Clinical Pharmacist Patient Care – Remote

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. Join us to start Caring. Connecting. Growing together.

 

The Clinical Excellence 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 Responsibilities:

• Conduct 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

 

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:

• Must 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 Qualifications:

• Doctor 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 everyone–of every race, gender, sexuality, age, location and income–deserves 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.