Clinical Pharmacist for Medicare STARS - Remote
Sentara Health
City/State
Norfolk, VA Work Shift
First (Days) Overview: Sentara Health Plans is hiring for a Clinical Pharmacist for Medicare STARS - Remote! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming Overview
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to and use the following as your Keyword Search: JR-98312 Talroo - Health Plan Keywords: Health Plan, Healthcare, Health Insurance, MCO, Managed Care, Medicaid, Medicare, DSNP, Commercial, Group insurance, Remote, Virginia, VA, Healthcare Effectiveness Data and Information Set, HEDIS, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Medicare, STARS Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Norfolk, VA Work Shift
First (Days) Overview: Sentara Health Plans is hiring for a Clinical Pharmacist for Medicare STARS - Remote! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming Overview
- Demonstrates comprehensive knowledge of current pharmacotherapeutic principles, medical terminology, pathologies, disease state and population management, age appropriate therapy, and other information as related to medical and/or pharmaceutical care management.
- Work with Sentara Health Plan (SHP) members to close medication-related gaps in care
- Work on the referrals from the team
- Counseling members on their medication therapy
- BLD - Bachelor's Level Degreein Pharmacy REQUIRED
- Pharmacist License (RPh) - State license - Other/National REQUIRED
- Will consider new graduated pharmacists and pharmacists not licensed in Virginia due to relocation.
- Must have Virginia license within 90 days of Sentara start date.
- Experience with online pharmacy adjudication systems REQUIRED
- Advanced certification in HIV, oncology, infectious disease, or ambulatory care preferred
- Experience in for Medicare STARS highly preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to and use the following as your Keyword Search: JR-98312 Talroo - Health Plan Keywords: Health Plan, Healthcare, Health Insurance, MCO, Managed Care, Medicaid, Medicare, DSNP, Commercial, Group insurance, Remote, Virginia, VA, Healthcare Effectiveness Data and Information Set, HEDIS, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Medicare, STARS Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Clinical Pharmacist for Medicare STARS - Remote in Norfolk, VA vacancy
- Walker Healthforce, LLC is looking for a Remote Clinical Pharmacist to support health care clients in New... ...experience in pharmacy and strong knowledge of Medicare clinical programs, with responsibilities including managing outreach for Star/HEDIS initiatives and overseeing...Remote jobWeekly payContract work
- ...Job Description The Clinical Pharmacist is responsible for executing the daily activities... ...designed to address Medicare Part D associated Stars ratings that may have cascading effects... ...Tuesday, Wednesday & Thursday ) and remotely 2 days a week (Monday & Friday). This...Remote workWork at officeMonday to Friday2 days per week3 days per week
$102k - $184.3k
...Clinical Pharmacist At HCSC, our employees are the cornerstone of our business... ...therapy for Healthspring Medicare members. In this position,... ...based gaps in care, supporting STAR-related pharmacy initiatives... ...required #LI-FW1 #LI-Remote This is a Remote/Work-From-Home...Remote workWork at officeWork from home- ...JOB SUMMARY: The Clinical Pharmacist in the Quality Improvement Department plays a pivotal role... ...the health plan's performance in CMS Star Ratings (Part D) and Population Health... ...• Familiarity with HEDIS, NCQA, and Medicare regulations preferred. • Successful completion...SuggestedWork at office
$102k - $184.3k
...and development of innovative clinical programs. JOB... ...registered and unrestricted Pharmacist in the United States. * Experience... ...* Experience working with Medicare Stars, MTM, or population-health pharmacy... ...groups. #LI-FW1 #LI-Remote This is a Remote/Work-From...Remote workWork from home- ...Clinical Pharmacist - Utilization Management Archimedes Location US- ID 2... ...Position Type Full-Time Remote No Company Archimedes... ...Range USD $0.00 - USD $0.00 /Yr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible...Remote workFull timeWork at office
$104k - $143k
...community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who... ...in Federal prescription programs (Medicare/Medicaid reviews) Self-directed, but... ...peak season Travel: While this is a remote position, occasional travel to Humana's...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend work$126.3k - $173.7k
...of our caring community The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug development... ...practice experience Knowledge of Medicare as it relates to pharmacy... ...certification Travel: While this is a remote position, occasional travel to...Remote workFull timeTemporary workApprenticeshipHome office- ...Clinical Pharmacist (Temp-to-Hire) Virginia, United States (Remote) Based in San Francisco, Arine is a rapidly growing healthcare technology... ...Knowledge of CMS quality measures, Star Ratings, HEDIS metrics, and Medicare Part C and Part D medication measures...Remote workTemporary workLocal areaMonday to FridayRotating shift
$55 - $63 per hour
PRN Remote Clinical Pharmacist Scriptology is a tech-enabled comprehensive medication management (CMM) service augmented by an extended clinical... ...management. What you will do Close clinical gaps to improve CMS Star ratings and HEDIS measures. Conduct comprehensive...Remote workHourly payReliefWork from home$106.2k - $225k
The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role open to candidates throughout the United States. This position requires managing Medicare-Medicaid coverage determinations and supporting clinical programs aimed...Remote job- The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist for a remote position. This role focuses on reviewing Medicare-Medicaid coverage determinations and involves responsibilities like drug utilization reviews and supporting clinical programs. Candidates...Remote job
$106.2k - $225k
The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist to manage Medicare-Medicaid coverage determinations and support various clinical programs. This remote role is available to qualified candidates in the United States with hours from M-F, 6:30...Remote job- Blue Cross and Blue Shield of Nebraska is looking for a Clinical Pharmacist to create and maintain clinical criteria for Utilization Management... ...programs. This role involves clinical oversight, supporting Medicare Advantage processes, and ensuring URAC accreditation....Remote job
- ...Newark, New Jersey is seeking a Clinical Resource responsible for managing Star/HEDIS initiatives within the pharmacy... ...5-star quality ratings for Medicare programs, and ensure effective communication... ...relevant experience. A current pharmacist license in New Jersey is required...
$106.2k - $225k
The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist to handle Medicare-Medicaid coverage determinations and support clinical programs from a remote location. This role requires proficiency in Microsoft tools and clinical pharmacy experience. Candidates...Remote job$106.2k - $225k
Hispanic Alliance for Career Enhancement is looking for a Clinical Pharmacist - AMA Dual to manage clinical reviews and support programs for Medicare-Medicaid coverage. This remote position requires proficiency in Excel and requires an active Registered Pharmacist license...Remote jobMonday to Friday$106.2k - $225k
The Hispanic Alliance for Career Enhancement seeks a Clinical Pharmacist - AMA Dual to handle Medicare-Medicaid Coverage Determination and provide clinical expertise. This remote role requires a Pharm.D. and relevant pharmacy experience. Responsibilities include conducting...Remote jobWork at office$91.7k - $163.7k
...Clinical Pharmacist At UnitedHealthcare, we're simplifying the health care... ...telephonic outreach to UHC Medicare members to improve health quality... ...the flexibility to work remotely* as you take on some tough... ...which contribute to over 35% of Star Rating and Medication...Remote jobMinimum wageFull timeWork experience placementLocal area$133k - $165k
Virtual Clinical Pharmacist - 26-08 page is loaded## Virtual Clinical Pharmacist - 26-08locations: Remote, United Statestime type: Full timeposted on: Posted 5 Days Agojob requisition... ...that ensure high IHA and CMS Star quality measure compliance, especially on...Remote workWork at office$74k - $150k
...Licensure Location: Hawaiʻi (Remote/Hybrid - Must reside in the islands... ...Licensure: State of Hawaiʻi Pharmacist License (Required) About the... ..., you will drive better clinical outcomes for our neighbors and... ...Compassionate Care - Drive "5-Star" performance on pharmacy-...Remote workLocal area$113.33k - $170k
Job Overview The Clinical Pharmacist I is responsible for reviewing coverage determinations and appeals... ...Medication Review (COA‑MDR) to support Stars quality measure performance and... ...quality improvement projects aligned with Medicare Star Ratings, HEDIS measures, and internal...Remote jobMonday to FridayShift workWeekend work- ArchWell Health is looking for a Clinical Pharmacist in Phoenix, Arizona to enhance patient care in outpatient senior-focused clinics. The role involves developing and monitoring CMS STARS pharmacy measures and leading clinical education initiatives. Candidates must hold...
- Job Description: Licensure Requirements (Pharmacist - MI, IL, OH Role) Strongly Preferred:... ...or a minimum of 2 years’ experience as a clinical pharmacist in an ambulatory care setting... ...specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members...Remote workFull timeWork experience placementLocal area
$65.72 - $69.47 per hour
...NOW HIRING: WFH- Prior Authorization Pharmacist Adecco Healthcare is seeking experienced... ...you're a licensed pharmacist with strong clinical judgment and experience applying... ...$65.72 - $69.47 per hour Location : Remote Schedule Monday – Friday 10:00 AM...Remote workHourly payTemporary workLocal areaImmediate startWork from homeMonday to FridayFlexible hours$91.06 - $106.67 per hour
...Location: Encino, CA, USA Onsite or Remote Fully On-Site Work Schedule... ...or misuse of medications; provide clinical pharmacy services (e.g., pharmacokinetic... ...conversions, clinical protocols per pharmacy and pharmacist interventions). UCLA Health is...Remote workHourly payMonday to Friday$102.22k - $170.37k
...Clinical Pharmacist With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...Remote workWork from homeFlexible hours- ...Description The Pediatric Hematology/Oncology Clinical Pharmacist will provide pharmacotherapeutic support to... ...consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five‑star rating in 2020. Morristown Medical Center...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorLocal areaFlexible hoursShift work
- ...Pharmacist Position Immediate Need! We are seeking a qualified pharmacist to assist the... ...Experience in geriatrics, long-term care, or clinical pharmacy preferred. Knowledge of VA... .... Need is ASAP. This job can be done remotely. Please send resume for immediate consideration...Remote workHourly payTemporary workImmediate start
- ...Pool Clinical Pharmacist - Inpatient Job Summary: Under general supervision and according to established policies and procedures, responsible... ...Location: Tampa Work Locations: TGH Main Campus 1 Tampa General Circle Tampa 33601 Eligible for Remote Work: On Site...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Pharmacist for Medicare STARS - Remote. Be the first to apply!
Related searches
- remote design intern Norfolk, VA
- remote legal internship Norfolk, VA
- software engineer internship remote Norfolk, VA
- remote data entry agent Norfolk, VA
- remote coding manager Norfolk, VA
- remote hotel sales manager Norfolk, VA
- data science remote Norfolk, VA
- remote customer service agent Norfolk, VA
- remote healthcare recruiter Norfolk, VA
- remote customer service advisor Norfolk, VA

