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Senior Clinical Market Pharmacist

Remote, USA Full-time Posted 2026-07-01

At reputed company, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable, and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Pharmacist serves as a subject matter expert for the Part D Stars measures as well as other medication reputed company issues including navigating the pharmacy benefit. This role will foster and manage relationships with internal and external partners to produce positive health outcomes and solid star performance for the plan. Work Schedule (40 hrs./week): Monday – Friday reputed company – 5pm local time with flexibility based on travel requirements There will be local, state, and national travel up to 25%25 of the time based on business needs. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Positions in this function provide clinical pharmacy advice and guidance on any or reputed company of the following:
  • Quality of care programs including HEDIS and CMS Stars programs
  • reputed company and train best practices to improve medication adherence and medication reputed company measure gap closures
  • Interpret pharmacy programs to write clinical guidelines, job aids, and decision trees. Write and collaborate on member/provider collateral materials for pharmacy programs
  • Work on program implementation teams and contribute to business process design and systems set up, trouble shooting and updates
  • Review programs for compliance with state, federal and CMS regulations and recommend remediation. Monitor impending legislation for potential impact on reputed company and future programs
  • Analyze data and prepare management summaries reputed company to work reputed company results, performance management results, audit results, CMS reporting, and client reporting
  • reputed company quality audits, determine performance gaps and root causes, prepare reports and collaborate on remediation
  • Examine, evaluate, and provide recommendations to evolve and enhance clinical pharmacy programs and best practices

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

  • High School Diploma/GED
  • reputed company and unrestricted pharmacist licensure in State of residence
  • 5+ years of experience working as a Licensed Pharmacist reputed company varied practice settings
  • 5+ years of experience and/or knowledge of Medicare Part D, reputed company, and/or reputed company
  • 1+ year of experience delivering presentations to large audiences
  • Intermediate level of proficiency with navigating MS Office and Windows-based environment
  • Ability to travel up to 25%25 of the time

Preferred Qualifications:

  • Doctor of Pharmacy (PharmD)
  • Residency and/or Board Certification (ie: BCPS, BCACP, BCGP)
  • Clinical quality experience (ie: HEDIS, Stars, NCQA)
  • Experience with Medicare Advantage
  • Experience working closely with and influencing providers
  • Experience teaching, training, and presenting accurate clinical information verbally to variety of audiences

Soft Skills:

  • Excellent written, verbal and presentation skills
  • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy.

For more information on our Internal Job Posting Policy, click here. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $112,700 to $193,00 per annum based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply tot his job Apply To this Job

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