Medicare Part D Clinical Pharmacist - Remote

UnitedHealth Group • Charlotte, NC • 2h ago

Requisition number: 2361848

Job category: Pharmacy

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As a clinical pharmacist in the Medicare Part D formulary team, you will support the day-to-day operations related to ensuring accuracy of formularies submitted to CMS and ensure formularies are correctly implemented and adjudicated in the claim system. The chosen candidate will be responsible for participating in Medicare Part D formulary submission and related formulary operations.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

Translate CMS, formulary, and pharmacy practice requirements into developing business/operational processes

Support development and maintenance of clinical data attributes

Ensure that implemented formularies are consistent with HPMS filed formularies

Identify and trouble-shoot issues that require correction

Medicare Part D formulary submission

Implementing initiatives related to new CMS requirements

Meeting CMS regulatory requirements for Part D and ensuring compliance related to formulary administration

Oversee pharmacy projects from inception to completion

Provide responses to drug inquiry requests

Develop marketing materials

Leading quality initiatives related to formulary operations

Ensuring compliance related to formulary administration

Present formulary updates and formulary submission recommendations to clients

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.

Required Qualifications:

Bachelor of Pharmacy or Pharm D Degree

Current and unrestricted Pharmacy License in state of residence

2+ years of working experience as a licensed pharmacist

1+ years of experience working in a PBM and/or Health Plan

Experience and ability to present formulary recommendations to clients on a frequent basis

Solid computer proficiency and experience with Excel and Outlook

Preferred Qualifications:

PBM (Pharmacy Benefits Management) experience

Medicare Part D experience

Pharmacy residency experience

Formulary Operations and/or Submissions experience

Experience presenting to clients

Experience with data analysis

Proven solid organizational skills

Proven solid communication skills, both written and verbal

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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