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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
We are looking for a Clinical Pharmacist as an addition to the Practice Extend Team. You will work alongside our Care Team’s Care Coordinator and Clinical Administrative Coordinator to improve the health outcomes of the patients we serve. The Practice Extend Clinical Pharmacist is responsible for the medication therapy management of patients attributed to Provider/Provider Practices participating in the OptumInsight Practice Extend Program. The Clinical Pharmacist supports transitions of care management, optimizes medication therapy, mitigates risk of adverse drug effects, coordinates follow-up care, improves patient outcomes, and reduces health plan total cost of care.
If you are located in the Austin or San Antonio, Texas regional area, you’ll enjoy the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
- Work with a Care Team of a Care Coordinator and Clinical Administrative Coordinator to support patient and provider engagement for Care Transitions Management, Care Coordination, and Medication Therapy Management
- Conduct Comprehensive Medication Reviews (CMRs) for patients identified as High Risk and patients who are referred by participating primary care providers (PCPs)
- Conduct Medication Reconciliation Post-Discharge with patients discharged from inpatient facilities
- Conduct Targeted Medication Reviews (TMRs) for patients on high-cost prescription medications with lower-cost alternatives
- Triage patients to Clinical Care Coordinator for follow-up assistance as needed
- Apply clinical knowledge, therapeutic guidelines, and Medication Therapy Management (MTM) skills to avoid drug therapy problems, optimize therapeutic outcomes, ensure patient safety, and improve cost-effectiveness
- Engage providers and effectively communicate actionable, succinct, patient-specific drug-therapy recommendations
- Utilize multiple applications, platforms, electronic medical records (EMRs), etc. to interpret clinical information, pharmacy claims, and benefit information
- Document all MTM interventions and recommendations timely and accurately within technology platform
- Present patient case examples of successful MTM interventions and Care Team impact to program leadership, health plan executives, and/or external providers
- Qualified candidates must be able to effectively demonstrate the following:
- Ability to communicate effectively with patients, engage providers, collaborate with team members, and present to internal team and/or external providers
- Adaptable, flexible, and able to incorporate frequent process changes into established workflows within a fast-paced, dynamic environment
- Self-motivated, organized, and efficient
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:
- Graduate of an accredited School of Pharmacy
- Doctor of Pharmacy (Pharm.D.) degree
- Current Pharmacist licensure in Texas, in good standing with no ongoing disciplinary actions
- Ability to obtain additional state licensures based upon business need
- Fluent Bilingual in both English and Spanish (written and oral)
- 3+ years of direct patient care experience conducting Medication Therapy Management and Comprehensive Medication Reviews in a clinical setting
- 1+ year of experience with transitions of care and medication reconciliation
- Ability to work flexible schedule, including 2 evenings per week to 7pm, to accommodate business needs
- Therapeutic knowledge in guideline-directed disease state management
- Demonstrated success in developing and communicating actionable, succinct, patient-specific drug-therapy recommendations to providers
- Knowledge of pharmacy benefits, drug utilization review, and formulary management
- Must live in the Austin TX / San Antonio TX Regional Area to perform the duties of this job
Preferred Qualifications:
- PGY1/PGY2 residency training
- MTM Certification
- Board Certification (e.g., BCPS, BCACP)
- Previous experience in population health management and Value-Based Care
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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