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 beenefits, 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 Stars Team provides a variety of services including United HealthCare at Home (UAH) strategic Medication Adherence outreach initiatives, Care of Older Adults (COA) medication reviews/health assessments, and MTM consultations. The team also supports APC providers via a clinical consultation service. All services are provided by a team of Clinical Pharmacists, with the support of Pharmacy Technicians, that engage with plan members and their healthcare providers in a telephonic environment.

The Clinical Pharmacist will report to the Clinical Team Manager (CTM) within the Optum Enterprise Care Services department. The primary responsibility of the Clinical Pharmacist will be to perform clinical consults via telephone with members served by the UAH program and providing services such as optimizing medication therapy, adherence counseling, drug interaction screening, and disease state counseling for diabetes, hypertension, hypercholesterolemia, and much more. The Clinical Pharmacist will be an integral part of a team of Clinicians of varying disciplines and will be expected to meet or exceed established productivity and quality metrics as well as staying engaged throughout the process, helping the department reach yearly goals together as a team.

If you are located in EST or CST, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Conduct medication consults with members telephonically that meet/exceed both internal and external quality metrics for UAH, COA, and MTM
• Identify and address member specific medication adherence barriers. Collaborate with patient providers and/or pharmacy to overcome barriers to improve STARs rating
• Implementing a health literate member-centric approach within all clinical consults performed
• Participating and engaging on a team of other clinicians both in person and virtually
• Supports patients in their initiation and maintenance of new therapy, providing education, optimizing utilization, and establishing adherence
• Meet or exceed established production metrics on a weekly and monthly basis
• Meet or exceed established quality and health literacy metrics on a weekly and monthly basis
• Meet or exceed established adherence attributable fill rate
• Conducting various additional campaigns throughout the year based on the needs of the business, which will be assigned by the CTM
• Provide support to Advanced Practice Clinicials (APC’s) in the field via telephonic clinical consultation
• Actively participating in coaching sessions to both improve and maintain clinical interaction skills and overall performance

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:

• Current unrestricted and active pharmacist license in the state of primary residence  
• Licensed pharmacist requires graduating from a college or school of pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE), such as a Doctor of Pharmacy Program (PharmD) program and passing the North American Pharmacist Licensure Exam, or NAPLEX
• 1+ years of Clinical Pharmacy Practice experience
• Proven ability to type and talk at the same time while navigating through multiple screens

Preferred Qualifications:

• MBA/MPH Degree
• Post Graduate Training (Pharmacy Residency and/or Fellowship)
• Active, unrestricted pharmacy license in one of the states considered as Restricted (AL, ID, KY, LA, MD, OR, TN, VT)
• Board certification by the Board of Pharmacy Specialties (BPS)
• Certified Geriatric Pharmacist
• 1+ years of Call Center experience
• Experience with Medication Therapy Management (MTM) & Comprehensive Medication Reviews
• Experience with Medicare STARs & HEDIS Measures
• Proficient with Microsoft Word, Excel, Outlook, PowerPoint
• Proven bilingual in Spanish, Mandarin, Cantonese, Korean, Russian, or Vietnamese
• Proven to possess both written and verbal communication skills to interact with patients and clinic staff
• Proven solid interpersonal skills
• Proven excellent written and verbal communication and relationship building skills
• Proven ability to work independently, as well as a member of a team

Telecommuting Requirements:

• Designated secure and private workspace free of distraction and protecting HIPAA confidentiality of our members. No childcare permitted during working hours
• Access to install secure high-speed internet via cable/DSL in home as well as connect directly into internet via hard wire (either directly to modem or router)
• Ability to keep all company sensitive documents secure (if applicable)

*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.

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.