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HealthfirstPosted 10/21/2026full-timeRemote • New York • United StatesMid-LevelSenior💰 $103,400 - $149,430 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical pharmacy support, medication adherence strategies, and compliance with CMS and NYSDOH regulations. Proficient in leveraging digital communication channels and conducting effective outreach to enhance member health outcomes.
Highest-signal resume keywords
Pharmacy DegreeRegistered PharmacistClinical Communication SkillsKnowledge of CMS RegulationsBilingual in English and Spanish
About the role
Key responsibilities & impact- Support initiatives to resolve gaps in care through direct provider and member outreach, collaboration with provider engagement, and leveraging pharmacy network capabilities
- Ensure recommendations are consistent with the latest guidelines or supported by clinical compendia
- Provide clinical pharmacy support to pharmacy technicians conducting member outreaches regarding medication adherence
- Resolve barriers to adherence and use motivational interviewing to improve member health
- Collaborate with Marketing, IT, and Enterprise Analytics on strategic digital communication channels for member outreach
- Identify and resolve same-day member grievances according to policies and procedures
- Oversee and maintain compliance with State and Federal agencies
- Precept Pharmacy Residents and Students
- Ensure clinical criteria comply with CMS and NYSDOH requirements
- Research drug information to maintain drug knowledge and disease-state understanding
- Review monthly reports and provide feedback on trends, efficiency, and innovation
- Assist in regulatory and compliance audits for all plans
- Perform additional duties as assigned or required
Requirements
What you’ll need- Pharmacy degree from an accredited school of pharmacy
- Registered Pharmacist, with a state license in good standing
- Work experience requiring written and verbal clinical communication that is clear, concise, grammatically correct, and professional
- Knowledge of specialty pharmaceuticals and billing practices in the medical and pharmacy benefits
- Bilingual in English and one or more language(s): Spanish, Mandarin, Cantonese may be required based on business needs
- Ability to work well in a team environment and be a team player
- Demonstrated critical thinking and problem-solving skills
- Passion for learning, promoting the profession of pharmacy, and interest in growing skills in a dynamic environment with various opportunities
- Knowledge of regulations of the Centers for Medicare and Medicaid Services including but not limited to National and Local Coverage Determinations
- Ability to lead large and small working meetings
- PC Skills with Microsoft Outlook, Word, PowerPoint (creating presentations and slides), and Excel (Pivot tables)
- Licensed pharmacist in good standing
Benefits
Comp & perks- Medical, dental and vision coverage
- Incentive and recognition programs
- Life insurance
- 401k contributions
- Competitive compensation and benefits package
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Pharmacy SupportMedication Adherence StrategiesDrug Information ResearchRegulatory Compliance AuditsSpecialty Pharmaceuticals Knowledge
Soft Skills
Critical ThinkingProblem-SolvingTeam CollaborationMotivational InterviewingPassion for Learning
Tools & Technologies
Microsoft OutlookMicrosoft WordMicrosoft PowerPointMicrosoft Excel
Certifications & Qualifications
Licensed Pharmacist
Industry Keywords
Pharmacy Network CapabilitiesMember OutreachHealthcare ComplianceCenters for Medicare and Medicaid ServicesNational and Local Coverage Determinations