Job Description
Clinical Pharmacist, Quality Improvement
Location: Birmingham, AL
Work Schedule: Hybrid schedule with regular work onsite at the VIVA HEALTH corporate office and some work-from-home opportunities.
Why VIVA HEALTH?
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan, receiving a 5 out of 5 Star rating - the highest rating a Medicare Advantage Plan can achieve and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Benefits
See more about the benefits of working at Viva Health -
Job Description
The Clinical Pharmacist, Quality Improvement (QI) will work directly with department leadership to participate on a team of health care professionals that conduct outreach and intervention with members to improve the members health care quality with focus on appropriate prescribing and medication adherence. This pharmacist will be responsible for addressing quality gaps identified in the STARS quality bonus measures and other quality measures.
This individual may also assist with Coverage Determinations and provide leadership at the health plan in regard to clinical pharmacy decisions and programs. This role may serve as a clinical reviewer for the Plan’s Commercial (employer groups) and Medicare Part D Coverage Determinations. This position may travel to locations within the VIVA HEALTH service area through a reliable means of transportation insured in accordance with Company policy.
Key Responsibilities
REQUIRED:
PREFERRED:
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