Clinical Intervention Pharmacist-Medicare Part D STARS in Ohio
Posted 2025-03-14Clinical Intervention Pharmacist-Medicare Part D STARS - Medical Mutual of Ohio - Ohio - work from home job
Company: Medical Mutual of Ohio
Job description: Note, this is a fully remote opportunity; Ohio residents strongly preferred.
Develops strategies and engages members and/or providers to conduct clinically and financially meaningful interventions that impact member drug therapy. These interventions are aimed at improving pharmaceutical care for our members, reducing total cost of drug therapy, and improving pharmacy related quality measures such as Medicare STARS and HEDIS.
Responsibilities
? Conducts targeted member and/or provider clinical interventions to ensure appropriate and cost effective member drug therapy.
? Develops strategies to engage members and/or providers and help drive improvements in pharmaceutical care and pharmacy quality measures.
? Reviews drug/medical literature, clinical practice guidelines, quality measures, and available national guidelines to support drug therapy interventions.
? Develops written materials designed to enhance member adherence and other quality measures including appropriate use of medications and messaging campaigns. Provides internal professional staff and external provider education related to pharmacy drug therapy interventions.
? Performs other duties as assigned.
Qualifications
Qualifications
Education and Experience
? Doctor of Pharmacy (Pharm.D.). In lieu of Pharm. D., may consider Bachelor of Pharmacy with relevant experience.
? 3 years pharmacy practice experience in a managed care pharmacy setting.
? 2 years of medication therapy management, quality or similar managed care pharmacy experience.
? Medicare experience preferred.
Professional Certification
? Current unrestricted license from the Ohio State Board of Pharmacy.
Technical Skills and Knowledge
? Comprehensive understanding of managed care pharmacy, drug utilization management, population health, and quality programs.
? Knowledge of medical/pharmacy terminology/coding and specialty drug management desired.
? Intermediate Microsoft Office skills; basic proficiency with Visio and/or Access.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
? Top Workplace in Northeast Ohio. Year after year we've received this recognition!
? On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
? On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
? Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
? Business Casual attire
Excellent Benefits and Compensation:
? Competitive compensation plans
? Employee bonus program
? 401(k) with company match and an additional company contribution
? Excellent medical, dental, vision, and disability insurance
An Investment in You:
? Career development programs and classes
? Mentoring and coaching to help you advance
? Education reimbursement up to $5K per year
About Medical Mutual:
We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!
At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Expected salary:
Location: Ohio
Job date: Wed, 20 Sep 2023 22:24:51 GMT
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