UnitedHealth Group Clinical Patient Care Pharmacist - Remote in Memphis, TN Area in Memphis, Tennessee
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 is a unique role that will allow the pharmacist to interact with members at a local clinic one day a week and telecommute the rest of the week. The primary responsibilities of this role are to assist with member-initiated inquiries related to OptumRx services and perform telephonic consultations with members to complete comprehensive medication reviews and improve disease state management. In addition, the clinical pharmacist documents the care delivered and communicates essential information to the member’s primary care providers.
You’ll enjoy the flexibility to work remotely * from the Memphis area as you take on some tough challenges.
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
Active participation in weekly patient education at a local clinic
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.
Bachelor’s Degree in Pharmacy or PharmD
Current and unrestricted Pharmacist license in Tennessee
Experience working remotely/independently within a cross functional team environment, self-directed with excellent organizational skills
Experience working with data and analytics to identify trend and opportunities
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
Live within a commutable distance of the Memphis, TN regional area
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
Certified Diabetes Care and Education Specialist
Additional Pharmacist License in good standing in Alabama, Kentucky, or Louisiana
Certified Geriatric Specialist
Board Certified Pharmacist
ACPE MTM Specialist
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
Bilingual in Spanish, Mandarin, Cantonese, Korean, Russian, Vietnamese, or Polish
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 strong 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, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington 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.
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