Pharmacist Call Center - San Juan, PR

UnitedHealth Group•San Juan, PR

2d•Onsite

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 Clinical Pharmacist will report to the Operations Team Leader. This role is primarily responsible for performing telephonic consultations with members to complete comprehensive medication reviews, adherence related consultations, and improve disease state management. In addition, the Clinical Pharmacist will document the delivery of care and communicate essential information to the member’s primary care providers.

Requirements

Active, unrestricted Pharmacist license or Pharmacist Intern (Pharm D) license in Puerto Rico
Proven solid English communication skills (written and verbal)
Proven solid knowledge of drug products and clinical pharmacy
Experience working independently within a cross functional team environment, self-directed with excellent organizational skills
Computer proficiency, including the use of Microsoft office applications
Ability to work a flexible schedule with rotating shifts between the hours of 9:00 AM and 9:00 PM AST, Monday through Friday. Extended hours and occasional weekends may be required as needed

Nice To Haves

1+ years of Pharmacy work experience in retail, community pharmacy, or Pharmacy Benefit Management
Call center experience
Demonstrates interpersonal, consultative, and problem-solving skills – Ability to ask questions to understand patient needs while having empathy and actively listening
Solid telephonic skills – Ability to speak clearly and communicate with senior citizens and healthcare professionals
Capable of defusing conflict appropriately with solid conflict management skills
Commitment to professionalism and a dedicated desire to advance patient care
Ability to interact cross functionally within the organization
Excellent attention to detail, time management, organizational, and prioritization skills and ability to balance multiple priorities

Responsibilities

Engage members telephonically and schedule pharmacist consultation appointments with members that participate in any of the clinical programs operationally supported by the Clinical Engagement Services Center
Prioritize the privacy and confidentiality of the patient’s medical information, adhering to HIPAA regulations, and organizational policies at all times
Utilize prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
Assess medication regimen for unnecessary medications, ineffective medications, inappropriate doses, and adverse drug reactions
Provide patient education on medication regimen and disease states
Accurately document patient care notes and recommendations in an efficient, professional, concise and clear manner
Keep current with new and emerging clinical trends
Active participation in departmental meetings to improve clinical programs and enhance processes
Follow all policies and procedures related to job
Meet productivity and performance expectations set forth by management
Support Clinical Service Engagement team as needed for special projects
Other duties as assigned by Operations Manager