Clinical Pharmacist (Newark)

Job Title: Clinical PharmacistJob Location: Newark, NJ - HybridDuration: 05 MonthsPay range: $(30.00 - 46.00)/hr on W2 without benefitsJob SummaryThis position serves as internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing and managing initiatives to achieve 5 stars.The position has oversight responsibilities driven by metrics to manage vendors, retail pharmacy, prime, Magellan and health systems to deliver outcomes as outlined in different programs as well as reporting to internal stakeholders.Key Responsibilities:The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position.This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.Clinical pharmacist will be responsible for managing outreach efforts and pull-through for Star/HEDIS clinical programs.Coordinate between the pharmacy department, health systems, and Magellan.Clinical pharmacist will be responsible for driving results to obtain 5-Stars for Medicare Part D Star clinical programs including Adherence (DM, RAS, Statins), SUPD, and CMRs for MTM.Oversee the daily clinical activities related to Star/HEDIS measure goals for various health systems.Ensure clinical goals and objectives are met.Identify problems related to Star/HEDIS measures that require a clinical solution.Implement and monitor clinical pharmacy solutions in support of Horizon's Star/HEDIS goals to save money and improve care.Serve as clinical liaison between Horizon pharmacy department and health systems.Assist with managing overall relationship and driving adoption of recommended clinical solutions.Develop, review and monitor clinical programs, therapeutic initiatives, pathways of care and other drug use policies and practices in support of Star/HEDIS initiatives.Work closely with the pharmacy department managers, vendors, and health systems to ensure execution of programs.Maintain continuity among health systems by communicating and documenting program design and execution in accordance with pharmacy department expectations.Track, analyze and report on patient interventions, interactions and findings of disease management activities.With support of the Horizon data team, develop and track the appropriate metrics to monitor the quality, care, and cost impact of the Star/HEDIS program.Monitor overall healthcare trends within the Medicare populations.Conduct member, provider, and pharmacy outreach/interventions and Comprehensive Medication Reviews as needed to achieve Stars goals.Communicate across all departments.Understand the strategic impact of the programs.Maintain extensive knowledge of how the Star/HEDIS programs integrate with other clinical initiatives.Understand the financial impact of all clinical recommendations.Ensure programs address the impact on customers, operations, program integrity, pricing, quality and satisfaction.Qualifications:Education:BA/BS in Pharmacy or PharmDField(s) of study: PharmacyExperience:2–5 yearsHealth plan or Medicare clinical customer service or Retail management positionProject management experienceKnowledge of health plans or Medicare industryCMS Star/HEDIS measure quality improvement metricsLicensure / CertificationsA current Pharmacist license in the state of New JerseyKnowledgeCMS Star/HEDIS measuresSkills and AbilitiesAble to receive assignments in the form of high level objectives and independently establish detailed goals to meet objectivesStrong interpersonal skillsExcellent oral and written communication skillsAbility to function independently and as a team memberGood organization and time management, with the ability to manage multiple tasksProven ability to plan, organize, schedule, direct, control and monitor project activitiesAble to perform basic financial analysisAbility to interact at a high level with external contactsDevelop reporting and tracking documents with visualsTechnical / Computer SkillsMicrosoft Office SuiteAccessExcelProject ManagementPowerPoint