Academic Detailer Pharmacist

UnitedHealth GroupSchaumburg, IL
91d$89,900 - $160,600Remote

About The Position

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. The Academic Detailer Pharmacist is a field-based role that will independently engage community-based physicians and medical group administrators in an educational capacity with the goals of driving adherence to evidence-based medicine guidelines, supporting medication adherence, and supporting prescribing of lower cost alternatives. As part of their daily responsibilities, this individual will work under the guidance and direction of their health plan partner to successfully drive initiatives and engage providers. The Academic Detailer Pharmacist serves as the primary liaison between their health plan partner and their assigned provider portfolio. They will be expected to proactively establish and manage prescriber relationships as an outward facing, dedicated resource. In addition to providing prescriber/group education and performance report cards, this individual will engage medical groups to strategically identify ways to make provided reports more useful, and will be expected to bring back recommendations from physician offices to support continuous quality improvement of the detailing program. The Detailer will then be expected to collaborate with their health plan partner to continually improve ongoing utility of provider reports and education materials.

Requirements

  • Bachelor of Science in Pharmacy or PharmD
  • Current and unrestricted Pharmacist license
  • 3+ years of experience as a practicing Pharmacist OR completion of an ASHP-accredited pharmacy residency in one of the following: managed care, ambulatory care or specialty pharmacy
  • Experience analyzing and interpreting pharmacy claims data, cost drivers and trends
  • Proficient skills in Microsoft Office and Outlook
  • Ability to travel locally, up to 50%

Nice To Haves

  • Solid clinical knowledge and experience collaborating with providers to recommend or promote clinically appropriate and cost-effective care
  • Experience proactively outreaching to providers or provider offices on pharmacy recommendations and topics
  • Experience driving change through collaboration with providers and their staff
  • General pharmacy/PBM, medical practices business understanding related to prescribing
  • Understanding of clinical quality programs (i.e. CMS STAR Ratings, NCQA/HEDIS, PQA)
  • Understanding of pay-for-performance programs, ACOs and other performance/quality based initiatives
  • Previous Academic Detailing experience
  • Previous managed care or PBM experience
  • Experience giving formal presentations

Responsibilities

  • Plan weekly activities, summarize outcomes and detail actionable items from activities
  • Engage top prescribers through face-to-face visits, telephonic outreach, and fax/mail intervention to provide them with key feedback on their prescribing patterns, including benchmarks against relevant peer groups
  • Review prescriber-specific opportunities to improve care on behalf of members
  • Review patient-specific opportunities to optimize and provide cost-effective, quality care
  • Develop and manage the client relationship with your health plan partner by employing effective communication, utilizing professional acumen, and incorporating drug expertise
  • Participate in the development of reports providing comparative data on prescribing practices
  • Participate in the development of outcome reports to track the success of interventions
  • Analyze data to track and trend program impact and identify areas of opportunity to improve the program
  • Function with high level of urgency in all business responses- internal and external
  • Receive training and materials from health plan partner to disseminate to practices, including handouts, provider reports, and other desired collateral
  • Provide monthly progress updates during health plan partner hosted meetings
  • Provide annual presentation of each year's activities and outcomes
  • Assist with providing data and feedback to truly change provider behavior and achieve results
  • Build collaborative and trusting relationships with the providers. Work as a clinical liaison between health plan partner and portfolio of practices/providers
  • Maintain confidentiality and use only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Insurance Carriers and Related Activities

Education Level

Bachelor's degree

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