Job Location : all cities,AK, USA
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.
The ClinicalExcellence Quality (CEQ) Pharmacy Operations team supports Optum's Care Delivery Organizations by delivering patient-centered, clinically collaborative medication consultations to help people live healthier lives. Our team focuses on the design, execution, and delivery of telephonic and digital engagement strategies designed to close Medicare star measure gaps in care. Our interdisciplinary service delivery team is comprised of Pharmacists, Registered Nurses (RNs), Pharmacy Technicians, and Care Coordinators.
Clinical pharmacists perform telephonic, patient-centered clinical consultations focused on the following care opportunities: medication adherence, SUPD/SPC, Care of Older Adults & A1c medication reviews, and polypharmacy measures, including opioids/benzodiazepines and anticholinergic medication use. Clinical pharmacists also consult with providers, pharmacies, internal departments, and/or other external third parties to drive improved patient outcomes. In addition, clinical pharmacists field both clinical and social determinants of health-related needs with members directly or from escalations by other clinical and non-clinical staff.
Clinical pharmacists are required to meet or exceed established productivity and quality metrics, though can work a flexible schedule to support the hours of operation (Monday Saturday 9:00AM 6:00PM CT). Clinical pharmacists work a rotating Saturday schedule with approximately 6 shifts per calendar year. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary ResponsibilitiesConduct telephonic medication consultations that meet/exceed production & quality metrics
Complete annual medication review of prescription and non-prescription medications with emphasis on patient assessment and counseling, safe and effective use of medications, identification of potential drug interactions, and other related activities
Complete pharmacotherapy assessment of patients' claims, past medical history, and disease states
Assess patients for medication adherence barriers and develop a plan to maximize patients' medication success through improving or maintaining adherence to medications
Deliver high quality evidence-based therapeutic recommendations to providers
Deliver a patient-centered, clinically collaborative medication consultation
Develop a post-consultation list of action items for the patient and/or prescriber
Document clinical consultations into internal documentation platform
Participate in and contribute to staff meetings and other staff development opportunities and interdepartmental work groups
Identify areas of improvement where systems modifications could result in operational advancements and efficiencies
Maintain a high level of clinical knowledge of chronic disease states and changes in pharmacy practice in adult and geriatric patient populations to serve as an authoritative information source on drugs and their utilization in therapy
Assesses and interprets customer needs and requirements
Identifies problems and develops solutions to non-standard requests and problems
Works with minimal guidance; seeks guidance on only the most complex tasks
Provides explanations and information to others on difficult issues
Coaches, provides feedback, and guides others
Acts as a resource for others with less experience
Other duties as assigned
Required QualificationsMust hold active, unrestricted pharmacist license in the state of primary residence and willing to obtain licensure in one or more states as per business requirements
3+ years of pharmacy practice experience to include 1+ years of Clinical Pharmacy Practice experience
1+ years of experience with Medicare STARs & HEDIS Measures to include experience with Medication Therapy Management (MTM) and/or Care for Older Adults (COA) medication review
Proficient with Microsoft Word, Excel, Outlook, PowerPoint
Ability to manage multiple, concurrent projects
Comfortable working in a rapidly changing and highly matrixed environment
Preferred QualificationsDoctor of Pharmacy degree
Multi-state licensure, including ID, OR, TN, and/or KY
Post Graduate Training (Pharmacy Residency and/or Fellowship)
Board certification by the Board of Pharmacy Specialties (BPS)
1+ years Call Center Experience
Bilingual - Spanish
Excellent written and verbal communication and relationship building skills
Planning and organizational skills to demonstrate leadership and initiative
Solid interpersonal skills
Ability to work independently, as well as a member of a team
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.