Clinical Pharmacist

4 weeks ago

Burlington, Vermont, United States UnitedHealth Group Full time
Job Summary

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.

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, set priorities, complete assignments in a timely manner and utilize resources appropriately while complying with department program standards.
  • Perform all duties and functions in compliance with state and federal pharmacy laws and regulations.
  • Dedication to build rapport and maintain productive working relationships with coworkers, management, internal customers, and other departments by demonstrating a solid customer service orientation and a continuous positive image of OptumRx.
  • Patient Safety and Quality of work is paramount and it's important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.
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.
  • Education Reimbursement.
  • Employee Discounts.
  • Employee Assistance Program.
  • Employee Referral Bonus Program.
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).
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.
  • Proven computer and typing proficiency, including with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document), and Microsoft Outlook (ability to send emails), and SharePoint.
  • Primary residence in the state of Vermont.

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