[Hiring] Clinical Pharmacist @UnitedHealth Group

Role Description

We are looking for a Clinical Pharmacist as an addition to the Optum Insight ACO Practice Extend care team. You will work alongside our Care Team’s RN Care Coordinator and Clinical Administrative Coordinator to improve the health outcomes of the patients we serve. The Practice Extend Clinical Pharmacist is responsible for the medication therapy management of patients attributed to Provider Practices participating in the Optum Insight ACO Practice Extend Program. The Clinical Pharmacist optimizes medication therapy, mitigates risk of adverse drug effects, coordinates follow-up care, improves patient outcomes, and reduces health plan total cost of care.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Work with a Care Team of a Care Coordinator and Clinical Administrative Coordinator to support patient and provider engagement for Care Coordination and Medication Therapy Management.
• Conduct Comprehensive Medication Reviews (CMRs) for patients identified as High Risk and patients who are referred by participating primary care providers (PCPs).
• Conduct Targeted Medication Reviews (TMRs) for patients on high-cost prescription medications with lower-cost alternatives.
• Triage patients to Clinical Care Coordinator for follow-up assistance as needed (e.g., provider appointment scheduling, locating preferred specialist(s), enrollment in clinical programs, provider referrals, etc.).
• Apply clinical knowledge, therapeutic guidelines, and Medication Therapy Management (MTM) skills to avoid drug therapy problems, optimize therapeutic outcomes, ensure patient safety, and improve cost-effectiveness.
• Engage providers and effectively communicate actionable, succinct, patient-specific drug-therapy recommendations.
• Utilize multiple applications, platforms, electronic medical records (EMRs), etc. to interpret clinical information, pharmacy claims, and benefit information.
• Document all MTM interventions and recommendations timely and accurately within technology platform.
• Present patient case examples of successful MTM interventions and Care Team impact to program leadership, health plan executives, and/or external providers.

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.

Qualifications

• Doctor of Pharmacy (Pharm.D.) degree.
• Graduate of an accredited School of Pharmacy.
• Current Pharmacist licensure in state of residence in good standing with no ongoing disciplinary actions.
• Active Florida pharmacist licensure in good standing.
• Ability to obtain additional state licensures based upon business need.
• 3+ years of direct patient care experience conducting Medication Therapy Management and Comprehensive Medication Reviews in a clinical setting.
• Spanish/English bilingual.
• Ability to work flexible schedule, that would include two evenings (up to 7pm local time), to accommodate business needs.
• Ability to communicate effectively with patients, engage providers, collaborate with team members, and present to internal team and/or external providers.
• Robust therapeutic knowledge in guideline-directed disease state management.
• Proven success in developing and communicating actionable, succinct, patient-specific drug-therapy recommendations to providers.
• Adaptable, flexible, and able to incorporate frequent process changes into established workflows within a fast-paced, dynamic environment.
• Self-motivated, organized, and efficient.
• Knowledge of pharmacy benefits, drug utilization review, and formulary management.

Preferred Qualifications

• Active Arizona pharmacist licensure in good standing.
• Board Certification (e.g., BCPS, BCACP).
• PGY1/PGY2 residency training.
• Experience in utilizing AI tools to support clinical and administrative efficiency.
• Experience in population health management and Value-Based Care.
• Experience in HEDIS and STARS Quality Measures.
• Experience working in a remote patient outreach capacity.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.