UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Clinical Pharmacist - Patient Care

Location

United States

Posted

2 days ago

Salary

$91.7K - $163.7K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Clinical Pharmacist - Patient Care

UnitedHealth Group

Role Description 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. - Provide clinical recommendations pertaining 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. Qualifications - Bachelor’s degree. - 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. - Ability to navigate approved MTM platforms and multi-task using multiple databases/platforms, and applications. - Competent use of computers/technology. - Ability to work a flexible schedule with 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. Requirements - Strong knowledge of disease state management guidelines and the 5 Core Elements of MTM Services. - 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. - Bilingual (fluent in medical terminology) in Cantonese, Korean, Mandarin, Russian, Spanish, or Vietnamese. - Additional Pharmacist License in good standing in Alabama, Idaho, Kentucky, Louisiana, Maryland, Minnesota, Oregon, Tennessee, or Vermont. - 2+ years Pharmacy work experience in retail/community pharmacy and/or PBM, but will consider new graduate experientials. - Prior call center experience. - ACPE MTM Specialist. - Certified Geriatric Specialist. - Board Certified Pharmacist. - Intermediate level of proficiency with Microsoft Word, Outlook, and Excel. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements).

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