CH
Community Health System
Fresno, California

Pharmacist MTM, Acute care

PharmacistIncludes callFull-Time

Listed compensation

$172K–$218K

The week · per this posting

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 1mo ago

Job Description

*All positions are located in Fresno/Clovis CA*

Community Regional Medical Center (CRMC) is the flagship hospital of Community Medical Centers – a not-for-profit healthcare system based in Fresno, California, and the largest healthcare provider and private employer in central California.

We measure up with top hospitals nationally and are the 3rd largest in California.

CRMC encompasses several additional campuses totaling 909 beds to offer the most comprehensive care to our region which includes; the Fresno Heart and Surgical Hospital, a behavioral health center, a subacute and transitional care center, a cancer center, and home health services.

CRMC is home to the only Level 1 Trauma Center and has the only comprehensive burn care in the Valley serving 2.5 million people within 9 counties. The 56,000 square-foot emergency department is one of the largest and busiest in the state. We have an 84 bed Level 3 NICU and a brand new pediatric specialty care unit. Future plans include building a women and children’s facility on campus and expanding with 65 additional beds.

We are affiliated with one of the top medical schools in the nation - University of California San Francisco Medical School that offers our employees to work with some of the brightest physicians and medical specialists in the nation.

Responsibilities

The Pharmacist provides advanced medication therapy management (MTM) services within referral-based Hospital Outpatient Department (HOPD) pharmacist-managed clinics. Practicing under a collaborative practice agreement (CPA) and in accordance with the California State Board of Pharmacy, the pharmacist manages complex and chronic conditions by initiating, adjusting, and discontinuing medications; conducting patient assessments; and monitoring therapeutic outcomes.

The role includes collaborating with prescribers under a CPA, coordinating medication access, promoting adherence through patient education, documenting care in the electronic health record (EHR), and supporting quality improvement and professional development initiatives.

Job DescriptionEssential AccountabilitiesReflects the job's main responsibilities and is not intended to be an exhaustive list of all duties performed; therefore, its content does not restrict management's right to assign or reassign duties and responsibilities to individuals in this job. o Provides comprehensive medication management services within HOPD referral-based pharmacist-managed clinics. o Initiates, modifies, and discontinues medication therapy under a CPA and in accordance with state regulations. o Conducts comprehensive patient assessments, including medication reconciliation and review of medical history under a CPA. o Orders, interprets, and monitors laboratory tests to ensure medication efficacy and safety under a CPA. o Manages complex and high-risk chronic disease states (such as oncology supportive care, weight loss, diabetes, hypertension, heart failure, anticoagulation, COPD and hyperlipidemia) under a CPA. o Develops and implements individualized, evidence-based treatment plans aligned with clinical guidelines under a CPA. o Monitors therapeutic outcomes and adjust pharmacotherapy to achieve optimal clinical goals under a CPA while identifying and resolving medication-related problems. o Provides patient education and counseling to improve medication adherence and support disease self-management through in-person or virtual visits. o Collaborates with referring providers, interdisciplinary teams, payers, retail pharmacies, and specialty pharmacies to coordinate care and address medication access issues. o Documents all patient encounters and clinical interventions in the electronic health record (EHR) and track clinical outcomes and quality metrics to support value-based care and quality improvement initiatives. o Serves as a preceptor for pharmacy students and residents when applicable. o Performs other job-related duties as assigned.

Knowledge, Skills, and Abilitieso Strong pharmacotherapy knowledge for chronic and complex conditions. o Understanding of state pharmacy regulations, scope of practice, and collaborative practice agreements. o Familiarity with evidence-based guidelines, lab monitoring, and medication therapy management. o Ability to assess patients, review medication regimens, and participate in development of individualized treatment plans under a CPA. o Supports medication initiation, modification, and discontinuation per collaborative agreement protocols. o Patient education and counseling, including virtual care delivery. o Proficiency with Epic or similar EHR systems (e. g., Epic) for documentation and tracking clinical outcomes. o Strong communication, problem-solving, and interdisciplinary collaboration skills. o Ability to adapt care delivery to diverse patient populations and telehealth environments. o Commitment to patient-centered care and quality improvement initiatives.

Qualifications

Educationo Doctor of Pharmacy (PharmD) Degree from an ACPE-accredited institution required Experienceo PGY-1 Pharmacy Practice Residency or significant ambulatory clinical experience requiredo PGY-2 residency in ambulatory care or related specialty preferredo Advanced clinical expertise in chronic disease management preferredo Experience or familiarity with 340B program operations and compliance preferredo Demonstrated pharmacy practice experience in ambulatory or HOPD pharmacist-managed clinics preferred Licenses and Certificationso Current and unrestricted Registered Pharmacist (RPh) License in California requiredo Board certification (BCPS, BCACP, or equivalent) required within 18 months of hireo Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required

Disclaimers

  • Pay ranges listed are an estimate and subject to change.
  • If any bonuses are noted, they are only applicable to external hires meeting criteria.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

BLS (preferred)Board Certification (preferred)BCPS (preferred)

Key Skills

Patient AssessmentLaboratory Monitoring

Pharmacist Career Context

In California, the Pharmacy weighted monthly median benchmark on WeekdayDoc is ~$153k (185 salary observations; 504 listings), vs ~$138k nationally (1,587 salary observations; 7,786 listings). Monthly aggregates cover 2026-01-01 through 2026-09-01; these are not the modal's selected comparable-job medians.

Of the 40 active Pharmacy listings this role was benchmarked against, 43% are remote, 63% have no call, 68% require no weekends.

Pharmacy pay on WeekdayDoc is down 3.8% vs. the prior quarter (through Aug 2026).

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$195k midpoint carries the purchasing power of roughly $176k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Pharmacist Jobs

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Salary Distribution21 jobs · 16 employers

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4
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2
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Annual compensation range

Benefits & Perks18 jobs · 16 employers

401k / retirement match
89% this job
Sign-on bonus
11%
Loan repayment
6%
CME allowance
6% this job
PSLF eligible
6%

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Work-life snapshot

median 2.8this job 1.5
Below most Pharmacy listings for work-life

Listing-based score, 0–10, across 9,813 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Fresno

Typical 3-bedroom home value
$380k
Typical market rent
$1,941/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
102.2
State income tax
Up to 13.3%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Fresno, CA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

CH

About Community Health System

Hospitals and Health Care
Franklin, TN
10,000+ employees

Benefits & Perks

Comprehensive benefits package
Retirement savings options
Paid time off
Continuing education opportunities