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Hours Full-time, Part-time
Location San Antonio, TX
San Antonio, Texas

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.(sm)
 
Under general supervision of the Director of Clinical Pharmacy, the Clinical Pharmacist is responsible for performing comprehensive and targeted Medication Therapy Management (MTM) in high risk patients to identify, resolve, and prevent medication-related problems. The Clinical Pharmacist documents the care delivered and communicates essential information to the patient’s primary care providers and the health care team. The Clinical Pharmacist is also responsible to follow processes to improve patient care, outcomes, and quality improvement metrics related to CMS HEDIS/Star ratings and assist in the coordination of the Medical Assistance Program (MAP) for WellMed patients.

 
 
Monday through Friday – office based in San Antonio, TX
One – 4 hour Saturday Shift required per month
Possible travel: up to 5-10%  
 
Primary Responsibilities:


Utilize prescription and medical claim data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization

Review program protocols

Provide clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution

Utilize health plan’s formulary information to guide appropriate medication recommendations

Knowledgeable of current and emerging clinical trends

Active participation in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information

Continuously look for ways to streamline and improve workflow

Assist with user acceptance testing for new clinical programs and system enhancements

Serves as a clinical resource and consultant in all areas of pharmacy and medication management

Assist in mentoring Pharm.D  pharmacy students

Acts as a consultant to WellMed Anticoagulation Clinic

Supports medical management and pharmacy quality initiatives

Follow all policies and procedures related to job

Performs all other related duties as assigned to meet departmental objectives

Requirements




Required Qualifications:


Doctor of Pharmacy degree

2+ years of experience as a clinical pharmacist

Excellent written and verbal communication skills

Excellent relationship building skills

Planning and organizational skills to demonstrate leadership and initiative

Strong interpersonal skills

Ability to work independently, as well as a member of a team

Strong analytical and PC operation skills

Experience working with provider relations, working within various payor environments, and risk management

Ability to travel as necessary
Preferred Qualifications:


Fluent in Spanish Language

Board certification by the Board of Pharmacy Specialties (BPS)

Certified Geriatric Pharmacist

Certification in Medication Therapy Management (MTM)

Experience with Medicare guidelines
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
 
 

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.
 
Job Keywords: Pharm D, Pharmacist, MTM, Managed Care, Travel, Clinical Pharmacy, Pharmacy, San Antonio, TX, Texas, Houston, Dallas, Austin