Analyze and prioritize opportunities across health plans related to pharmacy quality measures (STARS/ HEDIS and Medicaid) Cultivate and maintain relationships with key internal and external stakeholders Communicate and interact with provider groups, pharmacies, and/or members Present on quality measures to internal and external stakeholders Provide clinical pharmacy support for key programs related to pharmacy quality measures (STARS/ HEDIS and Medicaid) Assist with preparing internal and extern... more details
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.
Youll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. ?
Primary Responsibilities:
- Analyze and prioritize opportunities across health plans related to pharmacy quality measures (STARS/HEDIS and Medicaid)
- Cultivate and maintain relationships with key internal and external stakeholders
- Communicate and interact with provider groups, pharmacies, and/or members
- Present on quality measures to internal and external stakeholders
- Provide clinical pharmacy support for key programs related to pharmacy quality measures (STARS/HEDIS and Medicaid)
- Assist with preparing internal and external educational materials
- Actively participate and collaborate with multidisciplinary teams to improve member health outcomes related to pharmacy quality measures
- Other duties as assigned to meet departmental objectives
Youll 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:
- Licensed pharmacist in the state of CA in good standing
- 3+ years of Clinical Pharmacy experience
- 2+ years in a recent Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures
- Advanced skill sets in customer service, communication, and group presentations
- Proficiency with Microsoft Office applications including Word, Excel, Power Point, and Outlook
Preferred Qualifications:
- Advanced Practice Pharmacist License, CA
- Board Certified Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or other applicable certifications
- 1+ years of a Pharmacy Practice Residency
- Experience in managed care pharmacy (Pharmacy Benefits Manager, Medicare Advantage, Medicaid)
- Experience using EMR systems
- Knowledge in Medicare part D and/or Medicaid
- Demonstrate accuracy, timeliness, organization and attention to detail
Youll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. 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, youll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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.
