Clinical Pharmacist - Medicare

CVS Health

1d•Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Clinical Pharmacist performs retrospective drug utilization reviews. They distribute clinical drug information and educate providers and staff regarding appropriate use of pharmaceutical treatment regimens. This individual will be responsible for: Performing pharmacy review and making evidence-based recommendations regarding Medicare members. Identifying opportunities within the health plan for integration of quality measures in current case management or other clinical programs. Communicating to providers and members on quality indicators for Medicare programs. Providing clinical pharmacy support to programs targeted toward the Medicare membership. Actively participating and collaborating as part of the multidisciplinary team to improve member’s medication regimen and overall health. Performing other duties as required.

Requirements

Current unrestricted state pharmacist license
Live in and be licensed in a state that allows clinical services to be performed in a work from home position
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 OR At least 3 months in a recent Medicare Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures
Clinical Pharmacist Role: Established experience in functions beyond fundamental dispensing and order-processing activities such as optimization of medication selection, dosing, and monitoring
Experience with population health and/or disease state management
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.

Nice To Haves

Board Certified Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board Certified Pharmacotherapy Specialist
Certified in MTM
Bilingual
Experience with Medicare STARS and Part D formulary benefit

Responsibilities

Performing pharmacy review and making evidence-based recommendations regarding Medicare members.
Identifying opportunities within the health plan for integration of quality measures in current case management or other clinical programs.
Communicating to providers and members on quality indicators for Medicare programs.
Providing clinical pharmacy support to programs targeted toward the Medicare membership.
Actively participating and collaborating as part of the multidisciplinary team to improve member’s medication regimen and overall health.
Performing other duties as required.