Clinical Pharmacist Med D Formulary - 2288611

UnitedHealth Group; Irvine (CA); Remote; Confidential; Full time

Job summary

Join a leading healthcare organization as a clinical pharmacist, where you will support Medicare Part D formulary operations. This role involves ensuring compliance with CMS requirements, overseeing pharmacy projects, and developing marketing materials. Enjoy the flexibility of remote work while making a significant impact on health outcomes.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 2+ years of working experience as a licensed pharmacist.
• 1+ years of experience working in a PBM and/or Health Plan.
• Current and unrestricted Pharmacy License in state of residence.

Responsibilities

• Translate CMS, formulary, and pharmacy practice requirements into operational processes.
• Ensure formularies are consistent with HPMS filed formularies.
• Oversee pharmacy projects from inception to completion.

Skills

Solid computer proficiency

Communication skills

Data analysis

Education

Bachelor of Pharmacy or Pharm D Degree

Tools

Excel

Outlook

Job description

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.

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

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
• Solid computer proficiency and experience with Excel and Outlook
• Experience and ability to present formulary recommendations to clients on a frequent basis

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
• Solid organizational skills
• Solid communication skills, both written and verbal

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

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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, you’ll find a far-reaching choice of benefits and incentives.

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.