UnitedHealth Group Clinical & MTM Pharmacist Optum Frontier Therapies - Las Vegas, NV or Flint, MI in Las Vegas, Nevada
Do you have compassion and passion to help others? Transforming healthcare one family at a time starts with the values you embrace and the passion your bring to achieve your life's best work.(sm)
Under general supervision of the VP of R&D and Clinical Outcomes, the Clinical Pharmacist is responsible for performing comprehensive and targeted Medication Therapy Management (MTM) in high risk patients to identify, resolve, and prevent medication-related problems. The Clinical Pharmacist documents the care delivered and communicates essential information to the patient’s primary care providers and the health care team. The Clinical Pharmacist is also responsible to follow processes to improve patient care, outcomes, and quality improvement metrics related to CMS HEDIS/Star ratings and assist in the coordination of the Medical Assistance Program (MAP) for Optum Frontier Therapies patients.
Utilize prescription and medical claim data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols
Provide clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
Utilize health plan’s formulary information to guide appropriate medication recommendations
Remain knowledgeable of current and emerging clinical trends
Active participation in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information
Continuously look for ways to streamline and improve workflow
Assist with user acceptance testing for new clinical programs and system enhancements
Serves as a clinical resource and consultant in all areas of pharmacy and medication management
Assist in mentoring PharmD pharmacy students
Acts as a consultant to Optum Frontier Therapies team
Supports medical management and pharmacy quality initiatives
Follow all policies and procedures related to job
Performs all other related duties as assigned to meet departmental objectives
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.
Doctor of Pharmacy degree
Current, unrestricted pharmacy license in the state of residency
2+ years of experience as a pharmacist
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Board certification by the Board of Pharmacy Specialties (BPS)
Certification in Medication Therapy Management (MTM)
Nevada Pharmacist Licensure
Michigan Pharmacist Licensure
Experience with Medicare guidelines
Excellent written and verbal communication skills
Excellent relationship building skills
Planning and organizational skills to demonstrate leadership and initiative
Strong interpersonal skills. Ability to work independently, as well as a member of a team
Strong analytical and PC operation skills
Optum Frontier Therapies has the vision that all people, no matter how unique, can access a better tomorrow.
Focused on reimagining specialty pharmacy for patients with rare disease and advanced therapeutics, we work a little harder. We aim a little higher. We expect more from ourselves and each other.
Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
Come to Optum Frontier Therapies, part of UnitedHealth Group, and share your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)
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.
Job Keywords: Pharmacist, Pharmacy, PharmD, MTM, Medication Therapy Management, UM, Utilization Management, DUR, drug utilization review, Optum, Optum Frontier, Las Vegas, NV, Nevada, Flint, MI, Michigan
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