
51 - 200 employees
Founded 2018
⚕️ Healthcare Insurance
🏥 Healthcare
🎯 Recruiter
Healthcare Insurance • Healthcare • Recruitment
Guide Healthcare is leading a movement where creativity delivers positive change in the healthcare sector. The company specializes in allied health service provision and healthcare recruitment, focusing on the support and treatment of older adults. With a commitment to adding value to their clients, partners, and teams, Guide Healthcare aims to do things differently in the industry.
🕒 September 17
Where this job comes from
Posted on Guide Healthcare's careers page, not through a job board
First seen by Remote Rocketship September 17
Still open on Guide Healthcare's site. Checked 6 hours ago.

51 - 200 employees
Founded 2018
⚕️ Healthcare Insurance
🏥 Healthcare
🎯 Recruiter
Healthcare Insurance • Healthcare • Recruitment
Guide Healthcare is leading a movement where creativity delivers positive change in the healthcare sector. The company specializes in allied health service provision and healthcare recruitment, focusing on the support and treatment of older adults. With a commitment to adding value to their clients, partners, and teams, Guide Healthcare aims to do things differently in the industry.
• Lead efforts to improve HEDIS medication adherence and pharmacy quality measures • Analyze medication adherence data, identify care gaps, and implement targeted interventions • Collaborate with healthcare providers, care managers, and stakeholders on adherence strategies • Conduct medication therapy management (MTM) sessions • Provide patient education and address cost, side-effect, and dosing barriers • Use motivational interviewing to encourage medication adherence • Monitor and track HEDIS performance metrics • Generate reports assessing intervention and program effectiveness • Use EHR and pharmacy data to identify patients at risk of non-adherence and develop action plans • Provide leadership with progress updates and improvement recommendations • Serve as the organization's medication adherence subject matter expert • Train and support pharmacists, care managers, and clinical staff • Participate in cross-functional quality improvement, population health management, and value-based care initiatives • Follow security policies and procedures to protect patient and company data
• Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy • Active pharmacist license; willingness to obtain licenses in TX, TN, AL and PA (company paid) • Minimum of 2 years of experience in HEDIS-related medication adherence work, quality improvement, or population health • Strong knowledge of HEDIS measures, particularly medication adherence measures • Proficiency in electronic health record (EHR) systems and data analysis tools • Excellent communication, problem-solving, and organizational skills • Ability to work independently and in a team-oriented environment • Experience with motivational interviewing or other patient engagement techniques is a plus • Experience in a managed care setting, pharmacy benefits management (PBM), or healthcare quality improvement role • Certification in Medication Therapy Management (MTM), Certified Geriatric Pharmacist (CGP), or other relevant credentials • Understanding of value-based care models and their impact on medication adherence • Employees must provide their own internet connection capable of video calls and internal/external systems access • Minimum internet speed of 100 Mbps download and 10 Mbps upload • Employees must be accessible during stated working hours • Willingness to join virtual meetings with cameras on • Must follow security policies and procedures protecting PHI, PII, and Guidehealth intellectual property
• Fully remote work arrangement • Medical, Dental, and Vision plans • 401(k) plan with a 3% employer match to the employee's 6% contribution • Life and Disability insurance • Voluntary Life insurance options • Employee Assistance Program (EAP) • Paid time off plans • Paid parental leave • Learning and development resources • Necessary work equipment provided at no charge • Flexible work arrangement with reduced commuting time
Apply NowImprove your chances of getting an interview by checking your resume score before you apply.
🕒 September 10
Clinical Consulting Pharmacist reviewing medication requests, safety, and cost-effectiveness for Dragonfly Health’s care-at-home healthcare platform. Supporting evidence-based pharmacy care for hospice and post-acute patients.
🇺🇸 United States – Remote
💵 $55 - $57 / hour
💰 Secondary market on 2021-12
⏰ Full Time
🟢 Junior
💊 Pharmacist
🕒 September 10
Per Diem Pharmacist conducting prior authorization and appeal determinations for EmpiRx Health, a clinically driven pharmacy benefits management company. Supporting evidence-based care and sustainable clinical savings.
🕒 September 8
Remote Pharmacy Technician supporting Shields Health Solutions’ patient care by securing medication approvals and financial assistance. Processing claims, documenting cases, and promoting medication adherence.
🕒 September 4
Billing Pharmacy Technician processing resident prescription claims for a long-term-care pharmacy. Handling insurance adjudication, prior authorizations, payments, and billing reconciliation.
🕒 September 4
Utilization Management Pharmacist reviewing prior authorizations, appeals, and medication overrides for UNITAS’s clinical staffing and consulting solutions. Supporting members, providers, pharmacies, and PBM clinical programs.
🇺🇸 United States – Remote
💵 $125k - $130k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
💊 Pharmacist
🦅 H1B Visa Sponsor