Clinical Pharmacist
4 weeks ago
Job Summary:
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. As a Clinical Pharmacist - Prior Authorization Specialist, you will play a critical role in improving 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. Our team is dedicated to advancing health equity on a global scale, and we are looking for a skilled Clinical Pharmacist to join us in this mission.
Key Responsibilities:
- Review Prior Authorization cases and render coverage determinations based on clinical criteria and plan design in a fast-paced environment.
- Maintain minimum productivity and quality targets as dictated by the department's internal performance matrix.
- Have solid attention to detail, organize workload, sets priorities, complete assignments in a timely manner and utilizes resources appropriately while complying with department program standards.
- Perform all duties and functions in compliance with state and federal pharmacy laws and regulations.
Requirements:
- Pharm.D. degree or Bachelor's degree in Pharmacy.
- Active and unrestricted Pharmacist license in good standing in the state of Vermont.
- Proven solid drug product and clinical pharmacy knowledge.
- Demonstrated ability to work independently with minimal supervision.
- Proven solid clinical ability to interpret criteria and implement clinical programs for prior authorization.
Preferred Qualifications:
- 1+ years of experience working as clinical pharmacist.
- Experience working in Prior Authorization.
- Experience working within a managed healthcare system.
What We Offer:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Floating Holiday.
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account.
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage.
- 401(k) Savings Plan, Employee Stock Purchase Plan.
Why Choose UnitedHealth Group?
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. 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.
Equal Employment Opportunity:
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.
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