← 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

Claims Representative -Work From Home (Healthcare)

Work from home Full-time role

Property Adjuster I

Work from home Full-time role

Deployment Strategist

Work from home Full-time role

Experienced Part-time Remote Data Entry Specialist – Organizing and Maintaining Essential Data for careerzynith Operations

Work from home Full-time role

Azure Infrastructure Engineer-Remote

Work from home Full-time role

Staff Domain Expert, AI in GTM

Work from home Full-time role

Experienced Customer Service Representative - Remote Opportunity with careerzynith

Work from home Full-time role

VP of Strategy & Operations

Work from home Full-time role

Dynamic Sales Development & Customer Support Representative – Lead Generation, HVAC Dispatch, and Client Relationship Management at careerzynith

Work from home Full-time role

Senior Software Engineer, Windows/Desktop Applications - Madison, WI, USA

Work from home Full-time role

Experienced Work From Home Customer Service Representative – Travel Industry

Work from home Full-time role

Remote Customer Service Representative – Full‑Time Work‑From‑Home Role Delivering Exceptional Support for careerzynith’s Global Marketplace

Work from home Full-time role

CRM Manager

Work from home Full-time role

Pet Host Family – Work From Home With Dogs

Work from home Full-time role

Experienced Customer Service Representative – Delivering Exceptional Service at careerzynith

Work from home Full-time role

Project Coordinator

Work from home Full-time role

Technical Placement Manager (TPM) – Field Operations & Dealer Relations

Work from home Full-time role

Experienced Customer Service Representative – Remote Opportunity at careerzynith

Work from home Full-time role