Clinical Pharmacist - Remote - Remote Eligible

Clinical Pharmacist, Medication Optimization & Strategy

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.

The Clinical Pharmacist, Medication Optimization & Strategy will report to the Regional Director Pharmacy Value Performance within Optum Health Clinical Excellence. You will play a crucial role in ensuring the appropriate selection and use of pharmaceutical products across the care continuum through direct and indirect patient care activities for the West region (Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, Washington) and beyond.

You'll enjoy the flexibility to work remotely from anywhere within Pacific, Mountain, or Central Standard Time Zones in the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Medical/Clinical: Maintain clinical standards by staying current on drug information, identifying best practices, collaborating with providers and market leaders, developing market presentations, and offering pharmacy subject matter expertise organization-wide for assigned specialty areas
• Strategy and Execution: Track drug usage, pricing, formularies, and utilization management edits to guide affordability and quality strategy for injectable and infusion drugs. Execute value-based care initiatives and coordinate patient drug therapy at optimal sites of service and benefit. The role actively engages with patients and providers telephonically, by facsimile, and other electronic means
• Cross-Functional Team Collaboration: Engage collaboratively with cross-functional teams to design and execute strategic initiatives that advance care delivery and network management, ensuring compliance and upholding clinical excellence. These teams represent diverse functional areas such as pharmacy care management, utilization management, payment integrity, claims operations, health care economics, finance, and contracting
• Monitor and assess: Measure interventions and review outcomes to set benchmarks and share performance with key decision makers and leaders of healthcare team. Adjust strategic initiatives to meet program targets and goals

These efforts collectively promote clinical efficacy, cost-efficiency, and improved patient outcomes. Broad-based and comprehensive knowledge is critical to success in this role. You'll need to be comfortable making recommendations on behalf of a highly diverse patient population. In addition, you'll need to be well-versed in medical and pharmacy claims data.

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:

• Graduate of an ACPE-accredited PharmD program
• Current and unrestricted pharmacist licensure in the U.S. state of residence
• Successful completion of a PGY1 and PGY2 pharmacy residency program OR PGY1 pharmacy residency program and 2 additional years of post-residency pharmacy experience
• 3+ years of recent clinical managed care experience, with direct patient care in at least 1 ambulatory specialty practice area (e.g., nephrology, hematology, immunology)
• Experience in independently communicating specific medication recommendations, therapies for cost-effective care and general drug information to health care providers and patients in a virtual and/or telehealth setting
• Experience working collaboratively in multidisciplinary teams and inside a matrixed organization
• Comprehensive knowledge of clinical therapeutics for specialty drugs, including infusions and injectables, and proficiency in literature search and evidence-based medicine
• Robust analytical and mathematical skills, including the ability to reconcile medical and pharmacy claims to identify trends in drug costs
• Reside in Pacific, Mountain, or Central Standard Time Zone. Ability to work 8-hours within the hours of 8:00 AM - 5:00 PM Mountain Standard Time from Monday - Friday

Preferred Qualifications:

• Active board certification through Board of Pharmacy Specialties (BPS) [e.g., BCPS, BCACP, BCGP]
• 2+ years of managed care/health plan/PBM experience OR completion of a managed care pharmacy residency program
• 2+ years of experience in Medicare Advantage programs
• Experience in Commercial and Medicaid programs
• Experience in specialty infusion care delivery, inclusive of home infusion operations
• Experience in leading clinical operations, data analysis, report development, or program development within the healthcare field
• Intermediate or higher level of proficiency in MS suite, including Excel (pivot tables, xlookups, index match, countifs), Power BI, and Teams
• Intermediate or higher level of proficiency in Epic EHR in the ambulatory care setting
• Excellent program and project management skills demonstrated by a significant record of performance (i.e., meeting or exceeding operational goals) in health care quality and cost management
• Familiarity with value-based care, including shared savings/risk models

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). The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.