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Pharmacist Call Center - San Juan, PR

UnitedHealth Group•San Juan, PR

About The Position

The Clinical Pharmacist performs telephonic consultations with members to complete comprehensive medication reviews, provide adherence-related consultations, and improve disease-state management. The role documents care delivery and communicates essential information to members’ primary care providers. The pharmacist works with members participating in clinical programs supported by the Clinical Engagement Services Center and follows Medication Therapy Management and Retrospective Drug Utilization Review protocols. The position reports to the Operations Team Leader and may support special projects and other duties assigned by the Operations Manager. An English proficiency assessment is required after application.

Requirements

  • Active, unrestricted Pharmacist license or Pharmacist Intern (Pharm D) license in Puerto Rico.
  • Experience working independently in a cross-functional team environment, with self-direction and strong organizational skills.
  • Solid knowledge of drug products and clinical pharmacy.
  • Computer proficiency, including Microsoft Office applications.
  • Solid English communication skills, both written and verbal; an English proficiency assessment will be required after application.
  • Ability to work a flexible schedule with rotating shifts between 9:00 AM and 10:00 PM AST, Monday through Friday; extended hours and occasional weekends may be required.
  • Strong interpersonal, consultative, and problem-solving skills, including the ability to ask questions, understand patient needs, show empathy, and actively listen.
  • Strong telephonic communication skills, including the ability to communicate clearly with senior citizens and healthcare professionals.
  • Ability to defuse conflict and apply conflict-management skills.
  • Professionalism and a dedicated desire to advance patient care.
  • Ability to interact cross-functionally within the organization.
  • Excellent attention to detail, time management, organization, and prioritization skills, with the ability to balance multiple priorities.

Nice To Haves

  • At least 1 year of pharmacy work experience in retail, community pharmacy, or Pharmacy Benefit Management.
  • Call center experience.

Responsibilities

  • Engage members by phone and schedule pharmacist consultation appointments for participants in clinical programs supported by the Clinical Engagement Services Center.
  • Protect patient privacy and confidentiality in compliance with HIPAA regulations and organizational policies.
  • Use prescription claims data and program protocols to make clinical recommendations on gaps in care, high-risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution.
  • Assess medication regimens for unnecessary or ineffective medications, inappropriate doses, and adverse drug reactions.
  • Educate patients about their medication regimens and disease states.
  • Document patient care notes and recommendations accurately, efficiently, professionally, concisely, and clearly.
  • Stay current with new and emerging clinical trends.
  • Participate in departmental meetings to improve clinical programs and processes.
  • Follow job-related policies and procedures and meet management’s productivity and performance expectations.
  • Support the Clinical Service Engagement team with special projects as needed.
  • Perform other duties as assigned by the Operations Manager.

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