Clinical Pharmacist for Medicare STARS - Remote
$10k170 Sentara Health Administration, Inc.
Overview Sentara Health Plans is hiring a Clinical Pharmacist for Medicare STARS – a full‑time, permanent position (40 hours per week). Standard working hours are 8am to 5pm EST, Monday‑Friday. Remote opportunities are available in the following states: Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Massachusetts 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 Responsibilities Demonstrate comprehensive knowledge of current pharmacotherapeutic principles, medical terminology, pathologies, disease states, population management, age‑appropriate therapy, and related medical or pharmaceutical care management. Work with Sentara Health Plan members to close medication‑related gaps in care, process referrals from the care team, counsel members on their medication therapy, and provide member education. Education & Certifications Bachelor’s Level Degree in Pharmacy State (Virginia) pharmacist license (RPh) – new graduates and pharmacists not licensed in Virginia are considered if they can obtain a Virginia license within 90 days of the start date Advanced certification in HIV, oncology, infectious disease, or ambulatory care – preferred Experience with online pharmacy adjudication systems – required Experience Experience in Medicare STARS highly preferred Benefits Medical, Dental, and Vision plans Adoption, fertility, and surrogacy reimbursement up to $10,000 Paid time off, sick leave, and parental/family caregiver leave Emergency backup care Long‑term, short‑term disability, and critical illness plans Life insurance 401(k)/403(b) with employer match Tuition assistance – $5,250 per year and discounts through Guild Education Student debt pay‑down of up to $10,000 Reimbursement for certifications and access to CEUs and professional development Pet insurance Legal resources plan Sentara Health is an equal‑opportunity employer. #J-18808-Ljbffr
- ...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 workPermanent employmentFull timeTemporary workRelocationShift work
- ...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 workWeekly payContract work
- ...Sentara Healthcare Inc is seeking a Clinical Pharmacist for Medicare STARS with remote opportunities available across several states. This full-time position requires a Bachelor's degree in Pharmacy and a valid Pharmacist License. As a Clinical Pharmacist, you will work...Remote workFull timeRelocation
- ...Sentara Health Administration, Inc. is seeking a full-time Clinical Pharmacist to work with Medicare STARS, closing medication-related gaps in member care. The... ..., dental, vision plans, and reimbursement programs. Remote opportunities exist across multiple states, including...Remote workFull time
- ...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$102k - $184.3k
...Summary (Healthspring)The Clinical Pharmacist plays a vital role in advancing... ...therapy for Healthspring Medicare members. In this position, you... ...gaps in care, supporting STAR-related pharmacy initiatives... ...Certification required #LI-FW1 #LI-Remote This is a Remote/Work-...Remote workWork at officeWork from home- ...The Medicare Advantage Clinical Pharmacist is responsible for optimizing medication therapy and improving health... ...o Implement strategies to improve Star Ratings and HEDIS measures (e.g., medication... ...8:30am-4pm. Primarily remote; occasional on-site meetings at Assembly...Remote workFull timeMonday to Friday
- ...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...Work at 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... ...the pharmacy department in identifying Star/HEDIS measure needs and expectations,... ...driving results to obtain 5-Stars for Medicare Part D Star clinical programs including...Hourly pay- ...Sentara Health Plans is hiring a Clinical Pharmacist for Medicare STARS, a remote position based in Norfolk, VA. The ideal candidate will possess a Bachelor's degree in Pharmacy and a valid pharmacist license, with experience in Medicare STARS preferred. You'll work with...Remote workMonday to Friday
$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 work- ...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....Remote work
- ...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...
$55 - $63 per hour
...service augmented by an extended clinical pharmacy team. We help... ...dedicated Ambulatory Care Clinical Pharmacist fluent in Spanish (healthcare... ...clinical gaps to improve CMS Star ratings and HEDIS measures.... ...issues. Work location 100% remote/work from home. Additional Information...Remote workHourly payReliefWork from home$106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist for a remote position open to candidates in the United States. The role involves conducting clinical reviews, supporting clinical programs, and ensuring effective communication across departments...Remote work- ...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 work
$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 work$106.2k - $225k
...The Hispanic Alliance for Career Enhancement is looking for a Clinical Pharmacist - AMA Dual for a multi-dimensional remote role, focusing on clinical reviews and pharmacy-related queries. The position requires managed care pharmacist experience and a Doctor of Pharmacy...Remote workWork at office$106.2k - $225k
...Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role open to qualified candidates within the United States... ...such as conducting Clinical Reviews for Medicare-Medicaid Coverage Determination and supporting clinical...Remote workFull time$102k - $184.3k
...Health Care Service Corporation in Nashville is seeking a Clinical Optimization Pharmacist responsible for clinical pharmacy activities within the Medicare program. In this role, you will manage pharmacy programs and support provider groups with potential travel. The...Remote work$106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role. Responsibilities include conducting clinical reviews for Medicare-Medicaid Coverage, providing expertise on formulary decisions, and supporting clinical programs...Remote workFull time- ...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist to provide comprehensive clinical support within a dynamic team. Responsibilities include conducting Medicare-Medicaid reviews, supporting clinical programs, and ensuring high-quality drug therapy...Remote workFull time
$106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual. This full-time remote role involves clinical reviews and supporting health management programs, ensuring quality and efficiency in drug therapy. Candidates should have a Doctor of...Remote workFull time$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 workMonday to Friday$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- ...Title: Clinical Pharmacist Location: Newark, NJ (70% Remote and 30% Onsite if required) Duration: 5 Months Shift: 08:0... ...adherence, SUPD, MTM/CMR) to drive 5-star performance. You’ll work closely... ...experience (health plans, Medicare, retail, or clinical programs). Knowledge...Remote workShift work
$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- ...Clinical Pharmacist Our client, a Health Insurance organization, is looking... ...NJ office. While this is a remote position, you will be... ...: Supporting both the Stars Medication Adherence and Medication... ...2-5 years Health plan or Medicare clinical customer service or...Remote workWork at office
- ...PRN Clinical PharmacistCoordinate and help manage clinical programs... ...MTM), Annual Wellness Visits, Remote Patient Monitoring, Chronic... ...Pharmacy Practitioners (JCPP) Pharmacists' Patient Care Process to consistently... ..., such as Centers for Medicare & Medicaid Services (CMS) and...Remote workReliefWork at officeWeekend workAfternoon shift
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