Clinical Program Consultant - Remote

UnitedHealth Group•Atlanta, MI

4d•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. The individual will work closely with team members, operations, and other subject matter experts to identify quality and patient safety opportunities requiring improvement. Expectations for the candidate in this role include: Serving as a subject matter expert in quality and patient safety science principles Supporting the training of junior team members and Providing as a clinical quality expert in all applicable meetings This individual will be seen as a leader to their junior peers and can drive clinical improvement recommendations to operational areas. This individual will be responsible for providing feedback to the pharmacies on high-risk areas and alerting leadership of any trends identified. This position will provide direct coaching opportunities to improve pharmacist and nurse actions through the appropriate quality tools and communication methods. The candidate for this role must be willing to learn and keep abreast of the complex and evolving pharmacy and infusion world. Clinical Analysts are the most senior subject matter experts (SMEs). This role requires exceptional critical thinking, problem-solving skills and is self-directed. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. 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. Years of post-high school education related to Patient Safety and Quality can be substituted/is equivalent to years of experience.

Requirements

Current and unrestricted Pharmacist or Nursing License
2+ years healthcare quality control & assurance experience
2+ years minimum demonstrated experience using root cause analysis / problem solving
2+ years of experience in a matrixed organization
Experience working on quality improvement projects (QIP) and Correction and Preventive Actions (CAPA)
Experience organizing quality data in appropriate reporting format
Experience investigating, analyzing, synthesizing, and formulating conclusions
Intermediate proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams)
Dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Nice To Haves

Doctor of Pharmacy degree (PharmD)
CPHQ, CPPS, or other relevant certifications
Clinical Pharmacist OR Nursing experience within an Infusion focused pharmacy
CPR+, CareLink (or other pharmacy prescription processing) system experience
URAC or other accreditations knowledge

Responsibilities

Review clinical quality related events, determine root cause, and complete the narrative consistent to team approach
Conduct Root Cause Analysis (RCA) and investigation and categorize events based on state & regulatory pharmacy law
Provide feedback for clinical coaching within operations
Provide feedback for various levels of clinical and non-clinical leadership on incident trends
Effectively communicate (written and spoken) to all levels of the organization
Provide recommendations to operations for the improvement of service delivery and patient experience
Engage with multidisciplinary departments to lead and / or assist in quality improvement projects (QIP) and Correction and Preventive Actions (CAPA)