Clinical Pharmacist - Medicare Advantage

Key Responsibilities

• Clinical Care & CDTM:
  Provide comprehensive medication management for patients under CDTM protocols in collaboration with prescribers. Initiate, modify, or discontinue medications as authorized by CDTM agreements. Monitor therapeutic outcomes, lab values, and adverse effects to ensure safe and effective therapy.
• Medicare Advantage Program Support:
  Conduct medication reviews for high-risk patients, including those with polypharmacy or chronic conditions. Implement strategies to improve Star Ratings and HEDIS measures (e.g., medication adherence, statin use in diabetes, MTM completion). May need to support transitions of care to reduce hospital readmissions and improve continuity of care.
• Patient Engagement &
  
  Education:
  
  Provide counseling on medication use, adherence, and lifestyle modifications. Address barriers to medication access, including cost and formulary restrictions.
• Interdisciplinary
  
  Collaboration:
  
  Work closely with physicians, nurses, case managers, and social workers to coordinate care plans, if needed. Document interventions and outcomes in the electronic health record (EHR).
• Quality Improvement & Reporting:
  Track and report clinical outcomes, cost savings, and performance metrics related to Medicare Advantage initiatives. Participate in quality improvement projects and population health strategies.

Qualification Requirements:

• Education:
  
  Doctor of Pharmacy (Pharm
  
  D) required.
• Licensure:
  Active pharmacist license in MA & NH; CDTM certification or eligibility required.
• Experience:
  
  2+ years of clinical pharmacy experience, preferably in ambulatory care or managed care. Familiarity with Medicare Advantage programs, Star Ratings, and MTM services.
• Skills:
  
  Strong clinical knowledge in chronic disease management (e.g., diabetes, hypertension, hyperlipidemia). Excellent communication and patient engagement skills. Proficiency with EHR systems and data analytics tools.

• Full time (40 hours) Monday through Friday, approximately 8:30am-4pm.
• Primarily remote; occasional on-site meetings at Assembly Row in Somerville, MA.
• May include telehealth visits and outreach for medication management.

Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.