• Responsible for the design, configuration, and quality assurance of prior authorization (PA) criteria • Ensures clinical intent is accurately translated into compliant, efficient system logic through structured QA/QC and validation processes • Collaborates with internal teams and external clients to support delegated PA services and drive system optimization • Build decision trees and question sets from PA criteria for prior authorization review • Perform comprehensive quality control (QC) review of decision trees, questionnaires, and authorization logic to ensure alignment with clinical intent, regulatory requirements, and business rules • Conduct quality assurance (QA) validation of configured criteria and decision paths • Ensure PA questionnaires are configured with the appropriate authorization parameters for approval • Collaborate with external clients for delegated clinical PA systems services • Manage setup, contracting, and relationships with prior authorization external vendors • Mapping of prior authorization member and prescriber letter templates in the prior authorization system • Validate that denial rationales, approval language, and conditional messaging accurately reflect clinical criteria and system outputs • Creation and maintenance of Commercial and Government denial verbiage templates • Develops and maintains policies and procedures for creation and maintenance of clinical criteria questions and letter templates • Establish and maintain QA/QC standards, documentation, and audit processes for decision trees, criteria configurations, and letter templates • Identify PA reporting needs and collaborating with appropriate stakeholders to develop reports • Respond to requests for clinical criteria from members and prescribers • Attend formulary meetings and presentations

Role Description The Pharmacy Service Associate is responsible for performing daily, routine tasks in the pharmacy such as answering the phone, responding to customer requests, data entry, record maintenance, and other clerical duties. - Answers inbound calls to the Pharmacy - Communicates with Patients regarding their medication orders, including verifying order status - Responds to requests and communicates with Lincare Center staff regarding patient medication orders - Places medication refill order in computerized system at patient request - Assesses customer compliance with physician orders - Answers questions and provides customer education regarding products/services, within Board of Pharmacy Regulations - Submits requests for special orders as needed - Tracks medication packages in various vendor systems such as UPS - Researches order status and delivery at patient or center request - Inactivates patient accounts in computerized system - Processes patient address changes, ensuring accurate address information - Responsible for meeting specific performance objectives related to number of calls handled, orders processed, time on call, time entering information in computerized system, etc. - Complies with Board of Pharmacy rules and regulations Qualifications - High School Diploma or General Education Degree (GED), Required - Minimum of one-year clerical/office experience, required - Strong phone, verbal, and written communication skills - Problem-solver - Proficiency in Microsoft Office applications - Adequate typing (typically 30 -- 40 wpm) - Successfully complete Pharmacy Technician Training program and obtain Pharmacy Technician Registration within required timeframe - For Med4Home positions, Pharmacy Technician License is required in state of jurisdiction Benefits - Ongoing training and advancement opportunities - Comprehensive medical, dental, and vision coverage - Paid time off - Retirement savings - Tuition reimbursement - Generous employee referral program - Wide array of employee discounts

Title: Staff Pharmacist Location: Fremont United States Job Description: Requisition number: 2365957 Job category: Pharmacy Overtime status: Non-exempt Travel: No Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a part time, nonexempt Staff Pharmacist, you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by maintaining seamless daily operations, supporting the Director in optimizing pharmacy performance, and mentoring staff. About the Facility: Fremont Hospital is a private, modern 148-bed behavioral healthcare facility that provides services to adolescents (ages 12-17) and adults. Services offered include treatment of psychiatric conditions, chemical dependency, and treatment of 'dual diagnosis'. A variety of treatment programs are available, including inpatient care, partial hospitalization (day treatment) and an intensive outpatient program. About the Pharmacy: Pharmacy hours are Monday-Friday from 7:00am-3:30pm and Saturday, Sunday, and holidays from 7:00am-1:30pm. The pharmacy is supported by Omnicell automation. Schedule: This part time, nonexempt position will work 8-16 hours/week weekdays, and occasionally weekends, holidays, and to help cover PTO. Primary Responsibilities: - Review, verify, and dispense medication orders to ensure appropriateness, safety, and accuracy - Provide clinical pharmacy services, including medication therapy management and pharmacokinetic dosing and monitoring - Collaborate with physicians, nurses, and care teams to optimize medication regimens for hospitalized patients - Oversee sterile and non-sterile compounding activities, ensuring compliance with USP and hospital standards - Monitor patient outcomes and medication safety, identifying and preventing adverse drug events - Supervise and support pharmacy technicians and interns, ensuring efficient and compliant workflow - Ensure regulatory and accreditation compliance, including Joint Commission, state, and federal requirements 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: - Pharmacy degree (BS or PharmD) from an ACPE accredited school of pharmacy - Current California Pharmacist license in good standing - Proven ability to work independently, set priorities, make critical decisions, and respond to client concerns - Proven effective communications skills; verbal and written - Demonstrated accuracy and timeliness in a work setting Preferred Qualifications: - Successful completion of a Pharmacy Practice Residency program - Experience as a pharmacist in a hospital setting 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 hourly pay for this role will range from $44 to $79 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.

Title: Staff Pharmacist - Per Diem at UnitedHealth Location: Bloomington, Indiana Work Type: Onsite, Part Time Job ID: 2344947 Job Description: Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. The per diem Staff Pharmacist will play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance. Pharmacy Location: Located within Bloomington Meadows Hospital, 3600 N Prow Rd, Bloomington, IN 47404 Hours of Operation: Monday through Friday 8:00am to 4:00pm and Saturday and Sunday 12:00pm to 4:00pm Primary Responcibilies: - Review, verify, and dispense medication orders to ensure appropriateness, safety, and accuracy - Provide clinical pharmacy services, including medication therapy management and pharmacokinetic dosing and monitoring - Collaborate with physicians, nurses, and care teams to optimize medication regimens for hospitalized patients - Monitor patient outcomes and medication safety, identifying and preventing adverse drug events - Supervise and support pharmacy technicians and interns, ensuring efficient and compliant workflow - Ensure regulatory and accreditation compliance, including Joint Commission, state, and federal requirements 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: - ACPE-accredited pharmacy degree (PharmD preferred) - Active Indiana state pharmacist license in good standing - 1+ years of recent pharmacist experience, (hospital setting preferred) - Skilled with pharmacy systems and Microsoft Office 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 hourly pay for this role will range from $44.09 to $78.70 per hour based on full-time employment. We comply with all minimum wage laws as applicable.