Clinical Pharmacist Care Delivery - Remote

Job ID: 98709280352Posted: 2026-08-03Location: Indianapolis, Indiana, United StatesSalary: $91,700 - $163,700/yearJob Area: PharmacyCompany: UnitedHealth GroupFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.The Clinical Pharmacist will be responsible for driving the overall market CMS STAR/HEDIS Pharmacy Measure Performance and Strategy. This individual will work directly with the Clinical Quality Management team, Market Medical Directors, and Client Services team to coach and guide the Midwest RBE to higher overall Quality Pharmacy Measure performance. The Clinical Pharmacist will also oversee the Market Pharmacy Technician team, ensuring effective membership outreach programs and handling pharmacist escalations. Additionally, they will develop and implement strategies to improve patient care, outcomes, and quality improvement metrics related to CMS HEDIS/Star ratings. This position will report directly to the Regional Quality Director.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:Develop team direction and outreach/educational strategies around Quality Pharmacy STARs performanceStay knowledgeable of current and emerging clinical trendsActively participate in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical informationContinuously look for ways to streamline and improve workflowAdapt departmental plans and priorities to address business and operational challengesCollect Quality data and/or information based on applicable standards, state/federal or other regulations, customer or consumer requests, internal requests, or project assignmentsServe as a clinical resource and consultant in all areas of pharmacy and medication managementDevelop effective methods for data/information collectionSupport medical management and pharmacy quality initiativesInvestigate quality problems identified and collect additional information to close gapsFollow all policies and procedures related to the jobActively participate in process improvement planning and implementation while fostering good communication and collaboration across all affected departmentsWork cross-functionally and coordinate with others internally or externally to gather information and overcome challenges to obtaining needed informationMine data and/or information (e.g., clinical, administrative, Quality) to ensure they meet standards, are compliant, and/or are accurate and completeServe as a subject matter expert (SME) for process/workflow-related questionsAssist with gathering, analyzing, and interpreting data and metrics to evaluate the effectiveness of Optum Care Midwest Pharmacy programs/initiativesIdentify Quality improvement or intervention opportunities and work cross-functionally to develop interventions and recommendationsYou'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:Pharmacist license without restrictions4+ years of healthcare experience, including experience in a managed care setting2+ years of managerial experience2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role2+ years of experience in provider facing interactions, including provider education2+ years of experience with data analysis and/or quality chart reviewsExperienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets. Must be proficient in ExcelMedicare experienceProven ability to review data and provide recommendations for improvementAbility to travel up to 25% with occasional overnight travel*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. 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.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.OptumCare 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.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.