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MTM Clinical Pharmacist

UnitedHealth Group

UnitedHealth Group

MTM Clinical Pharmacist

San Antonio, TX
Full Time
Paid
  • Responsibilities

    POSITION DESCRIPTION

    Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve 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.

    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

    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 .

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  • Qualifications

    REQUIRED QUALIFICATIONS:

    • Doctor of Pharmacy degree
    • Current Pharmacist license to practice in the applicable state or the ability to provide proof of licensure within 90 days from date of employment
    • 2+ years of experience as a pharmacist

    PREFERRED QUALIFICATIONS:

    • Board certification by the Board of Pharmacy Specialties (BPS)
    • Certified Geriatric Pharmacist
    • Certification in Medication Therapy Management (MTM)
    • Experience with Medicare guidelines
    • 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

    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 240,000+ 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.

  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.