Home Based Pharmaceutical Coding Jobs in Raleigh, NC

Become a part of our caring community

We are looking for a Clinical Pharmacist with over 2 years of experience to join our primary care organization. You will play a critical role in improving patient outcomes through medication management, patient education, and collaboration with our healthcare team. You will report to a Associate Director, Integrated Clinical Pharmacist.

You will:

• Use evidence-based medicine and clinical judgment to evaluate the suitability of pharmacotherapy for high-risk patients with chronic conditions, including diabetes, hypertension, heart failure and COPD

• Execute clinical protocols as allowed per organization and state regulatory agencies

• Optimize drug coverage benefits for appropriate care and reduced costs (preferred formulary products, lower cost alternatives and home delivery pharmacy)

• Collaborate with physicians, nurses, and other healthcare professionals to improve patient care

• Participate in high-risk rounds with a multi-disciplinary team to discuss patient progress and adjust treatment plans

• Excellent patient counseling skills to communicate complex medical information to patients and healthcare providers

• Participate in quality improvement initiatives aimed at enhancing medication safety and efficacy

• Post-discharge medication reconciliation for high-risk transition of care patients

• Document all activity within clinic EMR and other required pharmacy or clinical management systems

• Support CMS Stars and HEDIS quality measures for successful clinic performance

• Maintain accurate documentation of clinical interventions and patient care activities

• Conduct in-service education sessions for healthcare staff and develop and share educational materials related to pharmacotherapy

• Stay current with advancements in pharmacotherapy and clinical guidelines.

• Provide consultation to healthcare providers on complex medication management issues

• Respond to additional requests from the Primary Care Organization, providing support within the pharmacist's defined scope of practice to advance organizational goals.

• Address and implement targeted initiatives or priorities as directed by the National Director or Associate Directors of Pharmacy, according to best practices and regulatory standards.

Use your skills to make an impact

Required Qualifications

• Active and unrestricted Pharmacist license. Willingness to become licensed in additional states as needed for market support

• Pharm.D. or other advanced pharmacy degree

• 2+ years' experience as a practicing pharmacist

• Intermediate level or higher competency with Microsoft Office programs such as Word, Excel and PowerPoint

Preferred Qualifications

• Active and unrestricted pharmacist license in North Carolina and Georgia

• 5+ years' experience as a practicing pharmacist

• 2+ years working in an ambulatory care/primary practice setting

• Clinical residency in ambulatory care or similar discipline

• Board certification in geriatric pharmacy or pharmacotherapy

• Familiarity with electronic medical record (EMR) systems

• Experience implementing solutions for improved efficiencies and outcomes

• Multilingual (preferably English/Spanish)

Work at Home Statement:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$126,300 - $173,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at?CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources