Remote Clinical Pharmacist – HEDIS Medication Adherence

Guidehealth•Boston, TX

16h•Remote

About The Position

Guidehealth is seeking a detail-oriented Clinical Pharmacist with a PharmD and experience in HEDIS medication adherence initiatives. The role focuses on improving medication adherence and pharmacy quality measures, supporting compliance with HEDIS and Medicare quality measures, and improving health outcomes. The pharmacist analyzes adherence data, identifies care gaps and at-risk patients, and develops targeted interventions in collaboration with providers, care managers, and other stakeholders. The position includes conducting medication therapy management sessions, educating patients, and addressing adherence barriers such as medication cost, side effects, and complex dosing schedules. The pharmacist monitors performance metrics, reports on intervention effectiveness and progress toward HEDIS goals, and recommends improvements. As an internal subject matter expert, the pharmacist also trains and supports clinical colleagues and participates in quality improvement, population health, and value-based care initiatives. This is a fully remote role. Guidehealth provides required work equipment; employees provide an internet connection meeting the stated minimum speed requirements. The role also requires following security policies to protect patient and company data and disclosing any secondary employment.

Requirements

Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy.
Active pharmacist license and willingness to obtain licenses in TX, TN, AL, and PA; the company pays for these licenses.
At least 2 years of experience in HEDIS-related medication adherence work, quality improvement, or population health.
Strong knowledge of HEDIS measures, particularly medication adherence measures.
Proficiency using EHR systems and data analysis tools.
Excellent communication, problem-solving, and organizational skills.
Ability to work independently and in a team-oriented environment.

Nice To Haves

Experience with motivational interviewing or other patient engagement techniques.
Experience in a managed care setting, pharmacy benefits management (PBM), or healthcare quality improvement role.
Certification in Medication Therapy Management (MTM), Certified Geriatric Pharmacist (CGP), or another relevant credential.
Understanding of value-based care models and their impact on medication adherence.

Responsibilities

Lead efforts to improve HEDIS medication adherence and other pharmacy quality measures, including adherence to antihypertensive, cholesterol-lowering, and diabetes medications.
Analyze medication adherence data, identify gaps in care, and implement targeted interventions to improve adherence rates.
Collaborate with healthcare providers, care managers, and other stakeholders to develop and implement adherence strategies.
Conduct medication therapy management sessions to address adherence barriers, educate patients, and support understanding of medication regimens.
Work directly with patients to identify and resolve adherence issues related to cost, side effects, and complex dosing schedules.
Use motivational interviewing techniques to encourage adherence to prescribed medication regimens.
Monitor and track HEDIS performance metrics and generate reports assessing the effectiveness of interventions and programs.
Use electronic health records and pharmacy data to identify patients at risk of non-adherence and develop action plans.
Provide leadership with updates on progress toward HEDIS goals and recommendations for improvement.
Serve as the organization's medication adherence subject matter expert.
Train and support pharmacists, care managers, and clinical staff on medication adherence best practices.
Participate in cross-functional quality improvement, population health management, and value-based care initiatives.
Follow security policies and procedures to protect PHI, PII, and Guidehealth intellectual property.