties (BPS) certification in a relevant specialty required. Relevant specialties may include:Board Certified Pharmacotherapy Specialist (BCPS)Board Certified Ambulatory Care Pharmacist (BCACP)Board Certified Cardiology Pharmacist (BCCP)Board Certified Geriatric Pharmacist (BCGP)Other relevant BPS specialty certifications, as applicable.ExperienceAt least 1 year of hospital experience as a clinical pharmacist, orSuccessful completion of an ASHP-accredited PGY-1 pharmacy residency program.Successful completion of the credentialing process, if applicable.State LicensureAn active pharmacist license is required upon acceptance of the position.Preferred QualificationsDoctor of Pharmacy (PharmD) degree.At least 2 years of hospital experience as a clinical pharmacist.Completion of an ASHP-accredited PGY-2 Ambulatory Care residency program.Advanced degree such as a Master of Public Health (MPH) or Master of Business Administration (MBA).Experience with population health, ambulatory care, medication management, STAR ratings, HEDIS measures, quality improvement, or value-based care initiatives.Compensation and ScheduleAnnual Salary: $136,406.40–$200,000.