Back

Clinical Pharmacist for Medicare STARS - Remote

Worldwide Salaried Open

Sentara Health Plans is hiring for a Clinical Pharmacist for Medicare STARS - Remote! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Overview

  • Demonstrates comprehensive knowledge of current pharmacotherapeutic principles, medical terminology, pathologies, disease state and population management, age appropriate therapy, and other information as related to medical and/or pharmaceutical care management.
  • Work with Sentara Health Plan (SHP) members to close medication-related gaps in care
  • Work on the referrals from the team
  • Counseling members on their medication therapy

Education

  • BLD - Bachelor's Level Degree in Pharmacy REQUIRED

Certification/Licenses

  • Pharmacist License (RPh) - State license - Other/National REQUIRED
  • Will consider new graduated pharmacists and pharmacists not licensed in Virginia due to relocation.
  • Must have Virginia license within 90 days of Sentara start date.

Experience

  • Experience with online pharmacy adjudication systems REQUIRED
  • Advanced certification in HIV, oncology, infectious disease, or ambulatory care preferred
  • Experience in for Medicare STARS highly preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-98312 Talroo - Health Plan Keywords: Health Plan, Healthcare, Health Insurance, MCO, Managed Care, Medicaid, Medicare, DSNP, Commercial, Group insurance, Remote, Virginia, VA, Healthcare Effectiveness Data and Information Set, HEDIS, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Medicare, STARS Apply tot his job Apply To this Job

More jobs

Independent Medicare Agent/ Keep 100% of your commissions

Worldwide Salaried

Independent Medicare Agent - Kansas City

Worldwide Salaried

Associate Director, Medicaid State Health and Human Services

Worldwide Salaried

Claims Representative -Work From Home (Healthcare)

Worldwide Salaried

Property Adjuster I

Worldwide Salaried

Senior Liability Adjuster

Worldwide Salaried

Senior Medicaid Data SME – EDW (SQL / Analytics)

Worldwide Salaried

Project Manager/Medicaid Program Administrator

Worldwide Salaried

Crop Insurance Claims Adjuster, Minnesota

Worldwide Salaried

Licensed Behavioral Health Professionals Wanted (Flexible FT/PT | Medicaid & Medicare Focus)

Worldwide Salaried

Experienced Telecommute Customer Service Representative – Delivering Exceptional Client Experiences from the Comfort of Your Own Home at arenaflex

Worldwide Salaried

Staff Software Architect

Worldwide Salaried

Experienced Data Entry Specialist – Remote Opportunity at arenaflex

Worldwide Salaried

PR Strategist

Worldwide Salaried

Experienced Customer Service Parts Coordinator – Transportation & Logistics Career Development

Worldwide Salaried

Entry-Level Remote Data Entry Specialist – Home‑Based Position with arenaflex

Worldwide Salaried

Prior Authorization Coordinator

Worldwide Salaried

Summer Intern, Social Media, e.l.f. Beauty

Worldwide Salaried

1095040- ESPECIALISTA SÊNIOR EM PLANEJAMENTO CORPORATIVO (FP&A) – VALE METAIS BÁSICOS

Worldwide Salaried

Field Service Technician (w/m/d)

Worldwide Salaried