Population Health Pharmacist Ambulatory Care, BPS Certified

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

Job summary

The Population Health Pharmacist at Bayhealth provides clinical pharmacy support for Medicare and Commercial providers, aiming to improve health outcomes of Delaware residents through quality measures and cost containment across value-based arrangements.

Responsibilities include analyzing reports to identify opportunities for improved outcomes, performing MTM, and developing personalized health improvement plans in collaboration with the health care team to support overall patient health goals.

Qualifications

• 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.

Responsibilities

• Support Bayhealth 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.
• 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.
• Collaborate with Bayhealth providers to implement clinical quality data initiatives as determined by Bayhealth and participating health plans. Must maintain a 5-STAR rating of 90 % or greater for members on an annual basis
• Participate in various committees, meetings, and audits as determined by Bayhealth and the health plan. Develop and maintain policies and procedures that supports Bayhealth's initiatives and meets State and Federal legal requirements and standards.
• Inform providers and health plan members of the health plan's formulary changes on an annual basis through educational programs.
• 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.
• Act as a subject matter expert in pharmacy-related clinical measure for value-based care agreements.
• All other duties as assigned, within the scope and range of job responsibilities.

Education

Bachelor Degree Pharmacy

Doctorate Degree Pharmacy

Job description

The Population Health Pharmacist at Bayhealth provides clinical pharmacy support for Medicare and Commercial providers, aiming to improve health outcomes of Delaware residents through quality measures and cost containment across value-based arrangements.

Responsibilities include analyzing reports to identify opportunities for improved outcomes, performing MTM, and developing personalized health improvement plans in collaboration with the health care team to support overall patient health goals.