Quality Interventions Pharmacist - Adherence & Quality

HealthCare Partners NY; Village of Garden City (NY); Híbrido; USD 120.000 - 125.000; Jornada completa

Descripción de la vacante

HealthCare Partners (Garden City, NY) is seeking a Quality Interventions Pharmacist to optimize medication use and improve quality performance across Medicare, Medicaid, and Commercial lines. You will drive measure improvement, perform outreach to providers and pharmacies, and educate teams on guidelines and coding.

The role emphasizes data‑driven strategies, field visits, and collaboration across Quality and IT to close gaps in care while supporting patient outcomes and adherence goals.

Formación

• Doctor of Pharmacy (PharmD) degree is required.
• Certification in CRC (Certified Risk Adjustment Coder) is required and must be maintained in active status.
• Completion of a pharmacy residency is preferred.
• Minimum of three years of experience in medication management.
• Experience with HEDIS, CMS Star Ratings, and/or QARR quality measures is a plus.

Responsabilidades

• Drive pharmacy quality measures including adherence, statin therapy, polypharmacy, and other HEDIS, CMS Star, and QARR measures.
• Analyze measure performance and gap lists; identify improvements and implement outreach strategies.
• Perform high‑volume telephonic outreach to providers, members, and pharmacies to close gaps in care.
• Educate providers and staff on guidelines, measure specs, documentation, coding, and lab ordering practices.
• Conduct root cause analyses for coding/data inaccuracies and create provider work plans.
• Carry out field visits to provider offices or pharmacies to build relationships and support gap closure.
• Collaborate with providers, pharmacies, and members to optimize therapy.
• Assist members with medication adherence through counseling and personalized plans.
• Coordinate with Quality, Provider Network, Clinical Services, Risk Adjustment, BI, and IT teams.

Conocimientos

Pharmacy expertise

Medication adherence

Quality improvement

Data analysis

Provider education

Communication skills

Telephonic outreach

EMR experience

Field visits

Educación

PharmD degree

CRC certification

Pharmacy residency

Herramientas

Microsoft Excel

EMR systems

Quality platforms

Descripción del empleo

HealthCare Partners (Garden City, NY) is seeking a Quality Interventions Pharmacist to optimize medication use and improve quality performance across Medicare, Medicaid, and Commercial lines. You will drive measure improvement, perform outreach to providers and pharmacies, and educate teams on guidelines and coding.

The role emphasizes data‑driven strategies, field visits, and collaboration across Quality and IT to close gaps in care while supporting patient outcomes and adherence goals.