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UnitedHealth Group Clinical Pharmacist Cuyahoga Falls in Cuyahoga Falls, Ohio

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Responsible, as part of a cross-functional team, for designing and implementing projects across various functional areas and business units related to pharmacotherapy optimization. Advances understanding of P&T committees, drug & medical condition reviews, and pharmacy benefits. Provides subject matter and clinical expertise in various areas (including population health initiatives and Case Management), creates treatment plans for chronic diseases (i.e. COPD, DM, CHF), works to close quality gaps (i.e. medication adherence, statin use), and delivers drug information. Makes presentations to local and national committees and management to establish project deliverables and expected results. Collaborates with stakeholders across UHC, Optum, Care Delivery Organizations etc. to ensure clinical affordability projects are aligned with core strategies and goals.

Primary Responsibilities:

  • Completes discharge medication reconciliation and provide recommendations to providers and counseling to patients transitioning from hospitals, SNFs, institutions or other high-risk patients

  • Performs comprehensive medication review to include all prescription and non-prescription drugs, herbals, and supplements to identify medication related problems:

  • Reconciles medication lists to identify and resolve discrepancies

  • Evaluates safety, efficacy, and appropriateness of regimen against patients’ medical conditions for opportunities to promote individualized therapy optimization

  • Utilizes MTM platforms where feasible

  • Synthesizes detailed clinical evidence, safety profiles (i.e. QOL), utilization metrics, and real-world data related to medications & medical conditions to identify opportunities, establish care pathways/clinical algorithms, and implement population-based interventional strategies

  • Develops, implements, and supports pharmacy & medical strategies and programs to achieve key strategic and business goals

  • Partners with executive leaders in the development of organizational objectives and goals to identify/define performance planning/measures, programs, and initiatives related to emerging trends and growth opportunities

  • Collaborates with functionally diverse teams (i.e. MD, RN, PharmD, LCSW, PM) to achieve desired end-results and develop innovative solutions for complex problems

  • Provides medication optimization and quality improvement interventions for patients to improve medication-related Medicare Part D 5 Star and HEDIS measures

  • Facilitates functional and segment teams through project implementations with competing agendas and priorities

  • Produces appealing visualizations leveraging multiple internal and external data sources (quantitative and qualitative) to draw insightful conclusions for decisions makers

  • Solves unique and complex problems with broad impact on the business

  • Provides subject matter expertise and operational support to internal business partners

  • Partners with senior leadership to adopt new ideas, products, and/or approaches that may have segment-wide impact

  • Performs all other related duties as assigned

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.

Required Qualifications:

  • Graduation from an accredited College/School of Pharmacy with a B.S. with 10 years of clinical experience or a Doctorate of Pharmacy (PharmD)

  • Active, unrestricted Pharmacist License in OH

  • At least one year of Post-Graduate/Residency training or equivalent 3 years of practice.

  • Demonstrated leadership & communication skills in developing content and presenting to various committees/management to drive consensus recommendations and clinical decisions

  • Must have strong prioritization, attention to detail, effective multi-tasking, verbal/written communication and organizational skills.

  • Must have the ability to create an effective team environment, build strong relationships.

  • Must be strong in solving problems in a mixed-matrix environment and communicating effectively at all levels of an organization.

  • Proficiency with Microsoft Office Tools and other technical applications (i.e. EMRs)

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

  • Board Certification in pharmacotherapy, geriatrics, or ambulatory care

  • Managed care experience

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Clinical Pharmacist, Cuyahoga Falls, OH, Ohio