Job Information
UnitedHealth Group Clinical Pharmacist - Call Center - TX Licensed in San Antonio, Texas
Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind *Caring. Connecting. Growing together. *
The WellMed Quality Pharmacy Operations team supports WellMed Medical Management by delivering patient-centered, clinically collaborative medication consultations to help people live healthier lives. Our team focuses on the design, execution, and delivery of telephonic and digital engagement strategies designed to close STARs measure gaps in care, e.g. medication adherence, care for older adults, statins in patient with diabetes. Our interdisciplinary service delivery team is comprised of Pharmacists, Pharmacy Technicians, Licensed Vocational Nurses, and Care Coordinators.
The Pharmacy Clinical Pharmacist (CP) will report into the Director of Clinical Pharmacy. The Clinical Pharmacist will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual medication reviews, pain and functional assessments. In addition, the CP will field clinical concerns escalated by the medication adherence call center agents via warm transfer. The CP will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to support the hours of operation of the business (Mon-Fri 8am-6pm Central and Saturday 8am-5:30pm Central)
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Conduct telephonic medication consultations that meet/exceed production & quality metrics
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 high quality evidence-based therapeutic recommendations to providers
Deliver a patient-centered, clinically collaborative medication consultation
Develop a post-consultation list of action items for the patient and/or prescriber
Document clinical consultations into internal database
Participate in and contribute to staff meetings and other staff development opportunities and
interdepartmental work groups
Identify areas of improvement where systems modifications could result in operational
advancements and efficiencies
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
Other duties as assigned
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:
Doctor of Pharmacy degree or equivalent experience
Must hold active, unrestricted pharmacy license in state of primary residence with ability to obtain licensure in one or more of the following states: Texas, Florida, Indiana, New Mexico, New Jersey, and Ohio. Preference will be given to applicants with active licensure in any of the listed states
3+ years of clinical pharmacy practice experience
1+ years call center experience
Experience with Medicare STARs & HEDIS measures
Experience with Care for Older Adults (COA) medication review, pain and functional assessments
Ability to manage multiple complex, concurrent projects
Proven excellent written and verbal communication and relationship building skills
Proven planning and organizational skills to demonstrate leadership and initiative
Proven solid interpersonal skills
Ability to work independently, as well as a member of a team
Proficient with Microsoft Word, Excel, Outlook, PowerPoint
Ability to be comfortable working in a rapidly changing and highly matrixed environment
Bilingual with preference given to Spanish (Vietnamese, Cantonese, Mandarin, & Russian also considered)
Preferred Qualifications:
MBA/MPH degree
Board certification by the Board of Pharmacy Specialties(BPS)
Certified Geriatric Pharmacist
Post Graduate Training (Pharmacy Residency and/or Fellowship)
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.