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Clinical Pharmacist

Integrated Resources, Inc

Newark, NJ

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JOB DETAILS
SALARY
$45–$48 Per Hour
SKILLS
Analysis Skills, Clinical Monitoring, Clinical Outcomes, Communication Skills, Content Management Systems (CMS), Cost Control, Customer Support/Service, D Programming Language, Disease Intervention, Disease Prevention and Control, Documentation, Health Plan, Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Providers, Healthcare Quality, Medicare, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Organizational Skills, Performance Analysis, Pharmacy, Project/Program Management, Quality Assurance, Quality Management, Quality Metrics, Quality Monitoring, Retail, Retail Management
LOCATION
Newark, NJ
POSTED
15 days ago
Job Title: Clinical Pharmacist
Job Location: Newark, NJ (Remote)
Job Duration: 6 Months (Possibility of Extension)
Shift:8 to 5 standard working hours
Pay Rate: $45.00 - $48.00/hr. on W2
 
Description:
  • The Clinical Pharmacist serves as an internal and external clinical resource responsible for supporting Star/HEDIS quality measures and pharmacy department initiatives.
  • This role focuses on identifying Star/HEDIS measure needs, developing programs, and managing initiatives to achieve 5-Star ratings.
  • The pharmacist will collaborate with health systems, vendors, retail pharmacies, and internal stakeholders to improve clinical outcomes, quality measures, and cost-effective care.
  • The position requires extensive knowledge of Medicare Part D Star programs, HEDIS measures, and healthcare quality improvement initiatives.
Must Have Skills:
  • Active Pharmacist license in the State of New Jersey
  • Strong knowledge of CMS Star and HEDIS quality measures
  • Experience in Health Plan, Medicare, Clinical Customer Service, or Retail Pharmacy Management
  • Project management experience
  • Strong communication, organizational, and analytical skills
  • Proficiency with Microsoft Office Suite, including Excel and PowerPoint.
Responsibilities:
  • Manage outreach efforts and drive performance for Star/HEDIS clinical programs
  • Coordinate activities between the pharmacy department, health systems, and healthcare providers
  • Support Medicare Part D Star programs including Adherence (DM, RAS, Statins), SUPD, MTM, and CMR initiatives
  • Monitor daily clinical activities and ensure achievement of Star/HEDIS measure goals
  • Develop, implement, and evaluate clinical pharmacy solutions to improve quality outcomes and reduce costs
  • Serve as the clinical liaison between the pharmacy department and health systems
  • Conduct member, provider, and pharmacy outreach interventions as needed
  • Track, analyze, and report program performance, patient interventions, and disease management outcomes
  • Collaborate with data teams to develop metrics and monitor quality, cost, and healthcare trends within Medicare populations
  • Maintain program documentation and ensure effective communication across departments.
Required Years of Experience:
  • 2-5 years of Pharmacy experience
  • Experience in Health Plans, Medicare, Retail Pharmacy Management, or Clinical Customer Service preferred
  • Experience with CMS Star/HEDIS quality improvement initiatives preferred.
Education & Licensure:
  • Bachelor of Science in Pharmacy (BS Pharmacy) or Doctor of Pharmacy (PharmD)
  • Current Pharmacist License in the State of New Jersey.
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About the Company

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Integrated Resources, Inc

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