← all jobs

Clinical Pharmacist for Medicare STARS - Remote

Work from home Full-time role Hiring

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

More open positions

Independent Medicare Agent/ Keep 100% of your commissions

Work from home Full-time role

Independent Medicare Agent - Kansas City

Work from home Full-time role

Associate Director, Medicaid State Health and Human Services

Work from home Full-time role

QA Test Engineer with Medicaid and Claims - Remote

Work from home Full-time role

Outpatient Medicaid Eligibility Representative

Work from home Full-time role

Product Manager

Work from home Full-time role

Senior Client Success & Strategy Consultant – Remote Engagement and Office-Based Advisory Role at careerzynith

Work from home Full-time role

Search Engine Evaluator - Part Time Remote

Work from home Full-time role

[Remote] Customer Service Representative

Work from home Full-time role

Experienced Entry-Level Home Advisor – Opinion Sharing and Data Entry Specialist at careerzynith

Work from home Full-time role

Fractional CMO — Lifestyle & Travel Tech

Work from home Full-time role

Hospice Registered Nurse - PRN Evenings

Work from home Full-time role

Chaplain (Part-Time) - South Dallas/Ellis County, TX

Work from home Full-time role

Digital Marketing Specialist / Part-Time (Virtual, NYC Education & Parenting Market)

Work from home Full-time role

Senior Manager, Travel Partnerships - Capital One Ad Solutions (Remote)

Work from home Full-time role

Shopify Developer Remote / Mid Shift / HMO plus Dependent Coverage

Work from home Full-time role

Work From Home | Hospitality & Reservations Representative

Work from home Full-time role

Lead Dotnet developer- AI

Work from home Full-time role

[Remote] Data Scientist, Data Science Team

Work from home Full-time role

Manager, HR Technology & Solutions (Workday Recruiting & Talent)

Work from home Full-time role

SDE - Manager

Work from home Full-time role