Value Based Care Clinical Pharmacist - Care Management

Mass General Brigham•Somerville, MA

7d•Hybrid

About The Position

The Clinical Pharmacist optimizes health outcomes by providing the highest level of patient care for a high-risk patient population within our health system. In this role, the Clinical Pharmacist applies subject matter expertise to manage the pharmacy component of high-risk patient care management. As a member of Care Management teams, this role focuses on comprehensive medication management reviews, therapeutic alternatives, medication adherence quality performance, and post-discharge medication reconciliation. The individual will provide primary care-focused pharmacotherapy services to evaluate and manage patients with complex chronic primary care conditions (e.g., CKD/ESRD, Type 2 diabetes, hyperlipidemia, hypertension, COPD/Asthma) through direct patient care, as appropriate. Additionally, the Clinical Pharmacist may align clinical pharmacy workflows to support and manage quality in our ACO contracts, ensuring the health system achieves key performance benchmarks and success across various performance-based initiatives.

Requirements

Graduate of an accredited college or university with a Doctor of Pharmacy (PharmD) degree.
Currently licensed or willing to get licensed to practice pharmacy in the Commonwealth of Massachusetts, NH, ME and RI.
Minimum of three (3) years of related clinical practice experience.
Excellent verbal and written communication skills; outstanding interpersonal skills with a proven ability to work collaboratively in a multidisciplinary team.
Deep understanding of healthcare delivery systems, community resources, and managing clinical quality and adherence metrics within ACO contract frameworks.
Must be self-directed, proactive, organized, and possess strong time management skills; ability to work efficiently in a high-intensity, fast-paced environment both independently and as a team player.
Proficient in Microsoft Office (Word, Excel, PowerPoint) and experienced with electronic health records (Epic preference).

Nice To Haves

Board certification (BCPS, BCACP, or BCGP) is highly recommended.
Preferred experience functioning as a clinical pharmacist within an ambulatory care, health system population health department, or managed care setting.
Experience executing performance-based initiatives and tracking clinical outcomes to satisfy payer or ACO contract quality measures is preferred.

Responsibilities

Collaborate with the Care Management programs team and health system network providers to deliver coordinated pharmacist support to a high-risk patient population, which will require direct patient involvement via phone calls, telehealth, or office visits.
Provide counseling to patients, utilizing motivational interviewing to promote behavior change and improve health literacy.
Assess compliance barriers and develop tailored, patient-centered plans to improve medication adherence in alignment with health system contract quality.
Address affordability concerns, which may include identifying cost-effective drug therapy regimens, simplifying complex medication regimens, and leveraging prescription assistance programs.
Perform Comprehensive Medication Management reviews for enrolled Care Management programs patients.
Perform transitions of care medication reconciliation during transitions of care.
Assist the Care Management programs team in identifying high-risk medication issues that impact hospital readmissions and may develop proactive pharmacy strategies to improve post-discharge outcomes and support health system utilization goals.
May actively manage and support clinical quality metrics within our various ACO contracts, helping to ensure health system patient outcomes align with shared savings benchmarks, adherence measures, and risk-based contract goals.
May drive and manage performance-based initiatives designed to hit key performance indicators and quality benchmarks tied directly to organizational Care Management programs.
Monitors, analyzes, and addresses ACO quality performance trends by identifying care gaps, implementing targeted medication management interventions, and collaborating with interdisciplinary teams to improve clinical outcomes and quality measure performance.
Document all patient encounters, update medication lists, and communicate seamlessly with providers and Care Management programs team members via Epic and other electronic patient records.
May take an active role in the development, implementation, and tracking of pharmacy-led quality improvement projects to maximize performance across value-based agreements.
Participate in local health system site activities, which may include team meetings and clinical curbsides with physicians and care teams.
Will collaborate with colleagues on other job-related duties and projects as directed.