The Population Health Pharmacist is responsible for leadership in the innovation, development, and implementation of primary care pharmacy management services across the MercyOne Iowa market. The Population Health Pharmacist acts as a liaison between patient, provider, and care management team members to promote appropriate and affordable medication use and oversees pharmacy quality measures related CMS Part D STARS and associated HEDIS measures. The population health pharmacist helps identify and address medication related healthcare quality issues and serves as a subject matter expert for the organization while supporting core clinical programs for the organization. This position will spend approximately 70% of the time on direct patient care (telephonically, virtually or in-person) and 30% on strategic work around optimizing pharmacy quality measures.
Researches and synthesizes detailed clinical data related to medications to assist providers and patients in achieving cost and quality goals.
Serves as a clinical resource for care management team, colleagues and practitioners for medication-related therapeutic interventions. Including disease specific management of the key drivers of total cost of care e.g. Diabetes, CHF, CKD, COPD etc. Including but not limited to the Genesis pateints
Evaluates pharmacy quality program data and works with stakeholders to identify, prioritize, and implement strategies to optimize medication use and manage pharmacy spending effectively.
Acts as a subject matter expert in pharmacy-related clinical measures for value-based care agreements during practice-level discussions.
Works to improve pharmacy quality by staying up to date on STAR and HEDIS measures and provides direct patient support to improve medication use quality
Creates and implements provider (and patient) education and resources to support appropriate medication use, improve clinical pharmacy measures and reduce pharmacy costs.
Builds impactful relationships with providers to close the feedback loop between pharmacy and provider.
Works collaboratively with PHSO care management executive team and leadership to achieve desired outcomes
Oversees medication affordability and access programs for the PHSO care management department
Address clinical questions and issues escalated from PHSO Medication Access Coordinator and/or PHSO pharmacy technicians.
Completes outreach to patients and recommends personalized strategies to improve medication adherence, affordability, and clinical appropriateness of care.
Creates and documents evidence-based recommendations to providers to optimize medication therapy and affordability/medication access.
Educates providers, nurses, and other care team members on cost effective and clinically appropriate medication use and influences payer specific formulary changes to impact prescribing trends
Engages with the MercyOne PHSO Chief Medical Office and Clinically Integrated Network Executive Directors for program design to optimize PHSO performance under value-based contracts
Collaborates with PHSO analytics to measure to evaluate the effectiveness of PHSO medication related programs
Maintains updated knowledge of legislative, regulatory, and reimbursement issues related to the practice of pharmacy in the state of Iowa
Represents MercyOne PHSO in payer, consortium and employer meetings as needed
Prepares presentations as assigned to leadership on specific pharmacy initiatives
Other duties as assigned
General Requirements:
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.