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Part of the West Region Medicare and Retirement Clinical Pharmacy team, this position will play an integral role in pharmacy quality performance and Star Ratings. The Senior Clinical Market 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.

You will have the flexibility to telecommute There will be Oklahoma state-wide travel up to 25% of the time based on business needs.

If you are located in Oklahoma or close to Oklahoma to cover the 25% travel in that market of Oklahoma, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.

Primary Responsibilities:

• Positions in this function provide clinical pharmacy advice and guidance on any or all the following:
  • Quality of care programs including HEDIS and CMS Stars programs
  • Develop and train on best practices to improve medication adherence and medication related measure gap closures
  • Interpret pharmacy programs to write clinical guidelines, job aides, 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 to state, federal and CMS regulations and recommend remediation. Monitor impending legislation for potential impact to 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, prepares reports and collaborates on remediation
  • Examine, evaluate, and provide recommendations to evolve and enhance clinical pharmacy programs and best practices
    

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:

• Doctor of Pharmacy (PharmD)
• Current and unrestricted pharmacist licensure
• 5+ years of experience working as a Licensed Pharmacist within varied practice settings
• Demonstrated knowledge of Medicare Advantage Part D
• Clinical quality experience (ie: HEDIS, Stars, NCQA)
• Ability to navigate MS Office and Windows-based environment
• Comfort and ability to travel 25% in the state of Oklahoma
• Must reside close-to or in the state of Oklahoma
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• Residency and/or Board Certification (ie: BCPS, BCACP, BCGP)
• 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
  

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare M&R Underwriting & HCE. T he Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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