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 The Clinical Performance Quality (CPQ) 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, including medication adherence, comprehensive medication reviews for MTM completion, statins therapy in patient with diabetes and cardiovascular disease. Our interdisciplinary service delivery team is comprised of Pharmacists, Pharmacy Technicians, and Care Coordinators.

Positions in this function consult with customers, members, patients, providers, internal departments and/or external third parties on any or all the following: 

The Clinical Pharmacist will perform telephonic, patient-centered clinical consults focused on Medication Therapy Management (MTM), Care for Older Adults annual comprehensive medication reviews, conduct outreach, and consult to support statin utilization in patients with diabetes and cardiovascular disease. In addition, the clinical pharmacist will field clinical concerns escalated by the medication adherence call center agents via warm transfer. The clinical pharmacist will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to support the hours of operation of the business.

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 and quality metrics
• Complete annual medication review of prescription and non-prescription medication with emphasis on patient assessment and counseling, safe and effective use of education, identification of potential drug interactions, and other related activities
• Complete pharmacotherapy assessment of patients’ claim, 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 databased
• Participate in and contribute to staff meetings and other staff development opportunities and interdepartmental work groups
• 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 authoritative information source on drugs and their utilization in therapy
• Assesses and interprets customer needs and requirement
• Solves moderately complex problems and/ or conducts moderately complex analyses
• Provides explanations and information to others on difficult issues

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: 

• Active, unrestricted pharmacist license in the Idaho
• 5+ years of pharmacy practice experience to include 2+ 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
• Willing or ability to work between the hours of 9a-6pm CST

Preferred Qualifications: 

• Doctor of Pharmacy degree
• Post Graduate Training (Pharmacy Residency and/or Fellowship)
• Board certification by the Board of Pharmacy Specialties (BPS)
• Certified Geriatric Pharmacist
• 1+ years call center experience

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $85,000 to $167,300 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.   

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

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.    

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.   

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.