Clinical Pharmacist

2 weeks ago

Dallas, Texas, United States UnitedHealth Group Full time
Job Title: Clinical Pharmacist

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 delivering patient-centered, clinically collaborative medication consultations to help people live healthier lives.

About the Role:

The Clinical Pharmacist will report into the Director of Clinical Pharmacy and will be responsible for performing telephonic, patient-centered clinical consults focused on Care for Older Adults annual medication reviews, pain and functional assessments. Additionally, the CP will act as a field consultant for providers and clinics via in-person and virtual meetings.

Key Responsibilities:
  • Develop and implement market business plans to motivate providers and large or complex group leadership to engage in improving Stars measures to be 4 STARS or higher for pharmacy-related measures.
  • Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups for pharmacy measures.
  • Be the primary subject matter expert for all STARS-related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations.
  • Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual Business Review meetings related to STAR activities.
  • Analyze and evaluate provider and large group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies.
  • Assist in developing of training and analytical materials for Stars and HEDIS.
  • Identify and assess decision makers and other key provider group personnel with a focus on identifying barriers to achieving targeted outcomes, focus communications and efforts accordingly.
  • Develop solution-based, user-friendly initiatives to support practice success.
  • Place outbound calls to members to ascertain information from the patient regarding HEDIS and Quality measures related to their care as well as obtain member information regarding any possible gaps in care.
  • Complete annual medication review of prescription and non-prescription medications with emphasis on patient assessment and counseling, safe and effective use of medications, identification of potential drug interactions, and other related activities.
  • Complete pharmacotherapy assessment of patients' claims, past medical history, and disease states.
  • Assess patients for medication adherence barriers and develop a plan to maximize patients' medication success through improving or maintaining adherence to medications.
  • Deliver a patient-centered, clinically collaborative medication consultation.
  • Develop a post-consultation list of action items for the patient and/or prescriber.
  • Maintain a high level of clinical knowledge of chronic disease states and changes in pharmacy practice in adult and geriatric patient populations to serve as an authoritative information source on drugs and their utilization in therapy.
Requirements:
  • Doctor of Pharmacy degree or Equivalent Experience.
  • Must hold an active, unrestricted pharmacy license in the state of Texas.
  • 5+ years Clinical Pharmacy Practice experience.
  • 2+ years experience with Medicare STARs & HEDIS Measures.
  • 2+ years of experience in provider-facing interactions, including provider education.
  • 2+ years of experience with data analysis and/or quality chart reviews. Must be able to review data and provide recommendations for improvement.
  • 1+ years Call Center Experience.
  • Proficient with Microsoft Word, Excel, Outlook, PowerPoint.
  • Comfortable working in a rapidly changing and highly matrixed environment.
  • Located or within driving distance of market being supported.
Preferred Qualifications:
  • MBA/MPH Degree.
  • Post Graduate Training (Pharmacy Residency and/or Fellowship).
  • Board certification by the Board of Pharmacy Specialties (BPS).
  • Certified Geriatric Pharmacist.
  • Bilingual preferred with preference given to Spanish.
  • Proven excellent written and verbal communication and relationship building skills.
  • Proven planning and organizational skills to demonstrate leadership and initiative.
  • Proven solid interpersonal skills.
  • Proven ability to manage multiple complex, concurrent projects.
  • Proven ability to work independently, as well as a member of a team.
Physical & Mental Requirements:
  • Ability to lift up to 25 pounds.
  • Ability to sit for extended periods of time.
  • Ability to use fine motor skills to operate office equipment and/or machinery.
  • Ability to receive and comprehend instructions verbally and/or in writing.
  • Ability to use logical reasoning for simple and complex problem solving.
  • Ability to operate motor vehicles and drive distance of 100+ miles per day.

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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