Population Health Clinical Pharmacy Specialist

Domnovate; Dover (DE); On-site; USD 136,000 - 200,000; Full time

Job summary

Our Client in Dover, DE is seeking a Population Health Clinical Pharmacy Specialist to provide clinical pharmacy support for Medicare and Commercial providers, aiming to improve STAR/quality measures and reduce costs. The role is full-time, Monday–Friday, with no holidays or weekends.

The candidate will analyze data, coordinate MTM services, and collaborate with care teams to drive value-based care outcomes. A BPS specialty certification and hospital pharmacist experience are preferred.

Qualifications

• Bachelor degree in Pharmacy required.
• Doctorate in Pharmacy preferred.
• Board Certification by BPS in Pharmacotherapy, Ambulatory Care, Cardiology or Geriatrics; specialty certification required.

Responsibilities

• Analyze reports and EMR data to identify opportunities to improve outcomes and reduce costs.
• Assess plan members with predefined conditions; perform MTM and education; develop health improvement plans.
• Collaborate with providers to implement clinical quality data initiatives and maintain 5-STAR membership ratings.
• Lead committees, meetings, and audits; develop policies supporting Our Client initiatives.
• Inform providers and members of formulary changes through educational programs.
• Identify member needs to prevent hospital admissions; document interventions to assess success.
• Serve as subject matter expert in pharmacy-related clinical measures for value-based care.
• Perform other duties as assigned within scope of responsibilities.

Education

Bachelor Degree Pharmacy

Doctorate Degree Pharmacy

Board Certification with one year of clinical pharmacy experience

Job description

Annual Salary: $136-000-$200-000 per year*

Build your next chapter with Our Client as a Population Health Clinical Pharmacy Specialist in Dover, DE. Bring your experience to a permanent role supporting thoughtful care and dependable service.

Opportunity Overview

• Permanent employment with Our Client; 1 opening.
• Dover, DE 19901.
• Days, Full Time, Monday – Friday.

Role and Qualifications

Job Title Population Health Clinical Pharmacy Specialist

Location KENT

Shift Details Monday-Friday 8-430pm or 8:30-5pm No Holiday No Weekends

Pay Range (min-max) 136406.40 - 200000.00 YEARLY

Relocation Bonus – n/a

Must Have: (BPS) Certified in a specialty; Board of Pharmacy Specialties (BPS) Certified in Pharmacotherapy, Ambulatory Care, Cardiology, or Geriatrics.

General Summary:

The Population Health Pharmacist is a licensed pharmacist that will provide support for clinical pharmacy services to participating health plans. Responsibilities will be focused on improving the health of Delaware residents by improving quality of pharmacy-related care (STAR measures) and cost containment strategies through provider collaboration with providers engaged in value-based arrangements at Our Client. The Population Health Pharmacist is responsible for providing clinical pharmacy support to Medicare and Commercial providers.

Responsibilities:

1. Support Our Client providers by analyzing reports and EMR data extraction to identify opportunities that will improve outcomes based on medication usage (utilizing STAR and HEDIS) and reduce pharmacy costs to health plan members.

2. Assess health plan members with pre-determined medical conditions to identify barriers to care, perform self-management education, recommend screening, perform MTM services, and develop and implement personalized health improvement plans and goals as well as provide support for the members to achieve and maintain these goals. The Pharmacist will use evidence-based guidelines and health strategies in collaboration with the health care team to achieve overall health goals of members

3. Collaborate with Our Client providers to implement clinical quality data initiatives as determined by Our Client and participating health plans. Must maintain a 5-STAR rating of 90 % or greater for members on an annual basis

4. Participate in various committees, meetings, and audits as determined by Our Client and the health plan. Develop and maintain policies and procedures that supports Our Client initiatives and meets State and Federal legal requirements and standards.

5. Inform providers and health plan members of the health plans formulary changes on an annual basis through educational programs.

6. Assists in the identification of health plan members needs and intervene as appropriate to prevent avoidable hospital admissions or readmissions. Document these interventions to assess success of program.

7. Act as a subject matter expert in pharmacy-related clinical measure for value-based care agreements.

8. All other duties as assigned, within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

Education: Bachelor Degree Pharmacy

Credential(s): Licensed Pharmacist, Board of Pharmacy Specialties (BPS) Certified in a specialty, Board of Pharmacy Specialties (BPS) Certified in Pharmacotherapy, Ambulatory Care, Cardiology, Geriatrics, or related area.

Experience: Required: One year of hospital pharmacist experience as a clinical pharmacist or completion of ASHP accredited PGY-1 residency program.

Successful completion of Our Client credentialing process if applicable.

Preferred Education, Credential(s) and Experience:

Education: Doctorate Degree Pharmacy

Credential(s): Board Certification with one year of clinical pharmacy experience or PharmD with Board Certification in Pharmacotherapy or advanced degree (ex. MPH or MBA)

Experience: Preferred: Two years of hospital pharmacist experience as a clinical pharmacist or completion of ASHP accredited PGY-2 residency ambulatory program.

Relevant experience: at least 1 year.

*Pay: $136-000-$200-000 per year. Actual compensation will vary based on the assignment, schedule, experience, qualifications, and other job-related factors. For eligible travelers, total compensation may include both taxable W-2 wages and separate travel reimbursements under Domnovate Healthcare's travel reimbursement policy. Travel reimbursement eligibility and amounts are determined independently based on the employee’s circumstances, assignment location, and applicable reimbursement guidelines.