See all roles

Health Outcomes Pharmacist

Work from home Full-time role Hiring

About the position The Health Outcomes Pharmacist is a hybrid role responsible for driving value creation, cost control, and fiscal targets within the organization. This position involves engaging with primary care providers (PCPs) and facilities to enhance their participation in value-based reimbursement programs. The pharmacist will leverage their expertise in clinical pharmacy and medication management to develop strategies that improve quality, cost, and utilization metrics, ensuring that the organization meets its ROI targets. The role requires collaboration with various stakeholders and the ability to analyze data to identify opportunities for improvement in healthcare delivery. Responsibilities • Serve as the Clinical Pharmacy Subject Matter Expert (SME) and support the broader team in pharmacy-related report interpretation. , • Provide consultative workflow transformation and training services to PCPs and facilities enrolled in value-based reimbursement programs. , • Assess data for the highest ROI opportunities in PCP performance and implement strategic plans to meet identified program targets. , • Function as the organization's representative SME in value-based reimbursement programs, pharmacy, and data analysis. , • Analyze and interpret PCP and facility value-based reimbursement reports and develop strategic plans to meet program targets. , • Independently manage PCP and facility caseloads, projects, and deliverables for individualized strategic plans. , • Collaborate with interdepartmental teams to provide comprehensive support to PCPs and facilities for practice transformation. Requirements • Bachelor's Degree in Pharmacy , • 5 - 7 years in Pharmacy , • 3 - 5 years in a Clinical Practice Nice-to-haves • Master's Degree in Health Administration or Business , • Doctorate Degree in Pharmacy (PharmD) , • 5 - 7 years in Medicare , • 5 - 7 years in Managed Care Support , • 3 - 5 years in Quality Improvement , • 3 - 5 years in Care Management , • 3 - 5 years in Utilization Review , • 3 - 5 years in the Health Insurance Industry Benefits • Health insurance , • Dental insurance , • Vision insurance , • 401k plan , • Paid time off , • Flexible scheduling , • Professional development opportunities Apply Job!

You might like

Mortgage Loan Processor

Work from home Full-time role

Assistant entry level

Work from home Full-time role

Processor, Claims I

Work from home Full-time role

Strategic Advisor, Healthcare

Work from home Full-time role

Senior Government Auditor

Work from home Full-time role

Insurance Claims Coordinator

Work from home Full-time role

Mortgage Compliance Officer

Work from home Full-time role

Scheduling Assistant (Remote)

Work from home Full-time role

Medical Director-Indiana Medicaid

Work from home Full-time role

Business Domain Architect

Work from home Full-time role

Senior Software Engineer, Windows/Desktop Applications - Rochester, NY, USA

Work from home Full-time role

Experienced Full Stack Data Analyst – Quality Control Standards and Data Insights

Work from home Full-time role

Senior Compensation Analyst | EST or CST USA | Remote

Work from home Full-time role

Flexible Remote Customer Service Representative - Deliver Exceptional Experiences for arenaflex Clients

Work from home Full-time role

Steuerfachkraft (m/w/d) in Königsee mindestens 52.000€ - 100% Remote möglich

Work from home Full-time role

Experienced Entry-Level Data Entry Specialist – Remote Opportunity with arenaflex

Work from home Full-time role

Senior Director, Technical Projects (Remote)

Work from home Full-time role

HR Administrator

Work from home Full-time role

Nurse Navigator, Neurology

Work from home Full-time role

Experienced Full Stack Data Entry Specialist – Remote Database Management for arenaflex

Work from home Full-time role