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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

The Clinical Engagement Services team provides a variety of clinical services, such as: Adherence, Fraud Waste & Abuse, Medication Therapy Management, Post - Hospital Discharge, and Retrospective Drug Utilization.

The team comprises of clinical pharmacists, 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 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
• 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:

• Bachelor’s Degree in Pharmacy or PharmD
• Current and unrestricted Pharmacist license in the state of residence
• 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
• The work hours required will require flexibility to work rotating shifts between the hours of 8:00am 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, Kentucky, Louisiana, Oregon, or Tennessee
• 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
• Intermediate level skill in Microsoft Word, Outlook, and Excel
• Live within a commutable distance of UnitedHealth Care office location
• 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
  

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

California, Colorado, Connecticut, Nevada, Washington or New York City Residents Only: The salary range for California, Colorado, Connecticut, Nevada, Washington or New York City residents is $85,000 to $167,300. 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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