Clinical Pharmacist Lead, Spectrum - Telecommute in NY
Location: New York, New York
Internal Number: 109068019
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
Staffing for Spectrum POD, Clinical Pharmacist Lead will be responsible for ongoing Pharmacy Management for members attributed to Physician/Physician Practices participating in UnitedHealthcare’s UHC Spectrum Program. Pharmacist will engage with Primary Care Providers (PCPs) through POD structure to ensure care coordination/management of a Spectrum member Pharmacist will work in coordination with the POD Care Coordinator to address the needs of the Members served by the POD.
If you are located in New York, you will have the flexibility to telecommute* as you take on some tough challenges.
Accountable for management/direct oversight of care team consisting of a Clinical Pharmacist, two Care Coordinators, and a Clinical Administrative Coordinator; hire, train, mentor and evaluate the performance of direct reports to develop a high-performing team
Conduct Comprehensive Medication Reviews (CMRs) for members identified as High Risk, members referred to POD from PCPs and the POD Care Manager
Conduct Medication Reconciliation Post-Discharge with members discharged from inpatient facilities
Collaborate with POD Care Coordinator to facilitate post-discharge PCP/Specialist appointments and 90-day visits on behalf of member
Key areas for focus during Medication Reviews: potential drug related problems, drug to drug interaction, Cost-savings opportunities (eg, brand to generic, lower tier alternatives), duplicative or unnecessary drug use
Consult and recommend to the PCP alternative pharmacotherapy based on results of CMRs, Meet with PCP to discuss the recommended adjustment plan, meet with PCP and member as needed to discuss plan
Monitor POD member medication compliance; consult with members to ensure medication compliance, educate members on importance of medication compliance, benefits of home delivery, etc.
Identify and address patient specific barriers to medication adherence and disease state management. Collaborate with patient’s PCP to overcome barriers and improve adherence and disease state management
Provide education to Spectrum providers when needed related directly to the Spectrum member’s medication management issues
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.
Graduate of an accredited School of Pharmacy
Doctor of Pharmacy (PharmD) degree
Current licensure in state of residence
Direct Patient Care Experience
Experience with Medication Therapy Management & Comprehensive Medication Reviews
5+ years of experience in a clinical pharmacy setting
3+ years of experience managing teams
In depth knowledge of pharmacotherapy and pharmacy practice
Ability to prove technical knowledge of Microsoft Excel
Ability to quickly learn Clinical Applications
Ability to work flexible schedule to accommodate business needs
Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance
Board Certification in Ambulatory Care
Prior health plan experience
Experience building new relationships with physician practices
Demonstrated disciplined decisions
Demonstrated high quality execution
Bilingual (English and Spanish)
Solid communication skills with patients, providers and other healthcare professionals
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.