Clinical Pharmacist, MTM

Healthfirst

Clinical Pharmacist conducting provider and member outreach to support quality measures for Essential Plan and Medicare populations. Engaging in initiatives for medication adherence and compliance with regulations.

Posted 5/22/2026full-timeRemote • North Dakota, Virginia, West Virginia, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $88,400 - $131,920 per yearWebsite

About the role

Key responsibilities & impact

Support initiatives to resolve gaps in care through direct provider and member outreach
Ensure that all recommendations are consistent with the latest guidelines or otherwise supported by the clinical compendia
Provide clinical pharmacy support to pharmacy technicians as they conduct outreaches to members regarding med adherence
Collaborate internally with Marketing, IT, and Enterprise Analytics to assist with the creation of strategic digital communication channels for member outreach
Identify and resolve same-day grievances reported by members in a timely manner

Requirements

What you’ll need

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

Benefits

Comp & perks

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical pharmacy supportmed adherencespecialty pharmaceuticalsbilling practices

Soft Skills

written communicationverbal communicationcollaborationproblem-solving

Certifications

Pharmacy degreeRegistered Pharmacist