Clinical Coding Pharmacist - Telecommute (769906) -Position Description You're looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management. Here you'll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. With better schedules than retail and more reach than any hospital, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Take this opportunity to start doingyour life's best work.(sm) To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Clinical Pharmacist on the Clinical Coding Consulting team serves as the primary liaison between OptumRxs Formulary & Utilization operations, Benefit Operations Management and the Clinical Consultant. The role provides clinical coding support for OptumRx clinical consultants, benefit operations management (BOM), information technology, and other internal departments. This individual is relied upon to provide custom formulary & utilization management coding consultation & work to the clinical consultant client facing teams on formulary & utilization management set up in the RxClaim adjudication system & related formulary management applications. This is a home - based telecommuter role and can be based anywhere in the Continental U.S. Primary Responsibilities: -Provides consultative guidance for standard & custom formulary changes in RxClaim, RxBuilder & related clinical applications (RxAuth, RxInteract) -Conducts 2NDLevel Formulary / UM Claim Research -Implementation clinical coding support for BDS / cBDT / RxConstruct questions -GPI Reclass support / global Coding Change SupportDrug utilization management -Commercial clinical audit support -Manage custom formulary coding work post client sign off -Translate client intent to code - able language for BOM team -Evaluate / resolve new rule design & conflicts with existing formulary coding -New Client Implementation coding support for custom formulary / UM programs -Extracts, evaluates and interprets clinical coding in adjudication & formulary management systems Required Qualifications: -Bachelor of Science in Pharmacy or PharmD -Current and unrestricted Pharmacist license (any U.S. state) -Minimum 2 years of experience working as a Clinical Consultant or Clinical pharmacist working in Formulary / UM operations or Benefit administration -Ability to navigate MS Office and a Windows based environment and the ability to create, edit, save, and send documents utilizing Microsoft Word. Ability to navigate Outlook and conduct Internet searches -Intermediate to Advanced Microsoft Excel skills -Experience conducting claims / coding research and analysis -Experience working within a PBM -Experience working in RX Claim or other claims adjudication system Preferred Qualifications: -Experience using Microsoft Access or other database / query tools -MBAor other related advanced business degree -Experience with Medi-Span drug classification system -Job Details -Contest Number769906 -Job TitleClinical Coding Pharmacist - Telecommute -Job FamilyPharmacy -Business SegmentOptumRx -Job Location Information -Schaumburg, IL United States North America -Additional Job Detail Information -Employee StatusRegular -ScheduleFull-time -Job LevelIndividual Contributor -ShiftDay Job -TravelNo -Telecommuter PositionYes -Overtime StatusExempt