Health Outcomes Pharmacist

🕒 3 days ago

🏈 Ohio, Maryland, +3 more states – Remote

🏈 Ohio – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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Peak Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.

📋 Description

• Provide evidence-based clinical recommendations to optimize medication use for members with complex conditions or chronic diseases and reduce total cost of care • Conduct medication reviews, identify drug therapy problems, and collaborate with providers and care managers on appropriate interventions • Partner with care management, disease management, and interdisciplinary care teams to support medication optimization and achieve desired health outcomes • Contribute to the development and implementation of member care plans, especially for high-risk or high-cost populations

🎯 Requirements

• Must possess current license as required by state board where services will be provided • Three (3) years experience working in a managed care, health plan, or population health environment • Three (3) years proven experience with quality measurement programs including HEDIS, Stars Ratings, and Medicare Advantage and Medicaid regulations • Three (3) years in clinical pharmacy practice

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development