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Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:
Location: Kent Campus Hospital
Status: Full Time 80 Hours
Shift: Days
SALARY RANGE: 136,406.40 - 211,411.20 YEARLY
General Summary:
The Population Health Pharmacist is a licensed pharmacist that will provide support for clinical pharmacy services to participating health plans. Responsibilities will be focused on improving the health of Delaware residents by improving quality of pharmacy-related care (STAR measures) and cost containment strategies through provider collaboration with providers engaged in value-based arrangements at Bayhealth. The Population Health Pharmacist is responsible for providing clinical pharmacy support to Medicare and Commercial providers.
Responsibilities:
Support Bayhealth providers by analyzing reports and EMR data extraction to identify opportunities that will improve outcomes based on medication usage (utilizing STAR and HEDIS) and reduce pharmacy costs to health plan members.
Assess health plan members with pre-determined medical conditions to identify barriers to care, perform self-management education, recommend screening, perform MTM services, and develop and implement personalized health improvement plans and goals as well as provide support for the members to achieve and maintain these goals. The Pharmacist will use evidence-based guidelines and health strategies in collaboration with the health care team to achieve overall health goals of members
Collaborate with Bayhealth providers to implement clinical quality data initiatives as determined by Bayhealth and participating health plans. Must maintain a 5-STAR rating of 90 % or greater for members on an annual basis
Participate in various committees, meetings, and audits as determined by Bayhealth and the health plan. Develop and maintain policies and procedures that supports Bayhealth's initiatives and meets State and Federal legal requirements and standards.
Inform providers and health plan members of the health plan's formulary changes on an annual basis through educational programs.
Assists in the identification of health plan members needs and intervene as appropriate to prevent avoidable hospital admissions or readmissions. Document these interventions to assess success of program.
Act as a subject matter expert in pharmacy-related clinical measure for value-based care agreements.
All other duties as assigned, within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience:
Successful completion of Bayhealth credentialing process if applicable.
Preferred Education, Credential(s) and Experience:
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