Small Description: • At least 4 years of experience as clinical MTM pharmacist. (Management experience preferred) • Familiar with driving Part D Star measures. Specifically, SUPD, SPC, and CMR. • Understanding of pharmaceutical and medical vocabulary • Clinical experience in medication review.

This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis, meeting timeliness and documentation requirements for delegated payer deliverables, NCQA, TJC, CMS, Medicaid and State-Specific audits and inquiries daily.

Assists in the management of healthcare quality efforts by participating in quality data analysis, quality improvement projects, and regulatory compliance activities. Collaborates with the healthcare quality team to develop and implement quality measures, monitors performance metrics, and identifies areas for enhancement.