Remote Bilingual Lead Clinical Pharmacist

The Lead Clinical Pharmacist position is a supervisory position responsible for training, scheduling, and delegating daily workflow responsibilities for the technician team in addition to performing duties of a Clinical Pharmacist. The Clinical Pharmacist is responsible for efforts to support quality measures for both our Essential Plan and Medicare populations. The Clinical Pharmacist conducts provider and member outreach to address gaps in care measures, support medication adherence initiatives, and assist with strategies to improve quality measures, all while maintaining compliance with all Federal and State agencies. This is a dynamic position requiring the Clinical Pharmacist to stay current with literature, evidence-based medicine, and trends in medicine.

Duties & Responsibilities:

• Supports initiatives to resolve gaps in care through direct provider and member outreach, collaboration with provider engagement, and leveraging our pharmacy network capabilities
• Ensures that all recommendations are consistent with the latest guidelines or otherwise supported by the clinical compendia
• Provides clinical pharmacy support to pharmacy technicians as they conduct outreaches to members regarding med adherence, resolve existing barriers to adherence, and use motivational interviewing to improve the health of our members
• Collaborates internally with Marketing, IT, and Enterprise Analytics to assist with the creation of strategic digital communication channels for member outreach
• Identifies and resolves same-day grievances reported by members in a timely manner consistent with our policies and procedures
• Oversees and maintains compliance with all State and Federal agencies
• Precepts Pharmacy Residents and Students
• Ensures all clinical criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New York State Department of Health (NYSDOH)
• Researches drug information to maintain drug knowledge and disease state understanding
• Reviews monthly reports and provide feedback on trends, ideas for efficiency, and innovation
• Additional duties as assigned or required

Minimum Qualifications:

• Pharmacy degree from an accredited school of pharmacy
• Registered Pharmacist, with a state license in good standing
• Work experience requiring written and verbal clinical communication that is clear, concise, grammatically correct, and professional
• Knowledge of specialty pharmaceuticals and billing practices in the medical and pharmacy benefits

Preferred Qualifications:

• Bilingual in English and one or more language(s): Spanish, Mandarin, Cantonese may be required based on business needs
• Ability to work well in a team environment and be a team player
• Demonstrated critical thinking and problem-solving skills
• Passion for learning, promoting the profession of pharmacy, and interest in growing skills in a dynamic environment with various opportunities
• Knowledge of regulations of the Centers for Medicare and Medicaid Services including but not limited to National and Local Coverage Determinations
• Ability to lead large and small working meetings
• PC Skills with Microsoft Outlook, Word, PowerPoint (creating presentations and slides), and Excel (Pivot tables)

Compliance and Regulatory Responsibilities: Noted above

License/Certification: Licensed Pharmacist in good standing

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.