Medicare Part D Clinical Pharmacist - Remote
About The Position
As a clinical pharmacist in the Medicare Part D formulary team, you will support the day-to-day operations related to ensuring accuracy of formularies submitted to CMS and ensure formularies are correctly implemented and adjudicated in the claim system. The chosen candidate will be responsible for participating in Medicare Part D formulary submission and related formulary operations. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Requirements
- Bachelor of Pharmacy or Pharm D Degree
- Current and unrestricted Pharmacy License in state of residence
- 2+ years of working experience as a licensed pharmacist
- 1+ years of experience working in a PBM and/or Health Plan
- Experience and ability to present formulary recommendations to clients on a frequent basis
- Solid computer proficiency and experience with Excel and Outlook
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Nice To Haves
- PBM (Pharmacy Benefits Management) experience
- Medicare Part D experience
- Pharmacy residency experience
- Formulary Operations and/or Submissions experience
- Experience presenting to clients
- Experience with data analysis
- Proven solid organizational skills
- Proven solid communication skills, both written and verbal
Responsibilities
- Translate CMS, formulary, and pharmacy practice requirements into developing business/operational processes
- Support development and maintenance of clinical data attributes
- Ensure that implemented formularies are consistent with HPMS filed formularies
- Identify and trouble-shoot issues that require correction
- Medicare Part D formulary submission
- Implementing initiatives related to new CMS requirements
- Meeting CMS regulatory requirements for Part D and ensuring compliance related to formulary administration
- Oversee pharmacy projects from inception to completion
- Provide responses to drug inquiry requests
- Develop marketing materials
- Leading quality initiatives related to formulary operations
- Ensuring compliance related to formulary administration
- Present formulary updates and formulary submission recommendations to clients
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
