You’re looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management. Here you’ll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. With better schedules than retail and more reach than any hospital, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.
The Clinical Engagement Services team provides a variety of clinical services, such as: Adherence, Fraud Waste & Abuse, Medication Therapy Management, Post – Hospital Discharge, and Retrospective Drug Utilization.
The team comprises of clinical pharmacists and certified pharmacy technicians that complete various functions to successfully meet the operational requirements of each clinical service. The work hours required will require flexibility to work rotating shifts between the hours of 8:00am and 8:00pm CST, Monday through Friday.
The Clinical Pharmacist will report into the Operations Team Manager. This role is primarily responsible for performing telephonic consultations with members to complete comprehensive medication reviews and improve disease state management. In addition, the clinical pharmacist will document the care delivered and communicates essential information to the member’s primary care providers.
Primary Responsibilities:
Utilize prescription and medical claim data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols
Provide clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
Utilize client formulary information to guide appropriate medication recommendations
Keep current with new and emerging clinical trends
Active participation in departmental meetings to improve clinical programs and enhance processes
Share clinical information and department procedure protocols during client site visits
Assist with user acceptance testing for new clinical programs and system enhancements
Call members to schedule consultation appointments
Performing other duties as assigned to meet departmental objectives
Follow all policies and procedures related to job
Support Clinical Intervention Service team as needed for special projects
Other duties as assigned by Operations Manager
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Bachelor’s Degree in Pharmacy or PharmD
Current and unrestricted Pharmacist license in the state where you are applying to work and reside (Arizona, Maryland, Tennessee or Illinois)
Strong knowledge of disease state management guidelines
Experience working independently within a cross functional team environment
Demonstrates interpersonal, consultative, and problem – solving skills
Strong patient care and provider intervention experience
Commitment to professionalism and a dedicated desire to advance patient care
The work hours required will require flexibility to work rotating shifts between the hours of 8:00am and 8:00pm CST, Monday through Friday. Extended hours and occasional weekends may be required as needed
Intermediate level skill in Microsoft Word, Outlook, and Excel
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
PharmD
2+ years Pharmacy work experience in retail / community pharmacy and / or PBM, but will consider new graduate experientials
Certified Diabetes Educator
Additional Pharmacist License in good standing in Louisiana, Alabama, Oregon, Idaho, Kentucky, Vermont
Call center experience
Bilingual in Spanish, Mandarin, Korean, Russian, Polish, Cantonese, Vietnamese, English
ACPE MTM Specialist
Excellent verbal and written communication skills
Careers with OptumRx . We’re one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life’s best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Pharmacist, Pharm D, MTM, Retrospective Drug Utilization Review, Optum, UHG, Arizona, Maryland, Baltimore, Tennessee, Nashville, Illinois, Schaumburg, IL, AZ, MD, TN
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