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Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
The Medicare Advantage Clinical Pharmacist is responsible for optimizing medication therapy and improving health outcomes for patients enrolled in Medicare Advantage plans within the health system. This role involves direct patient care under Collaborative Drug Therapy Management (CDTM) agreements, working closely with physicians and other healthcare professionals to manage chronic conditions, ensure medication adherence, and reduce total cost of care.
Job Summary
Key Responsibilities:· Clinical Care & CDTM:
o Provide comprehensive medication management for patients under CDTM protocols in collaboration with prescribers.
o Initiate, modify, or discontinue medications as authorized by CDTM agreements.
o Monitor therapeutic outcomes, lab values, and adverse effects to ensure safe and effective therapy.
· Medicare Advantage Program Support:
o Conduct medication reviews for high-risk patients, including those with polypharmacy or chronic conditions.
o Implement strategies to improve Star Ratings and HEDIS measures (e.g., medication adherence, statin use in diabetes, MTM completion).
o May need to support transitions of care to reduce hospital readmissions and improve continuity of care.
· Patient Engagement & Education:
o Provide counseling on medication use, adherence, and lifestyle modifications.
o Address barriers to medication access, including cost and formulary restrictions.
· Interdisciplinary Collaboration:
o Work closely with physicians, nurses, case managers, and social workers to coordinate care plans, if needed.
o Document interventions and outcomes in the electronic health record (EHR).
· Quality Improvement & Reporting:
o Track and report clinical outcomes, cost savings, and performance metrics related to Medicare Advantage initiatives.
o Participate in quality improvement projects and population health strategies.
Qualifications
What You'll Bring
Qualification Requirements:
Education: Doctor of Pharmacy (PharmD) required.
Licensure: Active pharmacist license in MA & NH; CDTM certification or eligibility required.
Experience:
2+ years of clinical pharmacy experience, preferably in ambulatory care or managed care.
Familiarity with Medicare Advantage programs, Star Ratings, and MTM services.
Skills:
Strong clinical knowledge in chronic disease management (e.g., diabetes, hypertension, hyperlipidemia).
Excellent communication and patient engagement skills.
Proficiency with EHR systems and data analytics tools.
Additional Job Details (if applicable)
Schedule and Work Model
Full time (40 hours) Monday through Friday, approximately 8:30am-4pm.
Primarily remote; occasional on-site meetings at Assembly Row in Somerville, MA.
May include telehealth visits and outreach for medication management.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$91,187.20 - $132,600.00/Annual
Grade
7
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
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