Easter Seals Jobs

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

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 doing your life's best work.

The Clinical Engagement Services Center team provides a variety of clinical services, such as: Adherence, Diabetes, Fraud Waste & Abuse, Medication Therapy Management, PolyPharmacy, Retrospective Drug Utilization, and STARS adherence.

The team comprises of clinical pharmacists, clinical nurses, certified pharmacy technicians, and customer service representatives that complete various functions to successfully meet the operational requirements of each clinical service. The work hours required will require flexibility to work rotating shifts between the hours of 8:00am and 8:00pm CST, Monday through Friday.

The Clinical Pharmacist will report into the Operations Team Manager. This role is primarily responsible for performing telephonic consultations with members to complete comprehensive medication reviews, adherence related consults, and improve disease state management. In addition, the clinical pharmacist will visit providers and/or long-term care facilities to complete comprehensive medication reviews on behalf of the members. Other activities may be assigned based on the needs of members residing withing South Carolina.

If you are located within a commutable distance to Columbia, SC, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Engage members telephonically and schedule pharmacist consultation appointments with members that participate in any of the clinical programs operationally supported by the Clinical Engagement Services Center

• Prioritize the privacy and confidentiality of the patient’s medical information, adhering to HIPAA regulations, and organizational policies at all times

• Utilize prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution

• Assess medication regimen for unnecessary medications, ineffective medications, inappropriate doses, and adverse drug reactions

• Provide patient education on medication regimen and disease states

• Accurately document patient care notes and recommendations in an efficient, professional, concise, and clear manner

• Keep current with new and emerging clinical trends

• Visit providers and/or long-term care facilities to complete member MTM consultations

• Active participation in departmental meetings to improve clinical programs and enhance processes

• Follow all policies and procedures related to job

• Meet productivity and performance expectations set forth by management

• Support Clinical Service Engagement team as needed for special projects

• Other duties as assigned by Operations Manager

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’s degree in Pharmacy or PharmD

• Current and unrestricted Pharmacist license in the state of South Carolina

• Proven solid knowledge of disease state management guidelines and the 5 Core Elements of MTM Services (1) Medication Therapy Review – Comprehensive and Targeted, 2) Personal Medication List (PML), 3) Medication-Related Action Plan (MAP), 4) Interventions and Referrals, and 5)

• Documentation of Services and Follow-up)

• Experience working remotely/independently within a cross functional team environment, self-directed with excellent organizational skills

• Ability to navigate approved MTM platforms and multi-task using multiple databases/platforms, and applications. Competent use of computers/technology

• Ability to work rotating shifts between the hours of 8:00am and 8:00pm CST, Monday through Friday. Extended hours and occasional weekends may be required as needed

• Reside within a commutable distance to Columbia, SC with additional travel (less than 15%) to cities with large patient population within South Carolina as needed

Preferred Qualifications:

• PharmD

• Certified Geriatric Specialist

• Board Certified Pharmacist

• Current and active Certified Diabetes Care and Education Specialist, Board Certified-Advanced Diabetes Management, ASHP Diabetes Management Certificate, or APhA Patient Centered Diabetes Care Certificate

• Additional Pharmacist License in good standing in Alabama, Idaho, Kentucky, Louisiana, Maryland, Minnesota, Oregon, Tennessee, or Vermont

• ACPE MTM Specialist

• 2+ years Pharmacy work experience in retail / community pharmacy and / or PBM, but will consider new graduate experientials

• Call center experience

• Intermediate level skill in Microsoft Word, Outlook, and Excel

• Bilingual (fluent in medical terminology) in Cantonese, Korean, Mandarin, Russian, Spanish, or Vietnamese

Soft Skills:

• Demonstrates interpersonal, consultative, and problem-solving skills – Ability to ask questions to understand patient needs while having empathy and actively listening

• Solid telephonic skills – Ability to speak clearly and communicate with senior citizens and healthcare professionals

• Capable of defusing conflict appropriately with solid conflict management skills

• Commitment to professionalism and a dedicated desire to advance patient care

• Ability to interact cross functionally within the organization

• Excellent attention to detail, time management, organizational, and prioritization skills and ability to balance multiple priorities

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

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.

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.