Clinical Consultant Pharmacist, Health Plans
$91.7k - $163.7kPhipps 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. Primary Responsibilities Collaborate with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management Comprehend and effectively explain formulary and clinical program changes to clients Stay aware of and provide clinical market intelligence to clients Provide education for clients, pharmacists, members and physicians per contractual requirements Communicate drug information to clients and respond to plan-specific clinical inquiries Formulate and deliver client recommendations based on available data Identify opportunities for clinical program up‑sell Make clinically sound recommendations to clients based on trend Collaborate with account management to provide clinical aspects of client quarterly reviews Incorporate treatment & practice guidelines into client presentations including up‑selling opportunities Effectively manage client objections to new programs and required changes Manage/facilitate custom P&T committees for select clients Analyze & interpret benefit designs Communicate analytical and reporting needs to supporting departments Identify and create opportunities to manage trend and add OptumRx products Support sales and marketing including participating in sales activities, as needed based on criteria Help clients be competitive within their market Identify opportunities to increase efficiency Provide mentorship to clinical coordinators, as needed Required Qualifications Bachelor of Science in Pharmacy or PharmD Active, unrestricted US state‑specific pharmacist license 1+ years of client‑facing or clinical account management experience 1+ years of Health Plan experience Proficient skills in Microsoft Office and Outlook Ability to travel up to 10% Preferred Qualifications Medicare experience Experience giving formal presentations Experience in data analytics and drawing insights Experience in Rx Claim Experience in IQPR Experience in MediSpan Experience in Reporting 360 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). 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. 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. #J-18808-Ljbffr Phipps Pharmacy
$91.7k - $163.7k
Optum is seeking a Clinical Consultant Pharmacist to lead client relationships and provide clinical support. The role involves collaboration on strategic clinical programs, enhancing client satisfaction, and addressing pharmacy service needs. Candidates must hold a Bachelor...Health InsuranceRemote job$91.7k - $163.7k
Stryker Corporation is seeking a Clinical Account Manager to drive improvements in client... ...adherence and compliance with health plans. Candidates must possess a Bachelor of... ...Pharmacy or PharmD, along with a valid pharmacist license. With responsibilities including...Health InsuranceRemote job$91.7k - $163.7k
Texas Health Institute is seeking a Pharmacist with clinical account management experience in Eden Prairie, Minnesota. This role focuses on client collaboration... ...clinical program goals while providing excellent consultation and support. A Bachelor of Science in Pharmacy or...Health InsuranceRemote job$91.7k - $163.7k
Phipps Pharmacy seeks a Clinical Account Manager to collaborate with clients in establishing clinical program goals and provide superior consultation. The ideal candidate will hold a PharmD and an unrestricted pharmacist license and possess at least one year of experience...Health InsuranceRemote jobWork at office$91.7k - $163.7k
...Clinical Consultant Optum is a global organization that delivers care, aided... ...team will directly improve health outcomes by connecting... ...information to clients and respond to plan-specific clinical inquiries... ...education for clients, pharmacists, members and physicians per...SuggestedRemote jobMinimum wageFull timeWork experience placementLocal area$91.7k - $163.7k
Sarasota Memorial Hospital is seeking a clinical account manager to support client initiatives... ...clinical program goals and providing consultation to our clients. A Bachelor of Science in Pharmacy or PharmD and an active pharmacist license are required. Candidates should...Health Insurance$91.7k - $163.7k
Crains Cleveland is seeking a Clinical Account Manager to join their team in Eden Prairie, MN. You will work closely with clients to improve health outcomes, manage clinical goals, and provide top-tier consultation. This role requires a Bachelor's in Pharmacy or PharmD...Health Insurance$55 - $60 per hour
JobRx, Inc. is seeking a Clinical Coding Pharmacist for a remote, contract role in Minnetonka, MN, with a pay rate ranging from $55.00 to $60.00 per hour. The ideal candidate will have a Bachelor's in Pharmacy or PharmD and a valid Pharmacist license. Responsibilities...Health InsuranceRemote jobHourly payContract work$112.7k - $193k
UnitedHealthcare is seeking a Senior Clinical Market Pharmacist, a remote role impacting millions of lives. Key responsibilities include providing clinical pharmacy advice on Part D Stars measures and developing best practices. The role requires 5+ years as a Licensed...Remote jobFlexible hours$55 - $60 per hour
...Clinical Coding Pharmacist Genesis10 is currently seeking a Clinical Coding Pharmacist with a major healthcare company located in Minnetonka... ...Responsibilities The Clinical Pharmacist on the Clinical Coding Consulting team serves as the primary liaison between the client's...Remote jobHourly payContract work- ...Senior Clinical Pharmacist At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care.... ...health outcomes and solid star performance for the plan. Work Schedule (40 hrs./week): Monday -...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday
- ...Job Overview Fairview is seeking a casual Pediatric Clinical Pharmacist to join our inpatient pediatric pharmacy team at UMMC West... ...offers employees the option to participate in the Fairview 403(b) plan, earn Sick and Safe Time, and early access to earned wages....Contract workCasual workRelocation package
$62.7k - $94.08k
A nonprofit health plan is looking for a Pharmacy Analytics Analyst to evaluate pharmacy data and identify trends. The analyst will utilize data analysis tools, develop comprehensive reports, and ensure accurate pharmacy reporting. Candidates should possess strong analytical...Health Insurance$64.27 per hour
...Clinical Pharmacist Location: Fridley, MN 55421 Pay Rate: $64.27 per hour Schedule: Monday–Friday & Weekend Rotation | Varying Shifts Mon–Fri... ...services such as smoking cessation counseling and basic health screenings. Required Qualifications Active Pharmacist license...Hourly payFull timeMonday to FridayFlexible hoursShift workRotating shiftWeekend work- ...one of the largest pediatric health systems in the United States... ..., nine primary care clinics, multiple specialty clinics... ...department is staffed by registered pharmacists and certified pharmacy technicians... ...offer medication education, consultation and specialized drug...Full timePart timeLocal areaShift workNight shiftRotating shiftWeekend workDay shiftAfternoon shift
$51.79 - $85.52 per hour
...for our specialty services and innovative clinical advances, we strive to make The Johns... ...others. Responsibilities of the Clinical Pharmacist 1 (Night Shift) include but are not... ...certification is desired ~Previous clinical health-system experience is desired Salary...Full timeNight shift$51.79 - $85.52 per hour
...for our specialty services and innovative clinical advances, we strive to make The Johns Hopkins... ...have equivalent experience. This Clinical Pharmacist 1 is responsible for working collaboratively with multidisciplinary health care teams to promote the safe and effective...Full timeRelocation package- ...Johns Hopkins All Children’s Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children... ...’s west coast. Job Summary: The goal of the Clinical Pharmacist I is to promote the safe and effective use of medications...Full timeShift workRotating shiftWeekend work
$51.79 - $85.52 per hour
...for our specialty services and innovative clinical advances, we strive to make The Johns Hopkins... ...have equivalent experience. This Clinical Pharmacist I is responsible for working collaboratively with multidisciplinary health care teams to promote the safe and...Full timeNight shift- UnitedHealth Group seeks an Advisory Services Consultant for their remote team to drive healthcare transformation through consulting services. Candidates will need a strong background in project management and process improvement within healthcare. The position offers...Remote job
- Stryker Corporation is seeking an Advisory Services Consultant to join their Advisory - Enterprise Delivery Services team. This remote role requires expertise in project management and process improvement to support healthcare clients effectively. Qualified candidates...Remote job
- Texas Health Institute is looking for an Advisory Services Consultant - EDS to join their team. This role offers the flexibility to work remotely within the U.S. and involves engagement in a variety of healthcare consulting projects aimed at improving outcomes through strategic...Remote job
- UnitedHealth Group is seeking an Advisory Services Consultant - EDS to improve healthcare consulting. This remote role offers flexibility and engages consultants to deliver high-quality services across various healthcare initiatives. The ideal candidate must have significant...Remote job
- ...offer a comprehensive package of benefits including paid time off, health benefits (medical/dental/vision/hearing aid/pharmacy/behavioral... ...), health care reimbursement account, dependent care assistance plan, short-term disability and long-term disability insurance, AD&D...Health InsuranceTemporary work
$42.93 - $66.95 per hour
...and assists in training pharmacy technicians, interns and new pharmacists. It is understood that this is a summary of key job functions... ...terms of the applicable collective bargaining agreement. As a health care organization, we have a responsibility to do everything in...Hourly payDaily paidTraineeshipShift work- ...Expert) Our client, a IT Services and Consulting company, is looking for a RxClaim / PBM Claims... ...Review (DUR) Knowledge on business & plan configuration and plan option knowledge.... ...Claims Yes 1 Why Should You Apply? Health Benefits Referral Program Excellent...
- ...Appeals Pharmacist – Ensure Fair Medication Access for Patients A... ...pharmacists who want to leverage their clinical knowledge and critical... ...evidence-based guidelines, plan policies, and regulatory requirements... ...partner working with health plans and managed care organizations...Health InsuranceRemote work
$130k - $140k
...Pharmacist - Close Door (Greater Minneapolis) HealthCare Support is seeking a motivated and patient-focused Staff Pharmacist... ...Medical, Dental, Vision ~401k ~ Flexible spending account (FSA), Health Savings Account (HSA), Employee Assistance Program (EAP) ~...Temporary workLocal areaImmediate startFlexible hours$60.9 - $82.3 per hour
...Join Our Team at Walgreens as a Pharmacist! Why Walgreens – For You,... ...Your Family – Comprehensive Health & Wellness Benefits ~ Comprehensive... ..., expert-level pharmacy consulting services to patients... ...effective options Deliver clinical healthcare services, including...Hourly payFlexible hours- ...Case Management Pharmacist – Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail... ...Document case activities and outcomes in compliance with health plan and regulatory standards. Participate in quality improvement...Health InsuranceRemote work
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