Remote Clinical Pharmacist - HEDIS Medication Adherence
$120k - $130kGuidehealth
Remote Clinical Pharmacist – HEDIS Medication AdherenceGuidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.Join us as we put healthcare on a better path!About the Role:We are seeking a highly motivated and detail-oriented Clinical Pharmacist with a PharmD degree and experience in HEDIS medication adherence initiatives. The ideal candidate will play a crucial role in improving medication adherence rates among patients, ensuring compliance with HEDIS/Medicare quality measures, and driving overall health outcomes.Key Responsibilities:Lead efforts to improve HEDIS medication adherence and other pharmacy quality measures, including but not limited to adherence to antihypertensive, cholesterol-lowering, and diabetes medications.Analyze medication adherence data, identify gaps in care, and implement targeted interventions to improve adherence rates.Collaborate with healthcare providers, care managers, and other stakeholders to develop and implement strategies that promote adherence to prescribed therapies.Patient Engagement:Conduct medication therapy management (MTM) sessions to address barriers to adherence, provide patient education, and ensure understanding of medication regimens.Work directly with patients to identify and resolve issues related to medication adherence, including cost, side effects, and complex dosing schedules.Utilize motivational interviewing techniques to encourage patients to adhere to their prescribed medication regimens.Data Analysis & Reporting:Monitor and track HEDIS performance metrics, generating reports to assess the effectiveness of interventions and programs.Use electronic health records (EHR) and pharmacy data to identify patients at risk of non-adherence and develop action plans.Provide regular updates to leadership on progress towards HEDIS goals and make recommendations for improvement.Collaboration & Training:Serve as a medication adherence subject matter expert (SME) within the organization.Provide training and support to other pharmacists, care managers, and clinical staff on best practices in medication adherence.Participate in cross-functional teams focused on quality improvement, population health management, and value-based care initiatives.QualificationsWhat You'll Need to Have:Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy.Active pharmacist license in one or more of the following states: TX, PA, AL, TN.Minimum of 2 years of experience in HEDIS-related medication adherence work, quality improvement, or population health.Strong knowledge of HEDIS measures, particularly those related to medication adherence.Proficiency in using EHR systems and data analysis tools.Excellent communication, problem-solving, and organizational skills.Ability to work independently as well as in a team-oriented environment.Experience with motivational interviewing or other patient engagement techniques is a plus.Would Love For You to Have:Experience in a managed care setting, pharmacy benefits management (PBM), or a healthcare quality improvement role.Certification in Medication Therapy Management (MTM), Certified Geriatric Pharmacist (CGP), or other relevant credentials.Understanding of value-based care models and their impact on medication adherence.Additional InformationThe salary range for this role is between $120,000.00 to $130,000.00 per year.ALIVE with Purpose: How We Thrive at GuidehealthAt Guidehealth, our values come to life in everything we do.We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike.Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare.With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve.At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member.And through Empathy in Action, we build stronger connections with those who count on us.This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth.Benefits:While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.Compensation:The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.Our Commitment to Equal Opportunity Employment:Diversity, inclusion, and belonging are at the core of Guidehealth's values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment.Our Commitment to Protection of Patient and Company Data:This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth's custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements.Remote Work Technical Requirements:Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please
$120k - $130k
...Remote Clinical Pharmacist – HEDIS Medication AdherenceGuidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence... ...a PharmD degree and experience in HEDIS medication adherence initiatives. The ideal candidate will play a crucial...Remote workHEDISBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- Guidehealth, a remote-first health data company, is seeking a Clinical Pharmacist with a PharmD to lead HEDIS medication adherence initiatives. The role focuses on improving adherence rates to antihypertensive, lipid-lowering, and diabetes therapies, and ensuring alignment...Remote jobHEDIS
$42.26 - $45.78 per hour
...Clinical Pharmacist We are looking for a Clinical Pharmacist to join our growing team. You... ...providers, and pharmacies to help close medication adherence gaps. This position serves as... ...pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing...Remote workHEDISHourly pay$124.68k - $187.02k
## Clinical PharmacistApplyremote type: Remote - Full Timelocations: US-Florida-... ...Summary**The Clinical Pharmacist I supports... ...programs by performing medication therapy review,... ...care, medication adherence, high-risk medication... ...utilization, support Stars/HEDIS quality measures,...Remote workHEDISFull timeTemporary work$57 - $65 per hour
...Clinical Pharmacist Are you passionate about improving patients... ...provide expert-level medication therapy consultations... ...reviews and adherence counseling, collaborate... ...measures, Star Ratings, HEDIS metrics, and Medicare... ...experience working in a remote or virtual healthcare...Remote workHEDISHourly payPermanent employmentTemporary workSeasonal workLocal areaMonday to FridayRotating shift$91.7k - $163.7k
...Clinical Consultant Pharmacist Optum is a global organization that delivers care... ...the flexibility to work remotely from anywhere within the... ...programs, improvement in medication adherence rates, improvements in therapy... ...compliance targets, and HEDIS & NCQA measures...Remote jobHEDISMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area$137.95k - $170.41k
...2015.Position SummaryThe Health Plan Clinical Pharmacist is responsible for development and execution... ...clinical initiatives/programs around medication management that ensure high quality... ...(e.g., Medicare Star Ratings, HEDIS) to drive performance improvement and...Remote workHEDISFull timeWork at office- ...Medical Director Opportunity At ChamberCardiovascular... ...patient.Our model blends clinical expertise, thoughtful... ...clinical programs ensuring adherence to evidence-based... ...and pathwaysOwn Stars/HEDIS clinical strategy, defining... ...horsepower and heart.Location:Remote. Periodic travel to...Remote workHEDISContract workVisa sponsorship
$280.84k - $393.18k
...Health Services, the Senior Medical Director Policy &... ...IEHP Medical Policies and clinical leadership around... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...proactively to ensure adherence to policy standards. Develop... ...schedule. (Mon & Fri - remote, Tues - Thurs onsite in...Remote workHEDISTemporary workLocal area$173k - $250k
...Job Summary: The Medical Director will report to... ...staff of the Office of Clinical Affairs in the areas of... ...in You: • Full-time remote work • Competitive salaries... ...InterQual protocols, HEDIS, and other quality... ...intermittent supervision. • Adhere to appropriate turn-...Remote workHEDISFull timeWork at officeFlexible hours- ...in Woodland Hills, CA is seeking a Medication Management Coordinator to join the Member... ...inbound calls related to medication adherence, helping members obtain prescribed... ...Solutions, coordinate with pharmacists, and support HEDIS/STARs initiatives while protecting patient...HEDIS
$91.7k - $163.7k
...Clinical Consultant PharmacistOptum is a global organization... ...Clinical Consultant Pharmacist serves as the primary... ...flexibility to work remotely from anywhere within... ..., improvement in medication adherence rates, improvements... ...compliance targets, and HEDIS & NCQA...Remote workHEDISMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area- ...Caring CommunityWe are seeking a Clinical Pharmacist to join our primary care... ...outcomes through effective medication management, patient education... ...clinic locations.In this remote position, you will report to... ...systems.Support CMS Stars and HEDIS quality measures for successful...Remote workHEDISTemporary workApprenticeshipWork from homeHome office
$37.25 - $54.12 per hour
...histories Reviewing medications and treatment plans... ...home visits Perform clinical interventions as appropriate... ...preventive care and HEDIS quality gaps,... ...screenings and medication adherence initiatives. Complete... ...patients, families, and remote healthcare...Remote workHEDISPart timeWork at officeLocal area$42 - $46 per hour
A healthcare solutions provider is seeking a HEDIS Medical Record Analyst to work remotely from WA, OR, ID, or UT for a temporary assignment starting May... ...strong experience with EMR/EHR systems and a clinical background. Applicants should have an associate degree...Remote workHEDISHourly payTemporary work- ...Baptist Health is seeking a remote Value Based Care Pharmacy Technician... ...conduct outreach to improve adherence, coordinate refill reminders,... ...will work under a licensed pharmacist to support transitions of... ...like Medicare Star Ratings and HEDIS, while collaborating with...Remote workHEDIS
- ...connecting them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking... ...for the upcoming HEDIS season. HEDIS Course: Includes Medical Terminology Introduction to HEDIS HEDIS Measures (CBP, LSC...Remote workHEDIS
- A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess a high school... ...four seasons of experience in auditing and abstracting medical records. Responsibilities include data entry, scheduling...Remote workHEDIS
$57 - $65 per hour
A healthcare technology company is looking for a Utah-licensed Clinical Pharmacist to optimize patient outcomes using its software platform. This role involves providing medication therapy consultations, supervising the Clinical Care support team, and working collaboratively...Remote workHourly pay$238k - $357.5k
...serve as the local senior clinical executive for their... ...story, evidence-based medical policies, and member health... ...flexibility to work remotely * from anywhere within... ...Ratings, NCQA Star Ratings, HEDIS, CAHPS, HOS and other... ...will be required to adhere to UnitedHealth Group's...Remote jobHEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRelocation- A healthcare provider for seniors is seeking a Medical Billing Specialist to manage accurate billing operations. This role involves expertise... ...care setting and strong analytical skills. The position is remote within certain states and offers competitive compensation and...Remote jobHEDIS
- Lifespan is seeking a Clinical Pharmacist for Remote Services to support patient care across Brown University Health affiliates. The role involves... ...with providers to optimize safe, cost-effective medication use. Responsibilities include reviewing orders in the EHR...Remote job
- UnitedHealthcare is hiring a Clinical Pharmacist to perform live telephonic outreach to Medicare members and improve adherence and drug utilization. The role involves collaboration... ...experience. Flexibility exists to work remotely from Schaumburg, IL, with in-office...Remote jobWork at office
$21 - $23 per hour
...Guidehealth leverages remotely-embedded Healthguides™... ..., and the Guidehealth clinical team. This role blends... ...strengthening relationships with medical practices,... ...in patient condition, adherence risks, or emerging clinical... ..., including eCQM, HEDIS, and commercial payer...Remote workHEDISBi-weekly payHourly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from home- ...Molina's Medical Records Collector This role will be fully remote. Candidates should be in California. The expected schedule is 8AM – 5PM with a 1-hour lunch. The day-to-day job duties involve retrieving Medicare medical records from 2018 through fax, email, or coordinating...Remote workHEDIS
- ...Clinical Medical Review Nurse We are seeking Licensed Practical Nurses (LPN) or Registered Nurses... ...hybrid contract position requiring both remote work and regular onsite presence at the... ...Preferred qualifications: HEDIS experience (preferred but not required)...Remote workHEDISContract workWork at office2 days per week3 days per week
$286.07k - $353.38k
...Work since 2015.Position SummaryThe Vice President, Medical Director, Health Plan provides senior clinical leadership across the Health Plan, with a focus on quality... ...design, Medicare bids, risk adjustment, STARS, HEDIS, value-based arrangements, and clinical integration...Remote workHEDISFull timeHome office- ...Healthcare is seeking an experienced Medical Biller and Coder to join our... ...of The Woodlands, TX. Fully remote candidates will not be... ...Communicate effectively with the clinical team to clarify coding and documentation... ...management • Familiarity with HEDIS quality measures and...Remote workHEDISWork from homeMonday to FridayFlexible hours
$62.89 - $92.44 per hour
...a unique opportunity for a Clinical Pharmacist who wants more than just a role... ..., Colorado, the largest medical center between Denver and Salt... ...quality medication education and adherence. Ensures patient is well... .... If applying for a remote or hybrid role, this includes...Remote workHourly payPart timeReliefLocal areaMonday to FridayShift work$248.5k - $373k
...00 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...Based Care delivery - STAR/HEDIS performance, risk coding and... ...the flexibility to work remotely*, as well as work in the field... ...remotely will be required to adhere to UnitedHealth Group's...Remote workHEDISMinimum wageFull timeWork experience placementLocal areaNight shift
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