Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
The Clinical Performance Quality (CPQ) Pharmacy Operations team supports Optum’s Care Delivery Organizations by delivering patient-centered, clinically collaborative medication consultations to help people live healthier lives. Our team focuses on the design, execution, and delivery of telephonic and digital engagement strategies designed to close Medicare star measure gaps in care, including medication adherence, comprehensive medication reviews for MTM completion, statins therapy in patient with diabetes and cardiovascular disease. Our interdisciplinary service delivery team is comprised of Pharmacists, Pharmacy Technicians, and Care Coordinators.
Positions in this function consult with customers, members, patients, providers, internal departments and/or external third parties on any or all the following:
The Clinical Pharmacist will perform telephonic, patient-centered clinical consults focused on Medication Therapy Management (MTM), Care for Older Adults annual comprehensive medication reviews, conduct outreach, and consult to support statin utilization in patients with diabetes and cardiovascular disease. In addition, the clinical pharmacist will field clinical concerns escalated by the medication adherence call center agents via warm transfer. The clinical pharmacist will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to support the hours of operation of the business.
General Job Profile:
Generally, work is self-directed and not prescribed
Works with less structured, more complex issues
Serves as a resource to others
If you are located in Minneapolis, MN, you will have the flexibility to telecommute* as you take on some tough challenges.
Conduct telephonic medication consultations that meet/exceed production & quality metrics
Complete annual medication review of prescription and non-prescription medications with emphasis on patient assessment and counseling, safe and effective use of medications, identification of potential drug interactions, and other related activities
Complete pharmacotherapy assessment of patients' claims, past medical history, and disease states
Assess patients for medication adherence barriers and develop a plan to maximize patients' medication success through improving or maintaining adherence to medications
Deliver high quality evidence-based therapeutic recommendations to providers
Deliver a patient-centered, clinically collaborative medication consultation
Develop a post-consultation list of action items for the patient and/or prescriber
Document clinical consultations into internal database
Participate in and contribute to staff meetings and other staff development opportunities and interdepartmental work groups
Identify areas of improvement where systems modifications could result in operational advancements and efficiencies
Maintain a high level of clinical knowledge of chronic disease states and changes in pharmacy practice in adult and geriatric patient populations to serve as an authoritative information source on drugs and their utilization in therapy
Assesses and interprets customer needs and requirements
Identifies solutions to non-standard requests and problems
Works with minimal guidance; seeks guidance on only the most complex tasks
Translates concepts into practice
Provides explanations and information to others on difficult issues
Coaches, provides feedback, and guides others
Acts as a resource for others with less experience
Other duties as assigned
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.
Active, unrestricted pharmacist license in the state of primary residence and willing to obtain licensure in one or more states as per business requirements
5+ years of pharmacy practice experience to include 2+ years Clinical Pharmacy Practice experience
1+ experience with Medicare STARs & HEDIS Measures to include experience with Medication Therapy Management (MTM) and/or Care for Older Adults (COA) medication review
Proficient with Microsoft Word, Excel, Outlook, PowerPoint
Doctor of Pharmacy degree
Board certification by the Board of Pharmacy Specialties (BPS)
Certified Geriatric Pharmacist
1+ years Call Center Experience
Ability to manage multiple, concurrent projects
Excellent written and verbal communication and relationship building skills
Planning and organizational skills to demonstrate leadership and initiative
Strong interpersonal skills
Ability to work independently, as well as a member of a team
Comfortable working in a rapidly changing and highly matrixed environment
Full COVID-19 vaccination is an essential job function 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. Candidates must be able to perform all essential job functions with or without reasonable accommodation
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 Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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.