The Pharmacist manages evidence-based, cost-effective medication strategies for kidney and cardiac disease. Responsibilities include medication regimen review, pharmacy referrals, medication access and adherence support, clinical education, treatment guideline development, medication safety, population health evaluations, quality improvement, medication reconciliation, and pharmacy technician oversight. The role collaborates with clinical and care management teams and requires compliance with pharmacy regulations and protected health information standards.
Position Summary
The Pharmacist will be responsible for developing, implementing, and maintaining initiatives that ensure medications prescribed for kidney and cardiac disease, and their related comorbidities are evidence-based and cost-effective. The role involves addressing pharmacy referrals and assisting with medication access, education, and adherence to support kidney and cardiac health management. The Pharmacist will work collaboratively with clinical and care management teams to identify medication opportunities and resolve medication safety concerns associated with transitions of care and chronic disease management. The Pharmacist will guide Healthmap’s comprehensive pharmacy strategy and work collaboratively across Healthmap departments to bring value to all pharmacy related initiatives and clinical programs.
Responsibilities
- Review medication regimens and make recommendations on how regimens might be adjusted based on protocols and current guidelines to optimize disease management
- Create educational material for providers, members, and staff regarding new drugs, new indications, guideline updates, and/or counter-detailing of industry advertisement
- Participate in the development of treatment algorithms, guidelines, policies and procedures as well as other kidney and cardiac disease management efforts
- Create written responses to pharmacy referrals related to medication access, affordability, education, adherence, optimization, and safety
- Evaluate medications that are high-cost, high-risk or high-volume using population health framework
- Enhance processes related to medication reconciliation and medication adherence
- Collaborate with other care providers in the effective sharing of practice expertise
- Oversee pharmacy technicians
- Participate in quality improvement activities and process enhancement initiatives as assigned
- Adhere to policies, procedures and state and federal regulations to ensure compliance and confidentiality of Protected Health Information (PHI). Participation in Compliance and other important training is a condition of employment
- Perform other duties as assigned
Requirements
- Active Pharmacist License
- PharmD degree from an accredited School of Pharmacy
- 5 years clinical pharmacy experience in working face to face with physicians and health care providers in hospital or ambulatory care
- Renal patient pharmacy management and value-based care experience, Health Plan and/or Vendor experience preferred
- American Society of Health Systems Pharmacists (ASHP) Accredited Residency preferred
- Understanding of Centers for Medicare and Medicaid Services (CMS) Star measures, Healthcare Effectiveness Data and Information Set (HEDIS) measures, MIPS and National Quality Forum measures
Skills
- Excellent written and verbal communication skills
- Strong organizational skills and attention to detail
- Ability to manage multiple tasks, solve problems, work independently,
- Strong analytical and strategic skills
- Metrics driven
- Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint, Teams
No Travel
LI - RemoteWorking Conditions:
All roles require:
• Sitting
- Ability to sit for extended periods stationary or while driving
• Dexterity/Effort
- Repetitive motion for typing and/or texting
- Good manual dexterity for handling packages, paperwork, operation of motor vehicles and/or electronic devices
• Sense Acuity
- Ability to see/read computer monitors or other electronic devices
Additionally, on-site or at location positions (ex. Mailroom, IT or Admin) may require:
• Lift/Carry/Push/Pull
- Occasional movement of equipment, or materials up to 50/75 Pounds
• Bend/Twist
- Occasional bending, twisting, and stooping
- Occasional need to kneel or crouch
Additionally Traveling positions (ex. Field Care Navigators or Quality Practice Advisors) may require:
• Sense Acuity
- Ability to see/read road signs, maps, and electronic devices
- Good visual acuity for driving, including peripheral vision and depth perception
• Environmental
- Possible exposure to travel, traffic and/or other outdoor hazards
- Possible exposure to various weather conditions, including extreme heat, cold, rain, and snow
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