At UpStream, we are dedicated to promoting good health and empowering individuals to lead independent lives. As a trusted partner to primary care physicians, we offer effective and sustainable care options, focusing on seniors and those with chronic conditions. Our comprehensive solution allows physicians to prioritize patient care while our value-based care model ensures effective condition management.

We prioritize affordability and accessibility, collaborating with healthcare practices and clinics to reduce costs and enhance system efficiency. Through personalized care plans and innovative solutions, we strive to improve health outcomes and enable patients to live fulfilling, independent lives.

How you’ll help

Are you a pharmacist who wants an opportunity to work directly with patients in a provider's office? Have you thought about how much impact you could make working one-on-one with patients in their pharmaceutical care? Have you worked doing medication therapy management in the community setting and want to take it to the next level to proactively make changes with the provider in the office?

In this unique role, you'll work collaboratively and practice on-site with Primary Care physicians and their practices. The pharmacist will collaborate with the patient’s primary care provider to optimize evidence-based pharmaceutical care, develop appropriate care plans, and follow-up with patients based on individualized patient needs.

This is a unique and excellent opportunity to provide patient care and to be able to shape the future of ambulatory clinical pharmacy.

What you’ll do

  • Evaluate, monitor, recommend and design patient-specific pharmacotherapeutic regimens
  • Participate in pharmacy activities to assure safe, effective, appropriate, and economical use of medications to improve continuity of care and outcomes
  • Be responsible for managing chronic conditions (diabetes, hypertension, COPD, etc.) and getting these patients to goal
  • Help prevent avoidable medication-related hospitalizations
  • Serve as a resource to practice physicians, nurses, and other team members on the general drug information
  • Regularly monitor patient data and metrics to evaluate program effectiveness and clinical outcomes
  • Understand the medication-based quality measures as used in Pay for Performance, Star, and HEDIS measures
  • Document clinical activities, outcomes, and quality intervention results
  • Provide education on prescribed medications and compounds according to professional standards and practices
  • Participate in committees and meetings to facilitate the improvement of patient care and the development of goals, programs, and objectives for specialized patient populations
  • Participate in problem-solving where appropriate about best practice development for medications such as high cost, or otherwise sub-optimal therapies
  • Accept and perform other duties as assigned

Experience and skills you’ll need

  • Currently hold a Board of Pharmaceutical Specialty Certification or have completed an ASHP Residency with two years of clinical experience OR ...
  • Have a Doctor of Pharmacy Degree with three years of clinical experience plus a certificate program
  • PharmD Degree required
  • BCPS certification preferred
  • Current active license to practice pharmacy in the state in which you are applying required
  • National Provider Identifier (NPI) required
  • Extensive knowledge of pharmacy and its related subdisciplines (therapeutics, pharmacology, physical pharmacy), formulary development, drug use review, quality assurance, legal, regulatory, and standards of pharmacy practice
  • Ability to integrate with the healthcare team
  • Experience in the medication reconciliation process
  • Interdisciplinary department support for education and monitoring patient drug therapy
  • Proficient at working with or learning how to work with Electronic Health Records Systems
  • Working knowledge of the use of enterprise data warehouses and patient registries
  • Computer skills including Microsoft Teams, Word, Office, Excel, and PowerPoint
  • Works independently to meet expected deadlines and deliver excellent patient care
  • Understanding of the principles of clinical integration and population health management
  • Ability to work collaboratively as a member of an interdisciplinary team, establish and maintain effective working relationships with other healthcare professionals, practitioners, patients, and families

Must live in a commutable distance to Greenville, NC – this role is performed in provider clinics and will require regional travel to a group of clinics in and around Greenville, NC. 

What to expect

  • Employment Type: Full-Time
  • Schedule: Monday to Friday, 8am-5pm
  • Hybrid role with regional travel to clinics 
  • Equipment provided

At UpStream we offer a range of benefits to ensure our employees are taken care of. Our health insurance plans through United Health Care include FSA and HSA options, and we also offer dental, vision, life, and accident coverage through Guardian. We immediately match contributions to our 401k plan, which includes both Roth and Traditional options. In addition, we provide financial perks and rewards through BenefitHub, and free access to EAP services through WorkLifeMatters. Our employees also enjoy generous PTO and paid holidays.

We value diversity and promote equal opportunities for all. As an equal opportunity employer, we do not discriminate against applicants based on their race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. All qualified candidates are encouraged to apply.

Apply for this Job

* Required

resume chosen  
(File types: pdf, doc, docx, txt, rtf)
cover_letter chosen  
(File types: pdf, doc, docx, txt, rtf)
When autocomplete results are available use up and down arrows to review
+ Add another education


U.S. Standard Demographic Questions We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.
How would you describe your gender identity? (mark all that apply)





How would you describe your racial/ethnic background? (mark all that apply)











How would you describe your sexual orientation? (mark all that apply)








Do you identify as transgender? (Select one)




Do you have a disability or chronic condition (physical, visual, auditory, cognitive, mental, emotional, or other) that substantially limits one or more of your major life activities, including mobility, communication (seeing, hearing, speaking), and learning? (Select one)




Are you a veteran or active member of the United States Armed Forces? (Select one)





Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in UpStream’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.


Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.


Our system has flagged this application as potentially being associated with bot traffic. Please turn off any VPNs, clear your browser cache and cookies, or try submitting your application in a different browser. If this issue persists, please reach out to our support team via our help center.
Please complete the reCAPTCHA above.