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 quality
improvement efforts (e.g., HEDIS, UDS, 340B optimization).
-Participate in reporting and documentation for payer incentive programs and state
Medicaid initiatives.
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 services
navigation.
-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)
