Find JobsSalary EstimateCareer AdviceUpload ResumeEmployers / Post JobProfileMessage Center

Clinical Pharmacist

Iconma

Newark, NJ

Apply
JOB DETAILS
LOCATION
Newark, NJ
POSTED
5 days ago
Our Client, a Health Insurance company, is looking for a Clinical Pharmacist for their Newark, NJ location.
 
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.
  • Major responsibility is to serve as clinical liaison between Horizon pharmacy department and health systems, assisting 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. Works 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 and 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.
  • The position requires communication across all departments; an understanding of the strategic impact of the programs; and extensive knowledge of how the Star/HEDIS programs integrate with other clinical initiatives.
  • Understand the financial impact of all clinical recommendations: Programs must address the impact on customers, operations, program integrity, pricing, quality and satisfaction.
 
Requirements:
  • BA/BS in Pharmacy or PharmD
  • Experience: 2-5years
  • Experience: Health plan or Medicare clinical customer service or Retail management position .
  • Project management experience and knowledge of health plans or Medicare industry.
  • CMS Star/HEDIS measure quality improvement metrics.
  • Industry: Healthcare; preferably with retail or health insurance provider.
  • Additional licensing, certifications, registrations: A current Pharmacist license in the state of New Jersey
  • Knowledge: CMS Star/HEDIS measures.
  • Able to receive assignments in the form of high level objectives and independently establish detailed goals to meet objectives.
  • Strong interpersonal skills.
  • Excellent oral and written communication skills.
  • Ability to function independently and as a team member.
  • Good organization and time management, with the ability to manage multiple tasks.
  • Proven ability to plan, organize, schedule, direct, control and monitor project activities.
  • Able to perform basic financial analysis.
  • Ability to interact at a high level with external contacts.
  • Develop reporting and tracking documents with visuals
  • Computer Skills: Microsoft Office Suite, access, excel, project management, power point
 
Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities
 
ICONMA is an Equal Opportunity Employer. All qualified applicants will receive considerationfor employment without regard to any status protected by applicable law.
.

About the Company

I

Iconma

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
401K, Employee Referral Program, Life Insurance
FOUNDED
2000
WEBSITE
https://www.iconma.com/