Job Description
Job Description
What is the specific title of the position? Clinical Pharmacist - Care Delivery
Work location- remote / telecommute Midwest
Work hours- M-F 8a-5p EST / CST
Position background ? What does this position accomplish for the business? A Pharmacist with a non-restricted license who will be in charge of building strategy and tracking performance of pharmacy measures for Care Midwest, will work in collaboration with medical directors and quality team members to work with IPA
What are the top 5-10 responsibilities for this position?
- Develop team direction and outreach / educational strategies around Quality Pharmacy STARs performance.
- Stay knowledgeable of current and emerging clinical trends.
- Actively participate in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information.
- Continuously look for ways to streamline and improve workflow.
- Adapt departmental plans and priorities to address business and operational challenges.
- Collect Quality data and / or information based on applicable standards, state / federal or other regulations, customer or consumer requests, internal requests, or project assignments.
- Serve as a clinical resource and consultant in all areas of pharmacy and medication management.
- Develop effective methods for data / information collection.
- Support medical management and pharmacy quality initiatives.
- Investigate quality problems identified and collect additional information to close gaps.
- Follow all policies and procedures related to the job.
- Actively participate in process improvement planning and implementation while fostering good communication and collaboration across all affected departments.
- Work cross-functionally and coordinate with others internally or externally to gather information and overcome challenges to obtaining needed information.
- Mine data and / or information (e.g., clinical, administrative, Quality) to ensure they meet standards, are compliant, and / or are accurate and complete.
- Serve as a subject matter expert (SME) for process / workflow-related questions.
- Assist with gathering, analyzing, and interpreting data and metrics to evaluate the effectiveness of Care Midwest Pharmacy programs / initiatives.
- Identify Quality improvement or intervention opportunities and work cross-functionally to develop interventions and recommendations.
What does the ideal candidate background look like? background with HEDIS / STARs and ability to work reports / review performance
What skills / attributes are required?
EDUCATION Required : Pharmacist license without restrictions
EXPERIENCE Required :
2 or more years managerial experience4 or more years of healthcare experience, including experience in a managed care setting2 or more years of experience in HEDIS / Star programs, preferably in a clinical quality consultant role.2 or more years of experience in provider facing interactions, including provider education.2 or more years of experience with data analysis and / or quality chart reviews. Must be able to review data and provide recommendations for improvement25% travel required, with occasional overnight travelExperienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets. Must be proficient in ExcelMedicare experience