Clinical Pharmacist
Integrated Resources Inc
Job Description
Job Description
Job Title: Clinical Pharmacist
Job Location: Newark, NJ (Remote)
Job Duration: 6 Months (Possibility of Extension)
Shift: 8 to 5 standard working hours
Pay Rate: $45.00 - $48.00/hr. on W2
- The Clinical Pharmacist serves as an internal and external clinical resource responsible for supporting Star/HEDIS quality measures and pharmacy department initiatives.
- This role focuses on identifying Star/HEDIS measure needs, developing programs, and managing initiatives to achieve 5-Star ratings.
- The pharmacist will collaborate with health systems, vendors, retail pharmacies, and internal stakeholders to improve clinical outcomes, quality measures, and cost-effective care.
- The position requires extensive knowledge of Medicare Part D Star programs, HEDIS measures, and healthcare quality improvement initiatives.
- Active Pharmacist license in the State of New Jersey
- Strong knowledge of CMS Star and HEDIS quality measures
- Experience in Health Plan, Medicare, Clinical Customer Service, or Retail Pharmacy Management
- Project management experience
- Strong communication, organizational, and analytical skills
- Proficiency with Microsoft Office Suite, including Excel and PowerPoint.
- Manage outreach efforts and drive performance for Star/HEDIS clinical programs
- Coordinate activities between the pharmacy department, health systems, and healthcare providers
- Support Medicare Part D Star programs including Adherence (DM, RAS, Statins), SUPD, MTM, and CMR initiatives
- Monitor daily clinical activities and ensure achievement of Star/HEDIS measure goals
- Develop, implement, and evaluate clinical pharmacy solutions to improve quality outcomes and reduce costs
- Serve as the clinical liaison between the pharmacy department and health systems
- Conduct member, provider, and pharmacy outreach interventions as needed
- Track, analyze, and report program performance, patient interventions, and disease management outcomes
- Collaborate with data teams to develop metrics and monitor quality, cost, and healthcare trends within Medicare populations
- Maintain program documentation and ensure effective communication across departments.
- 2-5 years of Pharmacy experience
- Experience in Health Plans, Medicare, Retail Pharmacy Management, or Clinical Customer Service preferred
- Experience with CMS Star/HEDIS quality improvement initiatives preferred.
- Bachelor of Science in Pharmacy (BS Pharmacy) or Doctor of Pharmacy (PharmD)
- Current Pharmacist License in the State of New Jersey.
Vacancy posted 1 day ago
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