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Pharmacist - Care Coordination and Medication Optimization
2 months ago
We are seeking a highly skilled Clinical Pharmacist to join our team at UnitedHealth Group. As a Clinical Pharmacist, you will play a critical role in improving health outcomes for our patients by optimizing medication therapy and coordinating care.
Key Responsibilities- Conduct Comprehensive Medication Reviews (CMRs) for high-risk patients and those 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
- 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
- Graduate of an accredited School of Pharmacy
- Doctor of Pharmacy (Ph.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+ year(s) of experience with transitions of care and medication reconciliation
- Ability to work flexible schedule, including 2 evenings per week to 7pm, to accommodate business needs
- Therapeutic knowledge in guideline-directed disease state management
- Demonstrated success in developing and communicating actionable, succinct, patient-specific drug-therapy recommendations to providers
- Knowledge of pharmacy benefits, drug utilization review, and formulary management
- Live in IN, IL, MO, KY, or OH to perform the duties of this job
- Must be willing/able to work Central Time Zone business hours regardless of residence location
- Must be willing/able to travel approximately 10% of the time in IN, IL, MO, KY, and OH if business needs dictate
- MTM Certification
- Board Certification (e.g., BCPS, BCACP)
- PGY1/PGY2 residency training
- Experience in population health management and Value-Based Care
- Spanish/English Bilingual
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.
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.