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Cms Pharmacist Jobs (NOW HIRING)

Viva Health

Senior Clinical Pharmacist

Birmingham, AL · On-site

$111K - $132K/yr

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high ... Support pharmacists and management with maintenance and development of policies and procedures as ...

VIVA Health

Senior Clinical Pharmacist

Birmingham, AL · On-site

$111K - $132K/yr

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high ... Support pharmacists and management with maintenance and development of policies and procedures as ...

American Health Partners

Pharmacist

Parsons, TN · On-site

$47 - $56.50/hr

Now Hiring a Pharmacist in Parsons, TN! If you would like to be part of a collaborative, supportive ... CMS, DEA and nursing facility guidelines. Description of Required Duties and Tasks: Essential ...

J Edward Staffing LLC

Pharmacist (Allied)

Watertown, NY · On-site

$61.50 - $73.75/hr

Clinical Pharmacist Are you a passionate Clinical Pharmacist ready to impact patient lives while ... Ensure compliance with state, federal, CMS, and Joint Commission requirements. What Makes This Role ...

American Health Partners

Pharmacist

Parsons, TN · On-site

$47 - $56.50/hr

Now Hiring a Pharmacist in Parsons, TN! If you would like to be part of a collaborative, supportive ... CMS, DEA and nursing facility guidelines. Description of Required Duties and Tasks: Essential ...

Nexus Children's Hospital - Dallas

Pharmacist - PRN

Dallas, TX · On-site

$53 - $63.75/hr

POSITION SUMMARY Under the supervision of the Director of Pharmacy, the Pharmacist is responsible for overseeing all pharmacy operations within the hospital, ensuring compliance with DNV, CMS, state ...

Managed Staffing

Clinical Pharmacist - Medicare

TX · Remote

$57 - $58/hr

In this remote role, you'll review pharmacy benefit requests, ensure compliance with CMS/Medicare ... Active Pharmacist License (in good standing, state of residence). * PharmD or Bachelor's degree in ...

Alignment Healthcare

Clinical Pharmacist I - Remote

$121K - $144K/yr

The Clinical Pharmacist I is responsible for reviewing coverage determinations and appeals to ensure clinical appropriateness and compliance with CMS regulations and plan benefits for Alignment ...

American Health Partners

Pharmacist

Parsons, TN · On-site

$47 - $56.50/hr

Now Hiring a Pharmacist in Parsons, TN! If you would like to be part of a collaborative, supportive ... CMS, DEA and nursing facility guidelines. Description of Required Duties and Tasks: Essential ...

Pharmacy

PRN Pharmacist

West Bend, WI

$60/hr

Pharmacist (Per Diem) Schedule: PRN / as needed More Than a Job - A Place to Belong At Cedar ... Requirements may change per CMS guidelines.** Employment Type: OTHER

Pharmacy Careers

MTM Pharmacist

Oxnard, CA · On-site

$60.50 - $72.75/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

Pharmacy Careers

MTM Pharmacist

Worcester, MA · On-site

$58 - $69.75/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

Pharmacy Careers

MTM Pharmacist

Newport News, VA · On-site

$53 - $63.50/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

Pharmacy Careers

MTM Pharmacist

Grand Rapids, MI · On-site

$54 - $65/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

Pharmacy Careers

MTM Pharmacist

Frisco, TX · On-site

$54.50 - $65.75/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

Pharmacy Careers

MTM Pharmacist

Akron, OH · On-site

$55.75 - $67/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

Pharmacy Careers

MTM Pharmacist

Rancho Cucamonga, CA · On-site

$59 - $70.75/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

Pharmacy Careers

MTM Pharmacist

Wilmington, DE · On-site

$56.50 - $68/hr

MTM Pharmacist Redefine patient engagement through personalized, remote MTM services. Key ... Document clinical interventions and CMRs in compliance with CMS standards. * Identify and resolve ...

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All JobsCms Pharmacist Jobs

Cms Pharmacist information

See salary details

$27

$60

$74

How much do cms pharmacist jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for cms pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.

What are some typical challenges a CMS Pharmacist might face when managing medication therapy for Medicare beneficiaries?

CMS Pharmacists often encounter challenges such as navigating complex Medicare Part D regulations, addressing medication adherence issues among elderly patients, and ensuring that medication therapy management (MTM) services are both compliant and effective. They must also stay updated with frequent policy changes and communicate effectively with healthcare providers, patients, and insurance companies. Balancing clinical responsibilities with administrative tasks requires strong organizational and communication skills.

What are the key skills and qualifications needed to thrive as a CMS Pharmacist, and why are they important?

To thrive as a CMS Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, state licensure, and strong knowledge of Medicare and Medicaid regulations. Familiarity with pharmacy benefit management (PBM) systems, electronic health records (EHRs), and clinical decision support tools is typically required. Attention to detail, analytical thinking, and strong communication skills help in interpreting regulations and collaborating with healthcare providers. These competencies ensure accurate medication management, regulatory compliance, and optimal patient outcomes within the CMS framework.

What are CMS Pharmacists?

CMS Pharmacists are licensed pharmacists who work within the guidelines of the Centers for Medicare & Medicaid Services (CMS). They are responsible for ensuring that medications provided to patients under Medicare and Medicaid plans comply with federal regulations and standards. Their roles can include reviewing medication plans, ensuring proper billing practices, providing medication therapy management, and helping patients understand their prescription benefits. CMS Pharmacists play a critical role in promoting safe and effective medication use among the elderly and disabled populations covered by these programs.

What is the difference between Cms Pharmacist vs Community Pharmacist?

AspectCms PharmacistCommunity Pharmacist
CredentialsLicensed Pharmacist, often with additional certifications in Medicare/MedicaidLicensed Pharmacist, with focus on retail or outpatient pharmacy
Work EnvironmentHealthcare settings, insurance companies, government agenciesRetail pharmacies, drugstores, supermarkets
Employer & IndustryHealthcare providers, government programs, insurance companiesPrivate retail chains, independent pharmacies
Common Search & ComparisonYesYes

Cms Pharmacists primarily work within healthcare organizations, insurance companies, or government agencies focusing on Medicare and Medicaid. Community Pharmacists operate in retail settings, providing direct patient care and medication dispensing. While both roles require a licensed pharmacist credential, their work environments and employer types differ significantly.

More about Cms Pharmacist jobs
What cities are hiring for Cms Pharmacist jobs? Cities with the most Cms Pharmacist job openings:
What states have the most Cms Pharmacist jobs? States with the most job openings for Cms Pharmacist jobs include:
What job categories do people searching Cms Pharmacist jobs look for? The top searched job categories for Cms Pharmacist jobs are:
Cms Pharmacist jobs near you
Infographic showing various Cms Pharmacist job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 83% Full Time, 12% Part Time, and 2% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.
Quality Improvement - Clinical Pharmacist - CMS STARS & Population Health 195-2018

Quality Improvement - Clinical Pharmacist - CMS STARS & Population Health 195-2018

CommunityCare

Tulsa, OK • On-site

$108K - $129K/yr

Full-time

Posted 16 days ago

Job description

JOB SUMMARY:
The Clinical Pharmacist in the Quality Improvement Department plays a pivotal role in advancing the health plan's performance in CMS Star Ratings (Part D) and Population Health initiatives. This position is responsible for developing, implementing, and evaluating pharmacy-related quality improvement strategies that enhance medication adherence, optimize therapeutic outcomes, and improve member health outcomes across diverse populations.
KEY RESPONSIBILITIES:
• Lead and support initiatives to improve Part D measures. Analyze prescription drug performance data and identify trends, gaps, and opportunities for improvement.
• Collaborate with internal and external teams and PBM to implement targeted interventions and outreach strategies.
• Monitor CMS technical specifications and ensure compliance with regulatory updates.
• Completes education for members and providers, including, but not limited to, alternative medication therapies for all medications where clinically appropriate, high-risk medications for polypharmacy, patient assistance programs, and protocols for statin rechallenge.
• Design and execute clinical programs that address medication-related gaps in care.
• Support disease management programs through evidence-based medication therapy recommendations.
• Engage with health system leaders, providers, care managers, and members to promote safe and effective medication use.
• Collaborate and execute clinical initiatives for Part-D PBM programs.
• Develop, implement, and oversee the execution of pharmacologic protocols and interventions that improve quality and value to members and providers.
• Utilize pharmacy claims, HEDIS, and Stars data to drive decision-making.
• Develop dashboards, reports, and presentations for internal and external stakeholders.
• Participate in quality committees and cross-functional workgroups.
• Provide clinical education to providers, pharmacists, and care teams.
• Design and disseminate provider-facing educational materials to support CMS Stars polypharmacy quality measures (e.g., Poly-ACH and COB), promoting evidence-based alternatives for prescribing strategies to optimize medication regimens and improve patient outcomes. Develops member-facing materials to support medication adherence and chronic disease management.
• Represent the health plan at community events, provider meetings, and industry conferences.
• Supervises other team members, including both clinical and non-clinical personnel, in program operation and implementation.
• Perform other duties as assigned.
QUALIFICATIONS:
• Geriatric specialty or certification a plus, Geriatric Pharmacy (BCGP).
• Strong analytical and data interpretation skills.
• Proficiency in Microsoft Office, specifically Excel and Power BI, data visualization tools, and pharmacy claims platforms.
• Excellent communication, collaboration, and project management abilities.
• Board Certification (e.g., BCPS, BCACP) preferred.
• Familiarity with HEDIS, NCQA, and Medicare regulations preferred.
• Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
• Doctor of Pharmacy (PharmD) required from an accredited school of pharmacy; residency training (PGY1 or PGY2) preferred.
• Active and unrestricted pharmacist license by the Oklahoma State Board of Pharmacy.
• Minimum 3 years of clinical pharmacy experience, preferably in managed care, health plan, or quality improvement settings.
• Experience with CMS Star Ratings, MTM programs, and population health strategies.
• Experience with health equity and culturally competent care initiatives preferred.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin

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