Clinical Pharmacist - Pharmacy Quality

 

The Clinical Pharmacist – Pharmacy Quality will help support the Monogram Health Pharmacy Department’s Quality program through completion of standardized audits of completed clinical pharmacist work (CMRs, etc.).   He/she will also help create and deploy interventions to positively impact Medicare STARs / HEDIS Quality Metrics. This pharmacist will also contribute directly to Monogram’s medication therapy management (MTM) program through completion of comprehensive medication reviews (CMRs) and associated patient and provider outreach to implement recommendations that optimize patient care.   Finally, he/she will assist with maintenance and reporting of clinical and operational quality metrics and Medicare STARs / HEDIS Quality Metrics, and support follow up actions including individual and/or group education and performance / process improvement.   

 

Roles and Responsibilities 

 

• Pharmacy Quality Program - Time Allocation: 40% 
• Support the development and maintenance of departmental policies and standard operating procedures (SOPs)  
• Support the development and maintenance of clinical pharmacy practice priorities, standards, and resources that support pharmacist in daily clinical practice and are consistent with Medicare STAR s/ HEDIS Quality metrics and regulatory requirements as appropriate. 
• Perform audits of completed clinical pharmacist work (CMRs, etc.), evaluating for adherence to departmental policies, SOPs, and clinical quality standards 
• Conduct maintenance and reporting of individual and departmental quality metrics  
• Support during internal and external audits of Monograms Pharmacy Department processes.  
• Work collaboratively with Monogram Quality and Compliance team to ensure pharmacy program meets client deliverables and regulatory requirements as appropriate.  
• Direct Patient Care - Time Allocation: 40% 
• Perform and write concise patient-specific comprehensive medication reviews (CMRs) consistent with Monogram productivity and quality standards. 
• Perform targeted medication reviews (TMRs) focusing on patient disease processes and medication use patterns that contribute to CMS STARS and HEDIS Quality Measures  
• Drive meaningful medication interventions that result in medical providers’ and patients’ adherence to evidence‐based medication guidelines 
• Review patient care reports, clinical notes and other medical records as needed for drug therapy action plan development, targeted clinical outreach programs and quality 
• Monitor important medication use trends for patient populations under Monogram’s care. Stay current with evidence‐based prescribing for individuals with kidney disease and related polychronic conditions.  
• Miscellaneous - Time Allocation: 20%  
• Assist with the development and delivery of clinical and operational training materials and sessions for Monogram staff both within and external to the Pharmacy Department, aimed at building a standardized, evidence-based, and effective MTM program for Monogram clinical staff. 
• Support Monogram and pharmacy leaders as necessary with any tasks required to deliver excellent personalized medication management services to our patients and perform all other duties as assigned.  This may include timely responses to urgent needs.  Therefore, a sense of flexibility and team-first approach are essential.   
• Uphold the mission and values of Monogram Health in all respects 

 

Position Requirements 

 

• Bachelor’s degree in pharmacy or PharmD  
• Current pharmacist license 
• 3+ years previous experience (or equivalent) actively practicing as a pharmacist, preferably within a managed care, ambulatory care, or clinical practice environment 
• Desired qualifications include: 
• PGY1 residency in ambulatory care, managed care, or related clinical field 
• BPS board certification in pharmacotherapy, geriatrics, ambulatory care, or related clinical field 
• Board certification in MTM  
• MTM certificate training from APhA, Powerpak, or similar program 
• Outpatient Medicare & Medicaid health plan experience through work at a health plan or a pharmacy benefit manager (PBM) supporting a health plan.  This includes: 
• Internal and external audit experience 
• Experience with Performance Improvement Plans (PIPs) and/or Corrective Action Plans (CAPs) for people and processes  
• Working knowledge of Medicare Part D Pharmacy Program (benefits, formulary, MT)

 

Job Type: Full-time 

 

Benefits (full time employees only, waiting period applies): 

• Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care 
• Competitive salary, commensurate with experience 
• Comprehensive medical, dental, vision and life insurance 
• Flexible paid leave and vacation policy 
• 401(k) plan with matching contributions 

 

Work Location: Tempe & Brentwood office locations with potential hybrid and remote work arrangement dependent on location of desired candidate  

 

About Monogram Health:

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. Monogram Health is based in Nashville, Tennessee, operates throughout 37 states, and is privately held by Frist Cressey Ventures, Norwest Venture Partners, TPG Capital, as well as other leading strategic and financial investors. To learn more about Monogram Health, ranked by Inc. Magazine as 2024’s No. 3 fastest growing private company in the United States, please visit here.