Clinical Pharmacist (Remote)

Position Overview

We are seeking a highly motivated Clinical Pharmacist to support Medicare quality initiatives, with a focus on improving medication adherence and closing care gaps-particularly SUPD (Statin Use in Persons with Diabetes).

In this role, you will engage directly with Medicare members, providers, and pharmacies to deliver high-quality, patient-centered care and ensure optimal medication outcomes. You will also conduct Comprehensive Medication Reviews (CMRs) to enhance members' understanding of their treatment plans and improve overall health outcomes.

Key Responsibilities

• Conduct Comprehensive Medication Reviews (CMRs) with eligible Medicare members to improve medication understanding and adherence
• Perform proactive outreach to Medicare members to address and remove barriers to medication adherence
• Collaborate with pharmacies and providers to resolve adherence gaps when members are unengaged or need additional support
• Identify and close SUPD (Statin Use in Persons with Diabetes) gaps through provider engagement
• Communicate with providers by fax or CMR platforms to recommend interventions (e.g., drug interactions, dose adjustments, adherence concerns)
• Provide medication counseling and education to Medicare members
• Educate members on pharmacy benefits, including formularies, preferred pharmacies, and supplemental benefits
• Support Pharmacy Quality Specialists with clinical guidance and expertise.
• Maintain accurate documentation and ensure compliance with quality and regulatory standards

Qualifications

Required:

• Bachelor's degree in Pharmacy or advanced degree (PharmD preferred)
• Active North Carolina pharmacist license and residency
• Minimum 3+ years of experience in a related field
• Strong knowledge of medication therapy management and adherence strategies

Preferred:

• Experience with Medicare, Medicaid, or managed care environments
• Familiarity with MTM/CMR programs and Medicare STARs metrics
• Background in retail pharmacy, health plans, or DSNP/HMO populations

Core Competencies

• Strong patient communication and counseling skills
• Ability to manage high-volume outreach (phone-based engagement)
• Clinical knowledge of drug therapies, interactions, and disease states
• Detail-oriented with strong organizational and documentation skills
• Ability to work independently in a remote, fast-paced environment
• Background in retail pharmacy, health plans, or DSNP/HMO populations

Compensation

Salary Range: $110,000 - $125,000 with company subsidized medical, dental, and vision benefits