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
...predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized... ...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...Remote workHEDISBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...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...Remote workHEDISFull timeWork 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- ...transition to a remote role thereafter At... ...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,...Remote workHEDISFull timeWork at office
$151.98k - $227.98k
...supporting specialty medication and infusion-related programs... .... *Primarily remote position with occasional... ...Primary Responsibilities:Clinical Program & Medication... ...clear, and unrestricted pharmacist licensure in... ...remotely will be required to adhere to UnitedHealth Group'...Remote workMinimum wageFull timeWork experience placementLocal area$91.7k - $163.7k
...Clinical Consultant Account Pharmacist Optum is a global organization that delivers... ...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- DescriptionThis is a Board Certified Clinical Pharmacist role, focused on a { text-... ...will be to work both remote and on-site.Job Summary:In collaboration... ...C, HIV/PrEP, MS Medicare Medication Therapy Management (MTM)... ...performance on HEDIS and CMS 5-Star measuresEssential...Remote workHEDISWork at officeLocal areaFlexible hours
- ...WA seeks a Board Certified Clinical Pharmacist focused on rheumatology and... .... The role is flexible with remote and on-site work, collaborating... .... Responsibilities include medication management for targeted populations... ...initiatives to improve HEDIS and CMS 5-Star #J-18808-...Remote workHEDISFlexible hours
$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$91.7k - $163.7k
...service delivery for clinical pharmacy needs. Represents... ...Consultant Account Pharmacist serves as the primary... ...flexibility to work remotely * from anywhere... ...programs, improvement in medication adherence rates, improvements in... ...targets, and HEDIS & NCQA measuresProvide...Remote workHEDISMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area$126.3k - $173.7k
...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...Remote workHEDISFull timeTemporary workApprenticeshipWork from homeHome office- 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
$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$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- 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
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$77k - $112k
...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 workHEDISWork at officeLocal areaRelocation package- ...Clinical Operations Pharmacist The Clinical Operations Pharmacist provides analytic... ...-effectiveness of drug and medical therapy, as applicable, for... ...QI programs to meet plan, HEDIS, and NCQA guidelines; Coordinates... ...location (or from a remote location with management...Remote workHEDISWork at officeMonday to FridayNight shiftWeekend work
$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- Job Title: HEDIS Medical Record Collector Schedule: Mountain Time- M-F 8am-5pm (can be flexible(ish) earlier start, as long as it fits... ...good times to reach provider groups as needed Location: 100% Remote Duration: 3 Months Summary: Medical Records...Remote workHEDISFlexible hours
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$42 - $46 per hour
Cambia Health Solutions is seeking a HEDIS Medical Record Analyst for a temporary role that starts... ...six months. This position allows for remote work from WA, OR, ID, or UT, and... ...Nursing or a related field, with 3 years of clinical experience preferred. A strong understanding...Remote jobHEDISHourly payTemporary work- ...Clinical Medical Review NurseWe are seeking Licensed Practical Nurses (LPN) or Registered Nurses... ...hybrid contract position requiring both remote work and regular onsite presence at the... ...offices as neededPreferred qualifications:HEDIS experience (preferred but not required)Nursing...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- ...Molina 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
$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$128.69k - $183.84k
...Regional Manager, Ambulatory Pharmacist is a patient-centered clinical leader dedicated to optimizing medication therapy within primary care... ...polypharmacy, enhancing medication adherence, and managing chronic... ...such as CMS Star Ratings and HEDIS scores. The manager partners...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shift3 days per week$124.68k - $187.02k
...Job Description SummaryThe Clinical Pharmacist I supports clinical pharmacy programs by performing medication therapy review, drug utilization... ...-based care, medication adherence, high-risk medication review... ...utilization, support Stars/HEDIS quality measures, and drive...HEDISFull timeTemporary work$43k - $56.2k
...Join Our Caring Community The Medical Assistant is the first contact... ...Medical Assistant performs clinical responsibilities such as discussing... ...including knowledge of HEDIS, Certified Phlebotomy Technician... ...information. Travel: While this is a remote position, occasional travel to...Remote workHEDISFull timeTemporary workApprenticeshipWork at officeWork from homeHome office
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