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Hours Full-time, Part-time
Location Des Moines, IA
Des Moines, Iowa

About this job

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.
 
Primary Responsibilities:

Identifies and implements procedures, technologies, systems, programs that contribute towards the increased effectiveness and efficiency of the pharmacy program
Develops and implements at the health plan(s) clinical and utilization management programs, and the standard pharmacy benefit to meet regulatory requirements
Communicates and reports to assigned health plan and medical management the results of analyses and provide guidance in the development of budgets
Develops and coordinates a plan for regular and effective communication with the designated state departments and representatives of the assigned health plans
Prepares and presents information for the pharmacy components of state, operational, peer review and consulting organization audits
Responsible for the timely submission of accurate pharmacy reports and deliverables required of the health plan
Supports the assigned health plans Grievances Department in the processing of grievances, appeals, fair hearings, etc., as defined by the health plans process to ensure a timely decision by the plan Medical Director
Participates and contributes to the assigned health plans and/or regional committees, such as Quality Management and Service Improvement
Supports assigned health plans Health Services, Case Management and Behavioral Health areas regarding targeted members with specific pharmacy concerns
Communicates pharmacy program changes with the assigned health plans key departments
Develops and administers assigned health plans pharmacy department objectives, operating policies and procedures, budget and strategic action plans for achieving goals
Manages and supervises the health plans(s) pharmacy staff

Requirements

Required Qualifications:

Pharm D degree or Bachelor's degree in Pharmacy from an accredited college or university
Current, unrestricted Pharmacist license in the state of Iowa
3+ years clinical experience
Proficiency in software applications that include, but are not limited to, Microsoft Word, Excel, PowerPoint, and Outlook
Preferred Qualifications:

Experience with Medicaid
Demonstrated ability to assist with focusing activities toward a strategic direction
Ability to develop tactical plans, drive performance and achieve targets
Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
 
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.
 
Diversity creates a healthier atmosphere: 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.
 
 
Job Keywords: Pharm D, Pharmacy, Pharmacy Manager, Account Manager, Medicaid, Utilization Management, Managed Care, UHG, UnitedHealth Group, UHC, Unitedhealthcare, Des Moines, IA, Iowa2015, Iowa