Clinical Pharmacist

Overview

• Engage Medicare members, pharmacies, and providers to address adherence and SUPD gaps effectively.
• Conduct Comprehensive Medication Reviews (CMRs) to enhance members' understanding of their medications and health.
• Provide clinical guidance and support to Pharmacy Quality Specialists for improved healthcare outcomes.
• Collaborate with pharmacies and providers to resolve medication adherence challenges.
• Offer counseling and information to Medicare members regarding pharmacy benefits and medication use.
• Utilize CMR platforms to alert providers about potential drug interactions and adverse reactions.
• Ensure compliance with healthcare regulations while delivering high-quality clinical services.

Key Responsibilities & Duties

• Conduct outreach to Medicare members to address barriers to medication adherence.
• Partner with pharmacies and providers to close adherence gaps and enhance patient care.
• Complete CMRs to provide members with insights into their medications and health.
• Send provider interventions through fax or CMR platforms regarding drug interactions and dose changes.
• Counsel Medicare members on medication use and provide information about pharmacy benefits.
• Collaborate with Pharmacy Quality Specialists to improve healthcare delivery.
• Maintain accurate documentation and reporting for all clinical activities.

Job Requirements

• Doctor of Pharmacy (PharmD) degree is required.
• Minimum of 3 years of experience in a related clinical field.
• Current state pharmacy license is mandatory.
• Strong knowledge of Medicare benefits and pharmacy regulations.
• Proficiency in conducting Comprehensive Medication Reviews (CMRs).
• Excellent communication skills for member and provider interactions.
• Ability to work independently in a remote setting.