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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Clinical Engagement Services Center team provides a variety of clinical services, such as: Adherence, Diabetes, Fraud Waste & Abuse, Medication Therapy Management, PolyPharmacy, Retrospective Drug Utilization, and STARS adherence.
The team comprises of clinical pharmacists, clinical nurses, certified pharmacy technicians, and customer service representatives 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, adherence related consults, 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.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Engage members telephonically and schedule pharmacist consultation appointments with members that participate in any of the clinical programs operationally supported by the Clinical Engagement Services Center
Prioritize the privacy and confidentiality of the patient’s medical information, adhering to HIPAA regulations, and organizational policies at all times
Utilize prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
Assess medication regimen for unnecessary medications, ineffective medications, inappropriate doses, and adverse drug reactions
Provide patient education on medication regimen and disease states
Accurately document patient care notes and recommendations in an efficient, professional, concise and clear manner
Keep current with new and emerging clinical trends
Active participation in departmental meetings to improve clinical programs and enhance processes
Follow all policies and procedures related to job
Meet productivity and performance expectations set forth by management
Support Clinical Service Engagement 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:
Must be 18 years of age or older
Current and unrestricted Pharmacist license in the state of residence
1+ years of experience working remotely/independently within a cross functional team environment, self-directed with excellent organizational skills
Solid knowledge of disease state management guidelines and the 5 Core Elements of MTM Services (1) Medication Therapy Review – Comprehensive and Targeted, 2) Personal Medication List (PML), 3) Medication-Related Action Plan (MAP), 4) Interventions and Referrals, and 5) Documentation of Services and Follow-up)
Ability to navigate approved MTM platforms and multi-task using multiple databases/platforms, and applications. Competent use of computers/technology
Intermediate level of proficiency with Microsoft Word, Outlook, and Excel
Ability to work a flexible schedule with rotating shifts between the hours of 10:00am and 8:00pm CST, Monday through Friday. Extended hours and occasional weekends may be required as needed
Preferred Qualifications:
PharmD
Current and active Certified Diabetes Care and Education Specialist, Board Certified-Advanced Diabetes Management, ASHP Diabetes Management Certificate, or APhA Patient Centered Diabetes Care Certificate
Additional Pharmacist License in good standing in Alabama, Idaho, Kentucky, Louisiana, Maryland, Minnesota, Oregon, Tennessee, or Vermont
ACPE MTM Specialist
Certified Geriatric Specialist
Board Certified Pharmacist
2+ years Pharmacy work experience in retail / community pharmacy and / or PBM, but will consider new graduate experientials
Call center experience
Bilingual (fluent in medical terminology) in Cantonese, Korean, Mandarin, Russian, Spanish, or Vietnamese
Soft Skills:
Demonstrates interpersonal, consultative, and problem-solving skills – Ability to ask questions to understand patient needs while having empathy and actively listening
Solid telephonic skills – Ability to speak clearly and communicate with senior citizens and healthcare professionals
Capable of defusing conflict appropriately with solid conflict management skills
Commitment to professionalism and a dedicated desire to advance patient care
Ability to interact cross functionally within the organization
Excellent attention to detail, time management, organizational, and prioritization skills and ability to balance multiple priorities
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.
*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.
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.
UnitedHealth Group
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