Description
OptumRx, a UnitedHealth Group company, with over 24,000 employees globally, specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our goal is to deliver high-quality, integrated services to promote optimal outcomes, superior savings and outstanding client and consumer experiences. We make healthier happen by creating smarter health care connections to help more than 65 million consumers nationwide realize improved care, lower costs and a better overall experience. This is a place like no other and where youll do
your lifes best work.(sm)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.
Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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 the formulary operations
- Ensuring compliance related to formulary administration
- Present formulary updates and formulary submission recommendations to clients
Youll 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
- 2+ years of experience as a licensed pharmacist
- Proficiency and experience with Excel and Outlook
Preferred Qualifications:- PBM (Pharmacy Benefits Management) experience
- Pharmacy residency experience
- Formulary Operations and / or Submissions experience
- Experience working within a PBM and/or Managed Care Organization
- Medicare Part D experience
- Experience presenting to clients
- Experience with data analysis
- Organizational skills
- Solid communication skills, both written and verbal
- Able to present formulary recommendations to clients on a frequent basis
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here youll fill far more than prescriptions. As a member of one of our pharmacy teams, youre empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing
your life's best work.(sm)Colorado, Connecticut or Nevada Residents Only : The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut/Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.
*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy
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.
