Clinical Pharmacist - Medicare Part D

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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position Summary

This position is responsible for member-facing, telephonic clinical outreach and market engagement to support Medicare Part D Stars initiatives. This position will coordinate, plan, and implement quality initiatives for the clinical pharmacy team supporting Medicare Stars.Responsibilities of this position include:

• Oversee and execute clinical pharmacy programs
• Coordinate strategies for increasing adherence
• Utilize motivational interviewing and health coaching to impact member behavior
• Ensure effective collaboration with internal and external matrix partners to support clinical programs
• Work collaboratively with leadership and management to strengthen business and operational processes
• Provide clinical pharmacy support to programs targeted toward the Medicare membership
• Other duties as required

• Current unrestricted pharmacist license in the state in which you reside
• Residing in a state that allows remote Pharmacist practice
• Demonstrated experience working at a health plan managing Medicare Stars to improve quality outcomes for members. This must include established experience in functions beyond prior authorization approval or drug utilization review. OR 3+ years in a Clinical Pharmacist Role which must include at least one of the following:
  • Rounding and making therapy recommendations as an active part of a multi-disciplinary care team
  • Independently managing patient therapy under a collaborative practice agreement
  • One year of a Pharmacy Practice Residency

• Established experience in functions beyond fundamental dispensing and order-processing activities such as optimization of medication regimen and monitoring or pharmacist-led care management
• Demonstrated experience with population health and/or disease state management
• Demonstrated ability to research and analyze medication literature including drug information, disease states, and clinical practice guidelines to identify gaps in care and create/communicate a recommendation plan to providers and patients

• Board Certified Ambulatory Care Pharmacist, or Board-Certified Geriatric Pharmacist, or Board-Certified Pharmacotherapy Specialist
• Pharmacy residency
• Certified in MTM

• Experience with Medicare STARS or managed care
• Knowledge of clinical program components, formulary designs, prescription benefit trends
• Previous leadership experience
• Bilingual in English and Spanish