Clinical Pharmacist, Quality Programs Specialist
4 weeks ago
As a Clinical Pharmacist, Quality Programs, you will be responsible for evaluating, developing, implementing, and maintaining pharmacy quality programs. This includes supporting Medicare STARS, Medicaid, and Commercial programs by developing strategies and interventions and identifying opportunities for providers to influence outcomes.
Key Responsibilities
- Evaluate, develop, implement, and maintain pharmacy quality programs.
- Support Medicare STARS, Medicaid, and Commercial programs by developing strategies and interventions and identifying opportunities for providers to influence outcomes.
- Collaborate with internal and external stakeholders for strategy development and quality program management related to clinical quality programs.
- Build, maintain, and measure program outcomes related to HEDIS and QRS measures.
- Provide subject matter expertise for medication therapy management program, medication reconciliation, and medication reviews.
- Provide guidance to deploy action plans for pharmacies, pharmacists, physician organizations, specialists, and Federally Qualified Health Centers to boost quality scores.
- Create provider and member communications related to clinical quality initiatives.
- Support Account Management & Sales in product development and RFP responses.
- Evaluate/re-evaluate ongoing initiatives to assure they continue to provide value to the organization and its members.
- Develops and enhances utilization management strategies.
- Provide oversight of strategic partnership relationships and vendor management to assure contract obligations and performance metrics are on track.
- Provide clinical guidance for communications to the organization, members, providers, and vendors on formulary changes and initiatives.
- Participate in the HMSA Pharmacy and Therapeutics Committee.
- Perform all other miscellaneous responsibilities and duties as assigned or directed.
About HMSA
HMSA is a leading healthcare organization dedicated to providing high-quality services to its members. As a Clinical Pharmacist, Quality Programs, you will be part of a dynamic team that is committed to excellence and innovation in healthcare. If you are passionate about quality programs and have a strong background in pharmacy, we encourage you to apply for this exciting opportunity.
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