Remote Clinical Pharmacist – HEDIS Medication Adherence

Guidehealth•Boston, MA

22h•$120,000 - $130,000•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 patient medication adherence, supporting compliance with HEDIS and Medicare quality measures, and advancing health outcomes. The position is fully remote. The pharmacist will analyze adherence data and identify gaps in care; work with patients to resolve adherence barriers and understand their medication regimens; and collaborate with providers, care managers, and other stakeholders on adherence strategies. The role also monitors HEDIS performance, reports on intervention effectiveness, supports clinical staff through training, and contributes medication adherence expertise to quality improvement, population health, and value-based care work.

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 with EHR systems and data analysis tools.
Excellent communication, problem-solving, and organizational skills.
Ability to work independently and in a team-oriented environment.
Ability to meet remote-work technical requirements: provide an internet connection with at least 100 Mbps download and 10 Mbps upload speeds.
Availability during the company’s stated working hours and participation in virtual meetings with cameras on.
Disclosure of any secondary employment.

Nice To Haves

Experience with motivational interviewing or other patient engagement techniques.
Experience in managed care, pharmacy benefits management (PBM), or healthcare quality improvement.
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.
Collaborate with healthcare providers, care managers, and other stakeholders to develop and implement strategies that promote adherence to prescribed therapies.
Conduct medication therapy management (MTM) sessions to address adherence barriers, educate patients, and ensure understanding of medication regimens.
Work directly with patients to identify and resolve adherence issues, including 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 intervention and program effectiveness.
Use electronic health records and pharmacy data to identify patients at risk of non-adherence and develop action plans.
Provide leadership with regular progress updates on 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.