Clinical Pharmacist

UnitedHealth Group•Eden Prairie, MN

9h•Remote

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position supports the Medicaid line of business by ensuring continuity, accuracy, and timeliness of drug file management, formulary updates, and related reporting activities. The role focuses on weekly drug file reviews, coverage decisioning, attending quarterly Pharmacy & Therapeutics (P&T) meetings and aid in the preparation of the P&T meetings material. The position serves as backup support to the Account Manager and clinical pharmacist in maintaining compliance with contractual and regulatory requirements. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Active PharmD license
2+ years of experience in formulary management and clinical data analysis
Experience in communicating to clients and presenting data
Experience working collaboratively in cross-functional teams and client-facing environments
Intermediate proficiency with drug databases and reporting tools (e.g., MediSpan, Excel)

Nice To Haves

Experience with fee-for-service Medicaid plans
Working knowledge of CMS rules, regulations, and guidance regarding Medicaid

Responsibilities

Review weekly drug compendia drug file to assess coverage status of newly released medications
Analyze clinical data, comparative drug reports, cost metrics, and utilization trends to develop evidence-based drug criteria
Recommend drug placement strategies for client formulary based on clinical and financial evaluations
Prepare and deliver error-free quarterly drug formulary change requests for approved changes from P&T meetings
Review and perform quality checks of all pre- and post-P&T deliverable documents along with virtually attending quarterly P&T meetings
Support all weekly, monthly, quarterly, and annual formulary-related and contractual deliverable reports
Present findings and updates to clients confidently; serve as a backup for the account manager and clinical pharmacist when needed