Current jobs related to Account Manager Pharmacist Clinical Consultant, Medicaid Fee For Service - South Burlington - UnitedHealth Group Inc.

  • Clinical Pharmacist

    4 weeks ago

    Burlington, Vermont, United States Jobot Full time

    Join Our Team as a Clinical PharmacistThis opportunity is hosted by Jobot.About Us:We are a leading healthcare provider serving a diverse population, dedicated to delivering comprehensive medical services across multiple specialties. Our organization is committed to providing exceptional care, including emergency services and a wide range of inpatient and...

  • Clinical Pharmacist II

    3 weeks ago

    Burlington, United States Cone Health Full time

    Overview: The Pharmacist II Acute Care routinely performs clinical support in addition to preparing and dispensing prescribed medications to patients in the acute care setting. This role is accountable for the maintenance of all aspects of medication administration inclusive of: efficiency and effectiveness of medication therapeutics and dispensing,...

  • Clinical Pharmacist

    2 days ago

    South Bend, Indiana, United States Beacon Health System Full time

    Job SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team at Beacon Health System. As a Clinical Pharmacist, you will play a critical role in providing pharmaceutical care to patients, collaborating with healthcare teams, and contributing to the development of departmental policies and procedures.Key ResponsibilitiesProvide...

  • Pharmacist - Clinical Expert

    3 weeks ago

    South Bend, Indiana, United States Beacon Health System Full time

    Job SummaryWe are seeking a highly skilled and experienced Pharmacist to join our team at Beacon Health System. As a key member of our healthcare team, the successful candidate will be responsible for providing exceptional patient care and medication management services.Key ResponsibilitiesProvide accurate and efficient dispensing of pharmaceuticals in...

  • Clinical Pharmacist

    4 weeks ago

    Burlington, Vermont, United States Jobot Full time

    Join Our Team as a Clinical Pharmacist This opportunity is presented by Jobot. About Us: We are a leading healthcare provider dedicated to serving a diverse population. Our organization offers comprehensive medical services, including emergency care and a wide range of inpatient and outpatient treatments. Our team comprises a large number of healthcare...

  • Oncology Clinical Pharmacist

    2 weeks ago

    South Portland, Maine, United States MaineHealth Full time

    OverviewSign-On Bonus: $10,000.00 (Paid in three installments, prorated for part-time positions)Note: Current employees of MaineHealth are not eligible for the sign-on bonus and must be separated from the MaineHealth system for six months to qualify.Position OverviewOur ambulatory oncology practice excels due to our dedicated team, committed to delivering...

  • Clinical Pharmacist Specialist

    1 week ago

    Burlington, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a highly skilled Clinical Pharmacist to join our team in Burlington, Massachusetts.This is an exciting opportunity to work in a dynamic and collaborative environment, providing exceptional patient care and contributing to the advancement of our mission.Key ResponsibilitiesProvide medication management and...

  • Clinical Pharmacist Specialist

    2 days ago

    South Bend, Indiana, United States Beacon Health System Full time

    Job Title: Clinical Pharmacist SpecialistWe are seeking a highly skilled Clinical Pharmacist Specialist to join our team at Beacon Health System. As a Clinical Pharmacist Specialist, you will play a critical role in providing pharmaceutical care to patients through a collaborative team effort among physicians, nurses, pharmacists, and other healthcare...

  • Healthcare Services Pharmacist

    2 days ago

    Burlington, Vermont, United States Walgreens Full time

    Job Description:As a Healthcare Services Pharmacist at Walgreens, you will play a critical role in providing clinical services to patients, ensuring compliance with regulatory guidelines, company policies, and procedures. Your expertise will be essential in delivering a distinctive and joyful experience for our customers.Key Responsibilities:Engage patients...

  • Pharmacist - Oncology Clinical Services

    2 weeks ago

    South Portland, Maine, United States MaineHealth Full time

    Job SummaryWe are seeking a highly skilled Clinical Oncology Pharmacist to join our ambulatory oncology practice team. As a key member of our healthcare team, you will provide high-quality direct patient care and education, working collaboratively with prescribers and caregivers to optimize patient outcomes.Key ResponsibilitiesReview and formulate...

  • Clinical Pharmacist Specialist

    2 weeks ago

    South Bend, Indiana, United States Beacon Health System Full time

    Job Title: Clinical Pharmacist SpecialistWe are seeking a highly skilled Clinical Pharmacist Specialist to join our team at Beacon Health System. As a Clinical Pharmacist Specialist, you will play a critical role in providing pharmaceutical care to patients through a collaborative team effort among physicians, nurses, pharmacists, and other healthcare...

  • Clinical Pharmacist II

    2 weeks ago

    Burlington, North Carolina, United States Cone Health Full time

    Job SummaryCone Health is seeking a highly skilled Clinical Pharmacist II to join our team at Alamance Regional Medical Center. As a key member of our pharmacy team, you will be responsible for providing clinical support and preparing and dispensing prescribed medications to patients in the acute care setting.Key ResponsibilitiesInterpret and follow...

  • Pharmacist Clinician

    2 weeks ago

    Burlington, United States The University of Vermont Health Network Full time

    JOB DESCRIPTION:The OP Ambulatory Pharmacist Clinician is an advanced practice pharmacist responsible for assuring optimal drug use outcomes in high risk, high cost or complex patient populations. They apply specialized knowledge of pharmacotherapy to direct patient care, teaching, and consultation. Participates as a contributing member of ambulatory care...

  • Pharmacist Clinician

    2 weeks ago

    Burlington, United States The University of Vermont Health Network Full time

    JOB DESCRIPTION:The OP Ambulatory Pharmacist Clinician is an advanced practice pharmacist responsible for assuring optimal drug use outcomes in high risk, high cost or complex patient populations. They apply specialized knowledge of pharmacotherapy to direct patient care, teaching, and consultation. Participates as a contributing member of ambulatory care...

  • Pharmacist Clinician

    2 weeks ago

    Burlington, United States Disability Solutions Full time

    JOB DESCRIPTION:The OP Ambulatory Pharmacist Clinician is an advanced practice pharmacist responsible for assuring optimal drug use outcomes in high risk, high cost or complex patient populations. They apply specialized knowledge of pharmacotherapy to direct patient care, teaching, and consultation. Participates as a contributing member of ambulatory care...

  • Pharmacist Clinician

    3 weeks ago

    Burlington, United States The University of Vermont Health Network Full time

    JOB DESCRIPTION:The OP Ambulatory Pharmacist Clinician is an advanced practice pharmacist responsible for assuring optimal drug use outcomes in high risk, high cost or complex patient populations. They apply specialized knowledge of pharmacotherapy to direct patient care, teaching, and consultation. Participates as a contributing member of ambulatory care...

  • Pharmacist Clinician

    4 weeks ago

    Burlington, United States University of Vermont Medical Center Full time

    JOB DESCRIPTION: The OP Ambulatory Pharmacist Clinician is an advanced practice pharmacist responsible for assuring optimal drug use outcomes in high risk, high cost or complex patient populations. They apply specialized knowledge of pharmacotherapy to direct patient care, teaching, and consultation. Participates as a contributing member of ambulatory care...

  • Pharmacist Clinician

    1 week ago

    Burlington, United States The University of Vermont Health Network Full time

    JOB DESCRIPTION:The OP Ambulatory Pharmacist Clinician is an advanced practice pharmacist responsible for assuring optimal drug use outcomes in high risk, high cost or complex patient populations. They apply specialized knowledge of pharmacotherapy to direct patient care, teaching, and consultation. Participates as a contributing member of ambulatory care...

  • Pharmacist in Charge

    2 weeks ago

    South Plainfield, New Jersey, United States Emmaus Drug Store Full time

    Job Description**Job Overview:**At Emmaus Drug Store, we are seeking a highly skilled and experienced Pharmacist in Charge to oversee the daily operations of our pharmacy department. As the Pharmacist in Charge, you will be responsible for ensuring the safe and effective use of medications, providing exceptional patient care, and maintaining compliance with...

  • Community-Based Fee-For-Service Counselors

    4 months ago

    South Portland, United States Day One Full time

    Job DescriptionJob DescriptionGeneral Summary:Child and adult fee-for-service counselors willing to commit between 10 - 20 hours in the Southern Maine area. Flexibility in location to provide services, including home telehealth.Provide substance use and/or mental health counseling, including assessment, treatment planning, group counseling, individual...

Account Manager Pharmacist Clinical Consultant, Medicaid Fee For Service

4 months ago

South Burlington, United States UnitedHealth Group Inc. Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, clinical products and the Clinical Consultant's assigned Fee-for-Service Medicaid client . The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments. Lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation delivery to Medicaid clients. The Clinical Consultant establishes client relationships and serves as primary point of contact for overall and day-to-day service delivery for clinical pharmacy needs. This individual is relied upon to provide proactive clinical recommendations, information regarding pharmacy trend, clinical programs and products, and industry changes to clients, thereby fostering consultative relationships. This individual also represents client(s) internally and coordinates with other functional areas to implement client initiatives, complete projects, and address ongoing pharmacy service needs.

Location: Waterbury, Vermont

If you are located in Vermont, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

* Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
* Collaborate with the client to establish achievable but aggressive clinical program goals, implementation and ongoing management of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, and preferred drug list (PDL) initiatives and support
* Communicate drug information to clients and respond to plan-specific clinical inquiries
* Stay aware of and provide clinical market intelligence to clients
* Identify opportunities for clinical program up-sell and spearhead up-sell to assigned client(s), where contractually appropriate
* Incorporate treatment and practice guidelines into client presentations including up-selling opportunities
* Comprehend and effectively explain formulary and clinical program changes to clients and internal departments
* Effectively manage client objections to new programs and required changes
* Identify and create opportunities to manage trend and add Optum products
* Formulate and deliver client recommendations based on available data and trend
* Deliver clinically sound and fiscally responsible recommendations to clients based on their trend
* Routinely collaborate with account management to provide clinical aspects of client quarterly reviews
* Analyze & interpret benefit designs
* Collaborate in development of strategy as outward facing, dedicated or designated resource for assigned accounts, typically with direct client contact
* Bring innovative ideas that can be scaled across the organization
* Work in a collaborative manner with the Consultant(s) of assigned client(s) while maintaining focus on UHG and Optum strategies and goals
* Clearly communicate analytical and reporting needs to supporting departments
* Help clients be competitive within their market
* Identify opportunities to increase efficiency
* Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements
* Prepare meeting material
* Present recommendations, provide written analysis and respond to questions from the board members
* Review and recommend clinical prior authorization criteria
* Formulate, develop and provide to the P&T Committee recommendations for preferred drugs in each reviewed class
* Implement changes to the PDL and prior authorization requirements which will include modifications to the POS system and all supporting systems and documents
* Serve as the Prior Authorization Call Center Liaison
* Provide education for clients, pharmacists, members and physicians per contractual requirements
* Support sales and marketing including participating in RFP & Finalist activities, per department policies

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:

* Bachelor's degree in Pharmacy or Pharm D
* Current and unrestricted Pharmacist license
* 3+ years of experience working as a licensed pharmacist
* Experience working in a client-facing role with external clients (beyond patients and prescribers)
* Fee-for-Service Medicaid experience
* Experience developing and delivering formal presentations
* Proficient in Microsoft Office and Outlook
* Primary residence in the state of Vermont
* Willing or ability to travel up to 25%

Preferred Qualifications:

* Clinical account management experience
* Experience working for a PBM and / or Health Plan in a client-facing role
* Experience working with complex public sector and government clients with complex benefit structures
* Experience with transition/implementation of clients
* Formulary Management experience
* DUR experience


* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

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.