Trinity Health

Population Health Pharmacist

Trinity Health  •  United States (Onsite)  •  4 hours ago
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Job Description

Employment Type:

Full time

Shift:

Day Shift

The Population Health Pharmacistis responsible forleadership in the innovation, development, and implementation of primary care pharmacy management services across theMercyOneIowa market. The Population Health Pharmacist acts as a liaison between patient, provider, and care management team members to promoteappropriateand affordable medication use and oversees pharmacy quality measures related CMS Part D STARS and associated HEDIS measures. The population health pharmacist helpsidentifyand address medication related healthcare quality issues and serves as a subject matter expert for the organization while supporting core clinical programs for the organization. This position will spend approximately 70% of the time on direct patient care (telephonically, virtually or in-person) and 30% on strategic work aroundoptimizingpharmacy quality measures. 

  • Researchesandsynthesizesdetailed clinical data related tomedicationstoassistprovidersand patientsin achieving cost and quality goals.

  • Serves as a clinical resourceforcare management team,colleaguesand practitioners for medication-related therapeutic interventions.Including diseasespecificmanagementofthe key drivers of total cost of caree.g.Diabetes, CHF, CKD, COPD etc.Including but not limited to the Genesispateints

  • Evaluates pharmacy quality program data and works with stakeholders toidentify, prioritize, and implement strategies tooptimizemedication use and manage pharmacy spending effectively.

  • Acts as a subject matter expert in pharmacy-related clinical measures for value-based care agreements during practice-level discussions.

  • Works to improve pharmacy quality by staying up to date on STAR and HEDIS measures and provides direct patientsupport to improvemedication use quality

  • Creates and implements provider (and patient) education and resources to supportappropriate medicationuse, improve clinical pharmacy measures and reduce pharmacy costs.

  • Builds impactful relationships with providers to close the feedback loop between pharmacy and provider.

  • Works collaboratively with PHSO care management executiveteam andleadership to achieve desired outcomes

  • Oversees medication affordability and access programs for the PHSO care management department

  • Address clinical questions and issues escalated from PHSO Medication Access Coordinator and/or PHSO pharmacy technicians.

  • Completes outreach to patients and recommends personalized strategies to improve medication adherence, affordability, and clinical appropriateness of care.

  • Creates and documents evidence-based recommendations to providers tooptimizemedication therapy and affordability/medication access.

  • Educates providers, nurses, and other care team members on cost effective and clinicallyappropriate medicationuseand influences payer specific formulary changes toimpactprescribing trends

  • Engages with theMercyOnePHSO Chief Medical Office and Clinically Integrated Network Executive Directors for program design to optimize PHSO performance under value-based contracts

  • Collaborates with PHSO analytics to measure to evaluate the effectiveness of PHSO medication related programs

  • Maintains updated knowledge of legislative, regulatory, and reimbursement issues related to the practice of pharmacy in the state of Iowa

  • RepresentsMercyOnePHSO in payer, consortium and employer meetings as needed

  • Prepares presentations as assignedto leadership on specific pharmacy initiatives

  • Otherdutiesas assigned

General Requirements:

  • Pharmacy degree (BS or Pharm.D.) from an ACPE approved college of pharmacyrequired; Licensed or eligible within180 daysof hire for licensure pharmacist in Iowa; Board certification and/or residency training is preferred
  • Previousintegrated healthcare system, health plan, or PHSO is preferred
  • Minimum of 2 or more years of experience in medication therapy management, Medicare STARS or HEDIS quality measures, managed care pharmacy, or population health
  • Familiarity with CMS STARS and HEDIS measures
  • Ability to analyze and manage pharmacyutilizationdata from EMR, payerdataand other sources to define pharmacy management opportunities.
  • Understanding and experience with quality data, risk adjustment, value-based payment models
  • Provenabilityto innovate and learn new concepts quickly and then adapt from those concepts to develop and execute operational plans.
  • Demonstrated inter-personal skills of collaboration, compassion, empathy, and ability to achieveobjectiveswith others
  • Detail orientated and strong follow-up skills.
  • Strong presentation and communication skills
  • Demonstrated ability to work with an executive team and providers on strategic and tactical activities.
  • Proven ability to collaborate and work effectively across a large organization or multiple organizations handling a variety of issues, tasks and thrives in an environment with competing priorities
  • Background in strategy, program project management/process improvement, or business development

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health

About Trinity Health

Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 123,000 colleagues and nearly 27,000 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 135 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $21.5 billion with $1.4 billion returned to its communities in the form of charity care and other community benefit programs.

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Livonia, MI
Year Founded
Unknown
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