Medication Reconciliation Pharmacist - Waltham, MA

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.(sm)    
     
This position is Monday - Friday during regular daytime business hours.     
    
Get better informed to determine your fit into this position. Click here to view the Realistic Job Preview: http://uhg.hr/ClinicalPharmacistRJP
Primary Responsibilities:   


Execute upon pharmacy initiatives and provide feedback on DUR, prior authorization, health outcomes, disease management, and other specialty programs    

Collaborate with the Manager of MTM (Medication Therapy Management) and Med Reconciliation as a resource to health plans, Health Services, Case Management and Behavioral Health areas regarding targeted members with specific pharmacy concerns    

Review complex cases and high utilizing members    

Serve as resource to medical directors in preparation for peer-to-peer discussions    

Work with Care Managers to coordinate medication therapy post discharge medication reconciliation/formulary support    

Supports the health plans Medical and Network Management in communicating with key targeted physician groups relative to pharmacy utilization    

Work with medical directors to identify opportunities for interventions with providers    

Identify members with polypharmacy issues and develop pharmaceutical care plan recommendations    

Consults with customers, patients and/or physicians regarding use of medications and potential drug interactions    

Conducts Quality Assurance efforts related to work accomplished    
    

Required Qualifications: 


Pharm D degree from an accredited college or university  

Current, unrestricted Pharmacist license in the state of Massachusetts   

3+ years of Pharmacist experience  

Proficiency in Microsoft software applications that include, but are not limited to, Microsoft Word, Excel, PowerPoint, and Outlook  

Demonstrated ability to assist with focusing activities toward a strategic direction as well as 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  

Must live within a commutable distance of our Waltham, MA office location 
Preferred Qualifications: 


Prior experience working in Medicaid and/or Medicare health care and insurance industry
Managed care experience, including regulatory and compliance requirements 
Experience working directly with providers and/or patients in a clinical, institutional, or other type of setting
MTM experience
MTM Certification 
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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.SM
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: Pharmacist, Pharmacy, Clinical, Clinical Programs, Research, Pharm D, Drug Information, PBM, MTM, Managed Care, UHG, UnitedHealth Group ,Waltham, MA, Massachusetts