Value Based Care Clinical Pharmacist - Care Management

Site: Mass General Brigham Community Physicians, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.Job SummaryThe Clinical Pharmacist optimizes health outcomes by providing the highest level of patient care for a high-risk patient population within our health system. In this role, the Clinical Pharmacist applies subject matter expertise to manage the pharmacy component of high-risk patient care management. As a member of Care Management teams, this role focuses on comprehensive medication management reviews, therapeutic alternatives, medication adherence quality performance, and post-discharge medication reconciliation.The individual will provide primary care-focused pharmacotherapy services to evaluate and manage patients with complex chronic primary care conditions (e.g., CKD/ESRD, Type 2 diabetes, hyperlipidemia, hypertension, COPD/Asthma) through direct patient care, as appropriate. Additionally, the Clinical Pharmacist may align clinical pharmacy workflows to support and manage quality in our ACO contracts, ensuring the health system achieves key performance benchmarks and success across various performance-based initiatives.Principal Duties and Responsibilities1. Care Management Collaboration & Patient Engagement• Collaborate with the Care Management programs team and health system network providers to deliver coordinated pharmacist support to a high-risk patient population, which will require direct patient involvement via phone calls, telehealth, or office visits.• Provide counseling to patients, utilizing motivational interviewing to promote behavior change and improve health literacy.• Assess compliance barriers and develop tailored, patient-centered plans to improve medication adherence in alignment with health system contract quality • Address affordability concerns, which may include identifying cost-effective drug therapy regimens, simplifying complex medication regimens, and leveraging prescription assistance programs.• Perform Comprehensive Medication Management reviews for enrolled Care Management programs patients• Perform transitions of care medication reconciliation during transitions of care.• Assist the Care Management programs team in identifying high-risk medication issues that impact hospital readmissions and may develop proactive pharmacy strategies to improve post-discharge outcomes and support health system utilization goals.2. ACO Contract Quality & Performance Initiatives• May actively manage and support clinical quality metrics within our various ACO contracts, helping to ensure health system patient outcomes align with shared savings benchmarks, adherence measures, and risk-based contract goals.• May drive and manage performance-based initiatives designed to hit key performance indicators and quality benchmarks tied directly to organizational Care Management programs.• Monitors, analyzes, and addresses ACO quality performance trends by identifying care gaps, implementing targeted medication management interventions, and collaborating with interdisciplinary teams to improve clinical outcomes and quality measure performance• Document all patient encounters, update medication lists, and communicate seamlessly with providers and Care Management programs team members via Epic and other electronic patient records.• May take an active role in the development, implementation, and tracking of pharmacy-led quality improvement projects to maximize performance across value-based agreements.• Participate in local health system site activities, which may include team meetings and clinical curbsides with physicians and care teams.• Will collaborate with colleagues on other job-related duties and projects as directed.QualificationsQualificationsLicensure & Education:Degree: Graduate of an accredited college or university with a Doctor of Pharmacy (PharmD) degree.Licensure: Currently licensed or willing to get licensed to practice pharmacy in the Commonwealth of Massachusetts, NH, ME and RICertifications: Board certification (BCPS, BCACP, or BCGP) is highly recommended.Experience:Minimum of three (3) years of related clinical practice experience.Preferred experience functioning as a clinical pharmacist within an ambulatory care, health system population health department, or managed care setting.Experience executing performance-based initiatives and tracking clinical outcomes to satisfy payer or ACO contract quality measures is preferred.Additional Knowledge, Skills & Abilities:Communication & Collaboration: Excellent verbal and written communication skills; outstanding interpersonal skills with a proven ability to work collaboratively in a multidisciplinary team.Healthcare Knowledge: Deep understanding of healthcare delivery systems, community resources, and managing clinical quality and adherence metrics within ACO contract frameworks.Core Competencies: Must be self-directed, proactive, organized, and possess strong time management skills; ability to work efficiently in a high-intensity, fast-paced environment both independently and as a team player.Technical Skills: Proficient in Microsoft Office (Word, Excel, PowerPoint) and experienced with electronic health records (Epic preference).Flexibility: Ability to be flexible with working hours and adapt to a dynamic, hybrid workflowAdditional Job Details (if applicable)Schedule and Work Model:Full-time, Monday through Friday, standard business hours.Hybrid Work Model: Primarily remote / work from home but must be flexible to attend meetings at Assembly Row in Somerville, MA as needed.On remote workdays, employees must use a stable, secure, and compliant workstation in a quiet environment. Teams Video is required and must be accessed using MGB-provided equipment.Remote TypeHybridWork Location399 Revolution DriveScheduled Weekly Hours40Employee TypeRegularWork ShiftDay (United States of America)Pay Range$127,920 - $159,120.00/AnnualGrade7At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.EEO Statement:6010 Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at View phone number on click.appcast.io.Mass General Brigham Competency FrameworkAt Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.SummaryLocation: Somerville-MAType: Full time