Senior Clinical Market Pharmacist

UnitedHealth Group•Minnetonka, MN

57d•$112,700 - $193,000•Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Pharmacist serves as a subject matter expert for the Part D Stars measures as well as other medication related issues including navigating the pharmacy benefit. This role will foster and manage relationships with internal and external partners to produce positive health outcomes and solid star performance for the plan.

Requirements

High School Diploma/GED
Current and unrestricted pharmacist licensure in State of residence
5+ years of experience working as a Licensed Pharmacist within varied practice settings
5+ years of experience and/or knowledge of Medicare Part D, Medicaid, and/or commercial
1+ year of experience delivering presentations to large audiences
Intermediate level of proficiency with navigating MS Office and Windows-based environment
Ability to travel up to 25% of the time

Nice To Haves

Doctor of Pharmacy (PharmD)
Residency and/or Board Certification (ie: BCPS, BCACP, BCGP)
Clinical quality experience (ie: HEDIS, Stars, NCQA)
Experience with Medicare Advantage
Experience working closely with and influencing providers
Experience teaching, training, and presenting accurate clinical information verbally to variety of audiences
Excellent written, verbal and presentation skills

Responsibilities

Provide clinical pharmacy advice and guidance on quality of care programs including HEDIS and CMS Stars programs.
Develop and train best practices to improve medication adherence and medication related measure gap closures.
Interpret pharmacy programs to write clinical guidelines, job aids, and decision trees. Write and collaborate on member/provider collateral materials for pharmacy programs.
Work on program implementation teams and contribute to business process design and systems set up, trouble shooting and updates.
Review programs for compliance with state, federal and CMS regulations and recommend remediation. Monitor impending legislation for potential impact on current and future programs.
Analyze data and prepare management summaries related to work stream results, performance management results, audit results, CMS reporting, and client reporting.
Perform quality audits, determine performance gaps and root causes, prepare reports and collaborate on remediation.
Examine, evaluate, and provide recommendations to evolve and enhance clinical pharmacy programs and best practices.