Remote Pharmacist - 6-month Contract- Philadelphia, PA

Remote Pharmacist - 6-month Contract- Philadelphia, PA


Our client is seeking a pharmacist for a remote work from home position.
This is a 6 month contract.

Hours: Monday-Friday 8am-5pm

The Job:
The Clinical Pharmacist will work to support clinical initiatives and Medicare Part D regulatory requirements. You will solve unique medication-related issues for Clover members as a crucial part of our multidisciplinary clinical team. You will address a range of clinical needs from educating members on the importance of adherence to completing intensive medication management reviews and addressing barriers to drug therapy. This role also includes performing daily oversight activities of the Pharmacy Benefits Manager s (PBM) delegated functions.

Job Description:

• Provide clinical support to members and providers with the goal of improving medication management and health outcomes.
• Maintain accurate and comprehensive documentation of clinical interventions, patient interactions, and medication recommendations.
• Identify opportunities for cost effective or lower risk medication treatment plans.
• Support activities related to Pharmacy Benefits Manager oversight and CMS regulatory requirements in Part D benefit administration to ensure regulatory compliance.
• Support quality measures in current case management or other clinical programs
• Identify and support development of process enhancements, including activities that improve member experience and medication adherence.
• Contribute to projects aimed at improving Medicare Part C & D Stars Rating quality initiatives, HEDIS, CAHPS, and other quality metrics.
• Analyze Part D/pharmacy data and metrics to evaluate effectiveness and outcomes, reports to managers and other internal or external stakeholders.
• Properly administer Clover Health s Drug Formulary and support the Medication Therapy Management Program (MTMP).
• Participate in cross-functional team meetings and serve as pharmacy/Part D subject matter expert.
• Serve as resource to pharmacy program specialists and associate team members.
• Collaborate with team leadership on ensuring appropriate allocation of team resources across day-to-day activities, as well as key project work that drives clear business value.
• Continuously look for improvements and ways to add value within team.
• Perform other duties as required.

Desired Skills, Experience, and Education:

• Bachelor's degree from an accredited school of pharmacy or Doctor of Pharmacy (Pharm-D) from an accredited school of pharmacy required.
• Active unrestricted state license in good standing with state board of pharmacy.
• Knowledge and understanding of Medicare Part-D benefit regulations for formulary administration and Stars Ratings .
• 2+ years experience in managed care, retail, or mail-order pharmacy.
• Experience in geriatric and long-term care preferred.
• Superb clinical judgment.
• Accurate documentation.
• Expert in customer service and communication.
• Drives for results, resourceful, manages execution and detail oriented.
• Strong work ethic.
• Experience working remotely.
• Home Office Required
• Fast Internet Required
• PBM Experience Required

Pay rate $45-55 per hour depending on experience

[email protected]
813-749-5230