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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
As a Manager of Clinical Pharmacy, you will build and maintain relationships with provider groups and pharmacies to drive improvement in Part D quality metrics. The Manager of Clinical Pharmacy will conduct research and maintain or enhance clinical pharmacy programs such as drug therapy monitoring, health outcomes, disease state management, and care management. This is your opportunity to join a practice-based clinical team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.
Employees in this position will work as a critical part of the Quality Field Operations team; aligning to geographical regions and clinics that care for a high volume of Medicare membership. The Manager of Clinical Pharmacy is responsible for supporting care management related pharmacy activities, drug therapy monitoring, and staff education, with a focus on improved health outcomes.
If you are located in the state of NC to perform travel requirements, you will have the flexibility to work remotely* as you take on some tough challenges
- Develop and implement Part D strategy across assigned territory
- Collaborate with an integrated health care delivery team for pharmacy related practice quality improvement
- Counsel providers and pharmacies regarding Part D quality measures and clinical guidelines
- Conduct practice specific pharmacy data review to improve adherence to specified medications
- Be available and act as a clinical/pharmacy resource for the field-based teams
- Proactively identify performance improvement opportunities through comprehensive data analysis
- Provide education about medication adherence barriers and maximizes members' medication success through improving or maintaining adherence to medications
- Coordinate and support strategic member outreach campaigns
- Deliver high quality evidence-based therapeutic recommendations to providers
- Provide appropriate and effective education, coaching, and consultation for providers, support staff, and internal field-based teams
- Effectively 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
Competencies and Best Practice for High Performers:
- Critical thinker-this position will need to evaluate merits of new and innovative ideas and make sound decisions
- Solid influencer-this position will partner with Clinical resources to enable practice transformation
- Solid relationships-this role will work with Clinical Consulting Directors, Medical Directors, Sr. Leadership, provider group leaders, as well as business and technology partners to plan, direct and develop clinical programs
- Solid Communicator-this role will need to be extremely comfortable presenting program objectives, scope, and process across segments, to internal and external leaders
- Works effectively in an ambiguous environment, comfortable with a rapidly changing landscape
- High degree of emotional intelligence and attention to detail
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.
- Pharmacy degree, and active, unrestricted license to practice as a Pharmacist in North Carolina
- 5+ years of experience as licensed Pharmacist
- HEDIS and CMS star rating experience
- Experience providing clinical pharmacy services to Medicare patients (especially Parts C and D)
- Solid computer skills: MS Office
- Has a reliable vehicle, current and unrestricted driver’s license, and proof of auto insurance
- Able to travel up to 75% of the time (all travel will be within the state of North Carolina)
- Pharm D
- Current Geriatric Licensure or in process of obtaining: CGP (Certified Geriatric Pharmacist)
- MTM (Medication Therapy Management) Certification
- BCPS or BCACP: Board Certified Pharmacotherapy Specialist or Board Certified Ambulatory Care Pharmacist
- Health Plan (Managed Care) experience
- Highly motivated and works with minimal guidance
- Excellent verbal and written communications skills in English
- Demonstrated ability to identify with a consumer to understand and align with their needs and realities
- Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop a trust and respect
- Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done to achieve a goal(s)
- Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.