Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
Staffing for Spectrum POD, Clinical Pharmacist will be responsible for ongoing Pharmacy Management for members attributed to Physician/Physician Practices participating in UnitedHealthcare’s UHC Spectrum Program. Pharmacist will engage with Primary Care Providers (PCPs) through POD structure to ensure care coordination/management of a Spectrum member Pharmacist will work in coordination with the POD Care Coordinator to address the needs of the Members served by the POD.
If you are located in Houston TX Regional Area, you will have the flexibility to telecommute* as you take on some tough challenges.
NOTE: Qualified candidates must live in the Houston TX regional area to perform daily travel expectations of the market region
Primary Responsibilities:
- Conduct Comprehensive Medication Reviews (CMRs) for members identified as High Risk, members referred to POD from PCPs and the POD Care Manager
- Conduct Medication Reconciliation Post-Discharge with members discharged from inpatient facilities
- Collaborate with POD Care Coordinator to facilitate post-discharge PCP/Specialist appointments and 90-day visits on behalf of member
- Key areas for focus during Medication Reviews: potential drug related problems, drug to drug interaction, Cost-savings opportunities (eg, brand to generic, lower tier alternatives), duplicative or unnecessary drug use
- Consult and recommend to the PCP alternative pharmacotherapy based on results of CMRs, Meet with PCP to discuss the recommended adjustment plan, meet with PCP and member as needed to discuss plan
- Conduct Quarterly Targeted Medication Reviews (TMRs)
- Monitor POD member medication compliance; consult with members to ensure medication compliance, educate members on importance of medication compliance, benefits of home delivery, etc.
- Identify and address patient specific barriers to medication adherence and disease state management. Collaborate with patient’s PCP to overcome barriers and improve adherence and disease state management
- Provide education to Spectrum providers when needed related directly to the Spectrum member’s medication management issues
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 (PharmD) degree from an accredited School of Pharmacy
- Current licensure in state of Texas
- 3+ years of experience in a clinical pharmacy setting with Direct Patient Care experience (i.e. Managed Care Organizations, Hospitals, Clinics, Provider Offices, etc.)
- 2+ years of experience communicating with patients, providers, and other healthcare professionals
- Experience with Medication Therapy Management & Comprehensive Medication Reviews
- In depth knowledge of pharmacotherapy and pharmacy practice
- Ability to prove technical knowledge of Microsoft Excel; ability to quickly learn Clinical Applications
- Fluent in both English and Spanish (verbal and written)
- Ability to travel up to 25% of the time within the Houston TX regional area (qualified candidates must reside in the Houston TX regional area to perform these responsibilities)
- Able to provide proof of a valid Driver’s License and current Auto Insurance
- Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
Preferred Qualifcations:
- Managed Care Residency
- Prior health plan experience
- Experience building new relationships with physician practices
- Demonstrated disciplined decisions
- Demonstrated high quality execution
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.