Remote Clinical Pharmacist - HEDIS Medication Adherence
$120k - $130kGuidehealth
Remote Clinical Pharmacist – HEDIS Medication Adherence Full-time WHO IS GUIDEHEALTH? Guidehealthis 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, Guidehealthleverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealthempowers 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: HEDIS Quality Measures: 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. 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. 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. WHAT YOU'LL NEED TO HAVE Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy. Active pharmacist license, willing to obtain licenses in TX, TN, AL and PA (company paid) 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 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. The salary range for this role is between $120,000.00 to $130,000.00 per year. ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. We are Driven by A ccountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike. Always Growing, Always L earning — staying curious and continuously improving inspires us to shape a better future for healthcare. With Collaborative I nnovation, we solve problems creatively, making every experience better for our employees and the patients we serve. At Guidehealth, Every V oice Matters — we believe our collective strength is rooted in the unique perspectives of each team member. And through E mpathy 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 COMITTMENT 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 run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on. 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$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- ...GENERAL SUMMARY OF DUTIES: The Medication Access & Adherence Specialist plays a dual role... ...Experience working with HEDIS quality measures is preferred. Experience in a clinical setting preferred Demonstrated... ...home office space for remote work flexibility, as role is...Remote workHEDISWork at officeWork from homeHome office
$42.26 - $45.78 per hour
...We are looking for a Clinical Pharmacist to join our growing team. You will be offered a competitive... ..., and pharmacies to help close medication adherence gaps. This position serves as internal... ...department in identifying Star/HEDIS measure needs and expectations, and developing...Remote workHEDISHourly pay- ...MedWatchers, MTM Pharmacists are at the center... ...pharmacists to use their clinical expertise to make... ...teams provide Medication Therapy... ...improve medication adherence, conduct comprehensive... ...outcomes across HEDIS, Star Ratings,... ...independently in a remote environment while...Remote workHEDISFull time
$124.68k
...Description Summary The Clinical Pharmacist I supports clinical pharmacy programs by performing medication therapy review, drug... ...value-based care, medication adherence, high-risk medication review... ...utilization, support Stars/HEDIS quality measures, and drive...Remote workHEDISFull timeTemporary work$57 - $65 per hour
...possibilities with medication management to... ...healthcare technology and clinical services company... ...licensed Clinical Pharmacist, you will utilize... ...reviews and adherence counseling, collaborate... ...measures, Star Ratings, HEDIS metrics, and... ...experience working in a remote or virtual...Remote workHEDISHourly payPermanent employmentTemporary workSeasonal workLive inLocal areaMonday to FridayShift workRotating shift- ...Health Plan Overview The Chief Medical Officer (CMO) provides executive clinical leadership for Abilis Health's... ...and regulatory teams to ensure adherence to CMS regulations, audit readiness... ...measurement (including Stars and HEDIS), care management models, and pharmacy...Remote workHEDIS
$262.15k - $393.22k
...saving them. Together.The Hybrid Remote Regional Medical Director is a market-facing... ...leader responsible for improving clinical, quality, utilization, risk adjustment... ...focused on improving Stars, HEDIS, CAHPS, HOS, medication adherence, and care gap closure.• Promote...Remote workHEDISFull timeWork at officeLocal area$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- JOB SUMMARY:The Clinical Pharmacist - Medical Drug Policy & Oversight serves as a clinical subject matter... ...consistency, performance, and adherence to established criteria.Evaluate utilization... ...information systems.Ability to work remotely with travel to the office as needed....Remote workWork at office
- ...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 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- 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
- ...About the job Medical Records Specialist - Remote Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare... ...professionals. Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS...Remote workHEDIS
$41 - $48 per hour
...Cambia Health Solutions is seeking a temporary HEDIS Medical Record Analyst to retrieve and abstract data from EMR/EHR systems for HEDIS reporting. The position runs for about 4–5 months with a base pay of $41–$48 per hour, DOE. Responsibilities include collecting records...Remote workHEDISHourly payTemporary workWork from home$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$41 - $48 per hour
...Cambia Health Solutions is seeking a HEDIS Medical Record Analyst for a temporary 4-5 month assignment. Responsibilities include retrieving and abstracting medical records for HEDIS reporting, coordinating with EMR/EHR systems, and ensuring accurate data capture. Strong...Remote workHEDISHourly payTemporary work$37.25 - $54.12 per hour
...mindset, balancing strong clinical judgment with care... ...histories Reviewing medications and treatment plans... ...of preventive care and HEDIS quality gaps, including... ...screenings and medication adherence initiatives.... ...patients, families, and remote healthcare professionals...Remote workHEDISHourly payWork at officeLocal areaRelocation packageWeekend work- ...Cambia Health is seeking a HEDIS Medical Record Analyst for a temporary role starting January 4, for about 4-5 months. Ideal candidates reside in WA, ID, OR, or UT and can work remotely. The role involves retrieving, abstracting, and reviewing medical records for HEDIS...Remote workHEDISTemporary work
- ...Cambia Health Solutions is seeking a HEDIS Medical Record Analyst for a temporary assignment starting January 4, lasting approximately 4-5 months. The role focuses on retrieving, abstracting, and over-reading medical records to support HEDIS reporting. Responsibilities...Remote workHEDISTemporary work
- ...Contract Duration: 5 months Work Location: Primarily Remote (Hybrid focus for candidates residing in MD, DC, or... ...Work with a leading healthcare organization as a Clinical Medical Review Nurse supporting the annual HEDIS retrospective project. In this role, you will drive...Remote workHEDISContract workWork at officeLocal area
$20 - $40 per hour
...Medical Biller And CoderWoodlands Primary Healthcare is seeking an... ...distance of The Woodlands, TX. Fully remote candidates will not be... ...providersCommunicate effectively with the clinical team to clarify coding and... ...managementFamiliarity with HEDIS quality measures and...Remote workHEDISHourly payWork from homeMonday to FridayFlexible hours- ...Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6+ Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a payer, health...Remote workHEDISContract workWork at office
- ...To support the HEDIS Effectiveness Data and Information Set project, the contract Medical Records Clerk will obtain, review, and manage medical records while working remotely under the supervision of the HEDIS Coordinator. Key responsibilities Obtain and distribute medical...Remote workHEDISContract work
$62.89 - $92.44 per hour
...where collaboration, clinical excellence, and exceptional... ...of everything we do. Pharmacists and pharmacy... ...timely, and effective medication therapy across the hospital... ...medication education and adherence. Ensures patient is... ...expectations. If applying for a remote or hybrid role, this...Remote workHourly payFull timeLocal areaRelocation packageShift workWeekend workDay shiftAfternoon shift$62.89 - $92.44 per hour
...collaborative team of pharmacists and pharmacy technicians... ...timely, and effective medication therapy across our 286... ...direct involvement in clinical decision-making.... ...medication education and adherence. Ensures patient is well... .... If applying for a remote or hybrid role, this includes...Remote workHourly paySummer workLocal areaRelocation packageShift workWeekend work$21 - $23 per hour
...Remote Medical Assistant - Healthguide - Bilingual (Arabic) The Healthguide... ..., and the Guidehealth clinical team. This role blends patient... ...in patient condition, adherence risks, or emerging clinical... ...quality measures, including eCQM, HEDIS, and commercial payer...Remote jobHEDISBi-weekly payHourly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from home$60 - $66 per hour
...Job Description Remote, Clinical Pharmacist - Pennsylvania Looking for a pharmacy career with purpose... ...+ 2 floating holidays \n ~ Medical, Dental and Vision \n ~401(k) with... ...address escalated concerns, and promote adherence and compliance \n Support prior authorizations...Remote jobHourly payLocal areaImmediate startRotating shift$62.89 - $92.44 per hour
...Shift: Day shift based on clinic hours and patient care needs... ...patient-centered, evidence-based medication management. Practicing under... ...measurable impact on outcomes, adherence, and quality of life. If you'... .... If applying for a remote or hybrid role, this includes...Remote workHourly payLocal areaMonday to FridayShift workDay shift- ...Molina's Hedis/Quality Improvement Medical Records Collector Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system...Remote workHEDISWork at office
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