Job Information
UnitedHealth Group Clinical Pharmacist - Remote in Draper, Utah
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
As a clinical pharmacist of pharmacy affordability, you will play a crucial role in ensuring that Medicare beneficiaries have access to affordable and high-quality medications. It's an exceptional opportunity to join a pharmacy team with a focus on clinical and business collaboration. Join us today and start helping to make a difference in the lives of millions.
If you reside in Pacific, Mountain, or Central Time zones, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Drug Utilization Reviews : Participate in drug utilization reviews for high-cost specialty drug market baskets. Past clinical experience and exposure to Dermatology, Gastroenterology, or Rheumatology specialty service lines is highly desirable
Medical/Clinical : Uphold clinical integrity of pharmacy initiatives by staying up to date on medication information, contribute to the identification of pharmacy program best practices, collaborate with providers, and provide pharmacy expertise within the organization
Strategy development and activation : Monitor trends in drug utilization, pricing, formularies, step therapy, rebate programs, and manufacturer assistance programs to inform strategy development
Cross-Functional Team Collaboration : Collaborate with cross-functional teams to develop and implement strategies for enhancing medication affordability within the Medicare Advantage population while adhering to compliance requirements and maintaining clinical excellence. Teams include- payment integrity, pharmacy UM, industry relations, claims operations, health care economics, finance, contracting, etc.
Regulatory : Stay informed about Medicare regulations, reimbursement policies, and industry best practices
Implement Value-Based Care Initiatives : Deliver affordability through initiatives aimed at dose optimization, appropriate therapy/de-escalations, therapeutic substitutions, utilization management, referral management, contracting, claim edits, rebates, etc.
Care Coordination : Ensure seamless coordination of care for patients to receive therapy from the most appropriate site/pharmacy and benefit (B vs. D)
Track and Evaluate : Track interventions and monitor effectiveness of affordability initiatives to guide team priorities
Broad-based and comprehensive knowledge is critical to success in this role. You'll need to be comfortable making recommendations on behalf of a highly diverse patient population. In addition, you'll need to be well-versed in product formularies.
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.
Required Qualifications:
Degree from an accredited school of Pharmacy
Active pharmacist license in good standing
5+ years of experience as a Pharmacist in a healthcare setting
2+ years of clinical practice and direct patient care experience in a specialty area (e.g., dermatology, gastroenterology, rheumatology)
Experience providing consultation and drug therapy recommendations to both providers and patients
Experience working collaboratively in multidisciplinary teams
Comprehensive knowledge of clinical therapeutics for specialty drugs
Proficiency in literature search and evidence-based medicine
Must reside in Pacific, Mountain or Central Time Zone and be able to work 8 hours between 8a-5p Mountain Standard Time
Preferred Qualifications:
Pharmacy Board Certification (BCPS, BCACPBPS, etc.) or completion of a PGY2 pharmacy residency program
2+ years of Managed Care/PBM experience or completion of a managed care residency
2+ years of experience in Medicare Advantage programs
Experience in operations, data analysis, report development, or program development within the healthcare field
LEAN process and six sigma experience
Familiarity with value-based care, including shared savings/risk models
Knowledgeable in medical and pharmacy claims processing and data management
Robust analytical and mathematical skills, including the ability to reconcile financial reports and data and identify trends in drug costs
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Nevada, Washington, California or Colorado Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.