Job Description
Job Description
Description :
High Country Community Health (HCCH), a mission-driven Federally Qualified Health Center (FQHC) serving rural communities in western North Carolina, is seeking a Clinical Pharmacist to serve as Director of Complex Care Management. This leadership role is ideal for a pharmacist passionate about improving outcomes for patients with multiple chronic conditions and social
complexity in underserved, rural areas.
The Director will oversee care coordination for high-risk populations and advance HCCH’s participation in value-based care, advanced primary care models, and whole-person care delivery, collaborating closely with medical, behavioral health, dental, and pharmacy teams.
Specific responsibilities include :
Program + Team Leadership :
- Lead and continuously improve HCCH’s Complex Care Management (CCM) program, focusing on patients with high medical, behavioral, and social needs.
- Supervise a multidisciplinary team including care coordinators, community health workers, and nursing support.
- Implement evidence-based models for rural Advanced Primary Care, including Patient- Centered Medical Home (PCMH) principles, transitions of care, and chronic care management.
Clinical Pharmacy Services :
Deliver Comprehensive Medication Management (CMM) services within primary care workflows.Serve as a pharmacotherapy consultant to medical providers for chronic disease management, high-risk medication review, and deprescribing strategies.Provide medication counseling and support adherence, especially for patients with limited health literacy or access barriers.Work with HCCH in house 340B pharmacy to maximize cost effectiveness and medication access for patients.Value-Based Care + Population Health :
Align care management and pharmacy strategies with HCCH’s value-based contracts(e.g., ACOs, Medicaid Managed Care, HRSA metrics).
Use population health analytics to stratify risk, identify care gaps, and support qualityimprovement efforts (e.g., HEDIS, UDS, 340B optimization).
Participate in reporting and documentation for payer incentive programs and stateMedicaid initiatives.
Requirements :
Requirements / Qualifications / Skills / Experience
Minimum of 3 years of clinical pharmacy experience in ambulatory care or rural health.Experience in care coordination, complex case management, or integrated team-based care.Prior involvement in value-based care, quality programs, or advanced primary care strongly preferred.Knowledge, & Abilities :
Proficiency in managing chronic disease states such as diabetes, hypertension, CHF, and behavioral health conditions.Working knowledge of rural health disparities, health equity, and social servicesnavigation.
Familiarity with EHR systems (e.g., eClinicalWorks, EPIC) and data reporting tools.Strong leadership, communication, and interdisciplinary collaboration skills.Preferred Certifications :
BCACP (Board Certified Ambulatory Care Pharmacist), BCGP (Geriatrics), or CDCES(Diabetes Care and Education Specialist).
Certification in Care Management or Population Health is a plus.Travel Requirements
Travel for continuing education / training as needed (at least yearly). Primary location in Boone,
NC, with occasional travel to other HCCH sites in Burke, Avery, and Surry counties.
Salary Range - Negotiable
Work Hours
Full-time salaried : 40 hours / week (Monday through Friday)