Practice Extend Clinical Pharmacist
1 week ago
We are looking for a Clinical Pharmacist as an addition to the Practice Extend Team. You will work alongside our Care Team's 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/Provider Practices participating in the OptumInsight Practice Extend Program. The Clinical Pharmacist supports transitions of care management, optimizes medication therapy, mitigates risk of adverse drug effects, coordinates follow-up care, improves patient outcomes, and reduces health plan total cost of care.
NOTE: Qualified candidates must live in IN, IL, MO, KY, or OHto be consider for this role (unable to consider candidates outside of these specific states)
If you are located in IN, IL, MO, KY or OH, you will have the flexibility to work remotely 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 Transitions Management, 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 Medication Reconciliation Post-Discharge with patients discharged from inpatient facilities
- 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
Qualified candidates must be able to effectively demonstrate the following:
- Ability to communicate effectively with patients, engage providers, collaborate with team members, and present to internal team and/or external providers
- Adaptable, flexible, and able to incorporate frequent process changes into established workflows within a fast-paced, dynamic environment
- Self-motivated, organized, and efficient
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:
- Graduate of an accredited School of Pharmacy
- Doctor of Pharmacy (Pharm.D.) degree
- Current Pharmacist licensure in state of residence in good standing with no ongoing disciplinary actions
- 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
- 1+ years of experience with transitions of care and medication reconciliation
- Therapeutic knowledge in guideline-directed disease state management
- Knowledge of pharmacy benefits, drug utilization review, and formulary management
- Demonstrated success in developing and communicating actionable, succinct, patient-specific drug-therapy recommendations to providers
- Ability to work flexible schedule, including 2 evenings per week to 7pm, to accommodate business needs
- Lve in IN, IL, MO, KY, or OH to perform the duties of this job (not willing to consider candidates outside of this regional area)
- Willing/able to work Central Time Zone business hours regardless of residence location
- Willing/able to trave approximately 10% of the time in IN, IL, MO, KY, and OH if business needs dictate
Preferred Qualifications:
- MTM Certification
- Board Certification (e.g., BCPS, BCACP)
- PGY1/PGY2 residency training
- Experience in population health management and Value-Based Care
- Spanish/English Bilingual (include if there are language preferences for the region/market)
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.
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