Staff Pharmacist jobs at Cigna

**This role is onsite at our office in Greensboro, NC on Gallimore Dairy Road. We are located very close to the airport.** The Staff Pharmacist is responsible for verifying and dispensing medications within corporate and regulatory guidelines. The Staff Pharmacist will track order status. The Staff Pharmacist may also train less experienced pharmacists. This position will require product verification and the ability to be flexible. Hours of operation may include on call, evenings, and weekends, mainly Monday-Friday 8:00 am- 5:00 pm. **ESSENTIAL FUNCTIONS** + Provide oversight and quality assurance to pharmacy technicians. + Interpret physicians' or prescribers' prescriptions. + Verify and confirm validity of controlled substances. + Verify prescription information entered in the system by data entry or order entry. + Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists. **QUALIFICATIONS** + Current resident pharmacist license in good standing. + Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues. + Good oral and written communication skills. + Ability to read and interpret prescriptions. + Strong focus on customer service, quality and accuracy. + Ability to manage timelines and meet tight client deadlines. + Ability to adapt in a changing environment. + Ability to work a flexible schedule for peak volume times. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position, you see is right for you, we encourage you to apply! Our people make all the difference in our success. This role is Worksite dependent and can only be performed onsite at our Tempe, AZ site. Shift hours for this position are Monday through Friday 10:30 am - 7 pm AZ time with eventual rotating weekend on call. POSITION SUMMARY The Staff Pharmacist is responsible for verification and dispensing medications within corporate and regulatory guidelines. The Staff Pharmacist will track order status. The Staff Pharmacist may also train less experienced pharmacists. This position will require product verification and the ability to flexible. This position does not require patient or physician interaction. ESSENTIAL FUNCTIONS Provide oversight and quality assurance to pharmacy technicians. Verify prescriptions dispensed by pharmacy technicians. Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists. QUALIFICATIONS No prior experience in mail order or specialty required. Current Arizona pharmacist license in good standing. Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues. Good oral and written communication skills. Strong focus on quality, and accuracy. Ability to manage timelines and meet tight client deadlines. Ability to adapt in a changing environment. Ability to work a flexible schedule for peak volume times. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. This is an American Society of Health-systems Pharmacies (ASHP) accredited PGY-1 residency position. To be considered, all candidates must also apply through the ASHP PhORCAS system to program 33013 by 01/02/2026. Selection for this position will follow ASHP Match rules and eligibility guidelines. ASHP Match - natmatch.com Position Purpose: A structured 1 year post-graduate education and training program designed to provide advanced knowledge and skills regarding drug therapy and pharmaceutical services in a managed care setting. Spends time rotating through the various areas within pharmacy, including Formulary Services, Pharmacy Operations, Medication Therapy Management (MTM), Appeals, Specialty Pharmacy, and Quality. Will be assigned specific activities, projects, and responsibilities. Completes Post-Graduate Year 1 (PGY-1) responsibilities of the residency program which includes annual rotation and cross department collaboration within the pharmacy department. Completes a residency project suitable for publication and present findings at the regional residency conference as well as an appropriate professional Centene meeting. Participate in formulary design and management, including participation in the Pharmacy and Therapeutics Committee. Evaluates pharmacy claims data for population-based disease management programs. Provides medication therapy management (MTM) services to the organization's members and collaborates with prescribers to ensure appropriate, evidence-based drug selection. Provides members and health care professionals with medication-related information and education. Participates in the prior authorization review and appeals processes. Participates in the organization's quality management and improvement activities Participates in clinical, humanistic, and economic outcomes analyses, including the drug utilization evaluation (DUE) process. Analyzes drug information literature and participate in journal club presentations. Provides clinical instruction to 4th year APPE rotation pharmacy students or by participating in a teaching certificate program offered by a local university. Performs other projects as assigned. Performs other duties as assigned Complies with all policies and standards Education/Experience: Pharmacy resident will obtain Doctor of Pharmacy (PharmD) from an ACPE-accredited college/school of pharmacy prior to start date. Exposure to managed care (student rotations acceptable), preferred. Licenses and Certifications: Licensed pharmacist by September 1st of residency year. For Fidelis: Candidate will work onsite at the NY location.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

The Staff Pharmacist is responsible for verifying and dispensing medications within corporate and regulatory guidelines. The Staff Pharmacist will track order status. The Staff Pharmacist may also train less experienced pharmacists. This position will require product verification and the ability to be flexible. Shift: 1:00 PM - 9:30 PM - Monday-Friday ESSENTIAL FUNCTIONS Provide oversight and quality assurance to pharmacy technicians. Interpret physicians' or prescribers' prescriptions. Verify and confirm validity of controlled substances. Verify prescription information entered in the system by data entry or order entry. Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists. QUALIFICATIONS Current resident pharmacist license in good standing. Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues. Good oral and written communication skills. Ability to read and interpret prescriptions. Strong focus on customer service, quality and accuracy. Ability to manage timelines and meet tight client deadlines. Ability to adapt in a changing environment. Ability to work a flexible schedule for peak volume times. This position supports closing operations. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

This position is onsite in Scottsdale, AZ. Hours are Monday-Friday from 8:30AM-5PM AZ with a Saturday rotation. This position also comes with an on-call rotation for 7 days. The Staff Pharmacist is responsible for the supervision, and coordination of all activities in the Pharmacy Fulfillment area and the education of patients to administer these medications appropriately. The pharmacist provides direct oversight and supervision of the pharmacy technicians and pharmacy interns in their duties and responsibilities to receive prescriptions, process prescriptions, dispense drugs and proper shipping and delivery of medications. The pharmacist assures oversight and safety of pharmacy operations. Essential Functions Interpret, review, and adjudicate prescriptions Prepare and dispense appropriate medications to patients Check prescriptions for accuracy Provide medication therapy review; assess the appropriateness of the medication in accordance to patient's medical history Contact prescribing physicians to discuss questions regarding prescriptions, coordination and continuity of treatment Provide information and advice regarding drug interactions, side effects, dosage and proper medication storage so patients can use their medications safely and effectively Provide personal counseling and education to the patient Comply with state and federal laws pertaining to prescription preparation and dispensing Help with policy development, - i.e., procedures for improved work flow Ensure maintenance of stock and storing and proper handling of medications Maintain records, such as pharmacy files, patient profiles, control records for narcotics, and controlled drugs Review interactions and contraindications of reported use of over the counter medications. Provide emotional support to patient and partner during infertility treatment, and provide information on reputable support and advocacy groups when appropriate. Ensure patient confidentially and HIPAA adherence Based on operational needs the Pharmacist may be assigned to other function as required Complies with FDA mandates and self-imposed manufacturer restrictions on particular drugs, as applicable Qualifications B.S. Pharmacy or PharmD Degree required Experience working in a pharmacy setting preferred Must have an active Arizona pharmacist license in good standing. Additional state licenses a plus. Must have the ability to make clinical decisions Must be compassionate, courteous and have excellent interpersonal skills Must have the ability to read, analyze and interpret common scientific and technical journals Ability to work a flexible work schedule Detail oriented with ability to handle multiple tasks with frequent interruption Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions Conduct work in compliance with office workplace polices Actively participates in the achievement of patient satisfaction If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Staff Pharmacist is responsible for verifying and dispensing medications within corporate and regulatory guidelines. The Staff Pharmacist will track order status. The Staff Pharmacist may also train less experienced pharmacists. This position will require product verification and the ability to be flexible. Shift: 1:00 PM - 9:30 PM - Monday-Friday ESSENTIAL FUNCTIONS Provide oversight and quality assurance to pharmacy technicians. Interpret physicians' or prescribers' prescriptions. Verify and confirm validity of controlled substances. Verify prescription information entered in the system by data entry or order entry. Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists. QUALIFICATIONS Current resident pharmacist license in good standing. Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues. Good oral and written communication skills. Ability to read and interpret prescriptions. Strong focus on customer service, quality and accuracy. Ability to manage timelines and meet tight client deadlines. Ability to adapt in a changing environment. Ability to work a flexible schedule for peak volume times. This position supports closing operations. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

**Accredo Specialty Pharmacy, part of Evernorth Health Services** **_,_** **is seeking a Staff Pharmacist to join their team in Warrendale, PA.** **This role is onsite at our office in** **Warrendale, PA.** **This role is worksite dependent and can only be performed onsite.** **This position has a 7-week rotating schedule of (4) 10- hour shifts Monday through Friday** **9:00 am -8:00 pm ET** **including a 1-week On Call rotation approximately 4 times per year.** For more than 30-years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others. POSITION SUMMARY As a Staff Pharmacist with Accredo, you will be responsible for monitoring and assuring compliance to State and Federal Rules and Regulations, FDA requirements, manufacturer contractual Adverse Event and Product Complaint clinical requirements and completing general Quality Assurance Checks. ESSENTIAL FUNCTIONS + Provide oversight and quality assurance to pharmacy technicians. + Interpret physicians' or prescribers' prescriptions. + Verify and confirm validity of controlled substances. + Verify prescription information entered in the system by data entry or order entry. + Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists. QUALIFICATIONS + Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or Pharm.D, degree. + 1+ years relevant experience. + Current resident pharmacist license in good standing. + Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues. + Good oral and written communication skills. + Ability to read and interpret prescriptions. + Strong focus on customer service, quality and accuracy. + Ability to manage timelines and meet tight client deadlines. + Ability to adapt in a changing environment. + Ability to work a flexible schedule for peak volume times. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

**Make a Lasting Impact as a Staff Pharmacist in Memphis, TN** Join Accredo Specialty Pharmacy, part of Evernorth Health Services, where your expertise and compassion will help transform patient care. Located onsite in Memphis, TN, this second-shift role offers the opportunity to contribute meaningfully to our mission of delivering first-class care and services for over 30 years. **This position is 2nd shift Monday through Friday 1:30 pm - 10 pm CT** ***Beginning January 2026, the shift would be Monday through Thursday (Friday off) 1:30 pm - 10:00 pm CT and Saturday 4 am - Noon CT.** **Responsibilities** + Ensure accurate and timely dispensing of patient orders by managing fulfillment operations workflow. + Interpret physician prescriptions and compound medications in compliance with regulatory guidelines. + Monitor drug therapies and recommend interventions to optimize patient outcomes. + Lead and supervise pharmacy technicians, ensuring quality and compliance in pharmaceutical preparation. + Maintain a safe and clean working environment by adhering to infection-control protocols and operational procedures. + Stay informed on current and emerging legislation to advise management on necessary actions. + Contribute to continuous improvement initiatives and team success through strategic problem-solving and collaboration. **Required Qualifications** + Valid TN pharmacist license. + Minimum of 1 year of experience in a pharmacy setting. + BS in Pharmacy or PharmD **Preferred Qualifications** + Graduate degree from an accredited pharmacy college recognized by the ACPE + Experience in specialty pharmacy or fulfillment operations. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Make a Lasting Impact as a Staff Pharmacist in Memphis, TN Join Accredo Specialty Pharmacy, part of Evernorth Health Services, where your expertise and compassion will help transform patient care. Located onsite in Memphis, TN, this second-shift role offers the opportunity to contribute meaningfully to our mission of delivering first-class care and services for over 30 years. This position is 2nd shift Monday through Friday 1:30 pm - 10 pm CT *Beginning January 2026, the shift would be Monday through Thursday (Friday off) 1:30 pm - 10:00 pm CT and Saturday 4 am - Noon CT. Responsibilities Ensure accurate and timely dispensing of patient orders by managing fulfillment operations workflow. Interpret physician prescriptions and compound medications in compliance with regulatory guidelines. Monitor drug therapies and recommend interventions to optimize patient outcomes. Lead and supervise pharmacy technicians, ensuring quality and compliance in pharmaceutical preparation. Maintain a safe and clean working environment by adhering to infection-control protocols and operational procedures. Stay informed on current and emerging legislation to advise management on necessary actions. Contribute to continuous improvement initiatives and team success through strategic problem-solving and collaboration. Required Qualifications Valid TN pharmacist license. Minimum of 1 year of experience in a pharmacy setting. BS in Pharmacy or PharmD Preferred Qualifications Graduate degree from an accredited pharmacy college recognized by the ACPE Experience in specialty pharmacy or fulfillment operations. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Become a part of our caring community and help us put health first The Staff Mail Operations Pharmacist is a registered Pharmacist who is responsible for the accurate and timely dispensing of prescribed medication to patients. The Staff Mail Operations Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Mail Operations Pharmacist 2 ensures adherence to quality assurance standards, accurate tracking techniques and a review process prior to shipping medications to patients. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelors of Pharmacy or PharmD degree from an accredited college of pharmacy Licensed as a PHARMACIST in state of practice (TX or Florida) Ability to participate in Federal prescription programs Self-directed, but also able to work well in a group Ability to solve problems and encourage others in collaborative problem solving Work ethic that is focused, accurate, and highly productive Excellent communication skills Proficient with computers Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications 3 or more years experience in a high volume community or mail order pharmacy practice environment Additional Information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. The CPS Solutions, LLC Health Equity and Systems Thinking Pharmacy Fellowship is aimed to position our graduates to improve health equity through advocacy, recognition of systems thinking, and adoption of community resources/partnerships to improve chronic conditions. You will focus on addressing and improving healthcare disparities with the aim of a more culturally and competent pharmacist workforce in integrating social determinants of health screening and interventions into medication use encounters and improving patient outcomes. This is a 12-month position only. Additional time may be added as needed and will be determined by the end of the term. The Pharmacy Fellowship is a 12-month, full-time program starting in August 2026 with the schedule being a minimum of 40 hours per week, Monday - Friday, and occasional weekends as needed. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Analyze an assessment that incorporates structural and process of care indicators to improve health literacy and communication between pharmacy and patients during the medication management encounter * Collect and analyze patient population data for the health system or organization * Collaborate with departmental and/or interdisciplinary teams in the design, implementation, and/or enhancement of the organization's criteria for appropriate medication use management * Increase knowledge about social determinants of health (SDOH) and disparities in health care and explore attitudes and behaviors that promote and/or mitigate disparities in patient care * Conduct a longitudinal research and quality improvement project for presentation at a professional platform * Assess the health system (or department) for components of health literacy * Implement systems thinking-based evaluation design and intervention design * Evaluate opportunities for improving patient outcomes, clinical and operational efficiencies, safety and quality of the medication-use process through the application of Continuous Quality Improvement (CQI) strategies * Develop a structural Certificate Program in the area of health equity, disparity and systems thinking for preceptors and pharmacist leaders * Assist the organization in achieving compliance with accreditation, legal, regulatory, and safety requirements related to the use of medications (e.g., appropriate accrediting bodies and related professional organization standards, statements, and/or guidelines; state and federal laws regulating pharmacy practice) * Provide effective medication and practice-related education to health care professionals in health equity standards and systems thinking 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: * Minimum of a bachelor's degree from an American Council on Pharmaceutical Education (ACPE) accredited college or university (PharmD preferred) * Licensure in good standing as a Registered Pharmacist prior to the program start date; willingness to reciprocate * Post-graduate pharmacy residency (PGY1) or equivalent training * Must include curriculum vitae (CV), a personal letter of intent, transcript and the names and contact information of three individuals that can provide professional letters of recommendation as part of the application * Driver's License and access to reliable transportation Preferred Qualifications: * Doctor of Pharmacy (PharmD) * Degree in Public Health or work experience in public health services * Possess necessary knowledge to provide oversight of medication regimens for the patient populations treated in the facility, including a knowledge of dosing for specific age populations * Proven effective interpersonal and communication skills - verbal and written * Proficiency with pharmacy computer systems * Proficiency with Outlook, Word, PowerPoint and Excel * Ability to collaborate effectively with all levels across the organization. * 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). 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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a per diem Staff Pharmacist you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance. Pharmacy location: Located within River Vista Health and Wellness - 1599 Alum Creek Drive, Columbus, OH 43209 Hours: Monday-Friday 8:00am-4:00pm 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: * ACPE-accredited pharmacy degree (PharmD preferred) * Active applicable state pharmacist license in good standing * 1+ years of recent pharmacist experience, (hospital setting preferred) * Skilled with pharmacy systems and Microsoft Office 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.

**Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem Staff Pharmacist you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance. **Pharmacy location:** Located within River Vista Health and Wellness - 1599 Alum Creek Drive, Columbus, OH 43209 **Hours:** Monday-Friday 8:00am-4:00pm 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:** + ACPE-accredited pharmacy degree (PharmD preferred) + Active applicable state pharmacist license in good standing + 1+ years of recent pharmacist experience, (hospital setting preferred) + Skilled with pharmacy systems and Microsoft Office 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The **Investigator** is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The **Investigator** will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The **Investigator** is responsible to conduct investigations which may include field work to perform interviews and obtain records and/or other relevant documentation. If you reside within the state of New Jersey, New York, and Pennsylvania, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Applicants must be within commutable distance to Philadelphia, Kings, and Essex counties. **Travel:** Up to 50% **Primary Responsibilities:** + Assess complaints of alleged misconduct received within the Company + Investigate **low** to **medium** complex cases of fraud, waste and abuse + Detect fraudulent activity by members, providers, employees and other parties against the Company + Develop and deploy the most effective and efficient investigative strategy for each investigation + Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system + Collect and secure documentation or evidence and prepare summaries of the findings + Participate in settlement negotiations and/or produce investigative materials in support of the latter + Collect, collate, analyze and interpret data relating to fraud, waste and abuse referrals + Ensure compliance of applicable federal/state regulations or contractual obligations + Report suspected fraud, waste and abuse to appropriate federal or state government regulators + Comply with goals, policies, procedures and strategic plans as delegated by SIU leadership + Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings + Communicate effectively, including written and verbal forms of communication + Develop goals and objectives, track progress and adapt to changing priorities **What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:** + Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Medical Plan options along with participation in a Health Spending Account or a Health Saving account + Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage + 401(k) Savings Plan, Employee Stock Purchase Plan + Education Reimbursement + Employee Discounts + Employee Assistance Program + Employee Referral Bonus Program + Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) + More information can be downloaded at: ************************* 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 OR Associate's Degree + 2+ years of equivalent work experience with healthcare related employment + Basic level of proficiency in Microsoft Excel and Word + Ability to travel up to 50% within PA, NY, and NJ + Reside in PA, NY, or NJ - commutable distance to Philadelphia, Kings, and Essex counties + Ability to participate in legal proceedings, arbitration and depositions at the direction of management + Access to reliable transportation and valid US driver's license **Preferred Qualifications:** + License and/or Certified Pharmacy Technician (CPhT) + Accredited Health Care Fraud Investigator (AHFI) + Basic level of knowledge in health care policies, procedures and documentation standards + Basic level of skills in developing investigative strategies + Basic level of knowledge in pharmacy claims processing + Specialized knowledge/training in healthcare fraud, waste and abuse (FWA) investigations + Basic level of knowledge in analyzing data to identify FWA trends + Basic level of knowledge in state and federal regulatory FWA requirements + Active affiliations: + National Health Care Anti-Fraud Association (NHCAA) + Certified Fraud Examiner (CFE) + Operational experience with a pharmacy and/or pharmacy benefits manager (PBM) *All Telecommuters 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). 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 $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ \#RPO #GREEN

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Investigator is responsible to conduct investigations which may include field work to perform interviews and obtain records and/or other relevant documentation. If you reside within the state of New Jersey, New York, and Pennsylvania, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Applicants must be within commutable distance to Philadelphia, Kings, and Essex counties. Travel: Up to 50% Primary Responsibilities: * Assess complaints of alleged misconduct received within the Company * Investigate low to medium complex cases of fraud, waste and abuse * Detect fraudulent activity by members, providers, employees and other parties against the Company * Develop and deploy the most effective and efficient investigative strategy for each investigation * Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system * Collect and secure documentation or evidence and prepare summaries of the findings * Participate in settlement negotiations and/or produce investigative materials in support of the latter * Collect, collate, analyze and interpret data relating to fraud, waste and abuse referrals * Ensure compliance of applicable federal/state regulations or contractual obligations * Report suspected fraud, waste and abuse to appropriate federal or state government regulators * Comply with goals, policies, procedures and strategic plans as delegated by SIU leadership * Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings * Communicate effectively, including written and verbal forms of communication * Develop goals and objectives, track progress and adapt to changing priorities What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* 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 OR Associate's Degree * 2+ years of equivalent work experience with healthcare related employment * Basic level of proficiency in Microsoft Excel and Word * Ability to travel up to 50% within PA, NY, and NJ * Reside in PA, NY, or NJ - commutable distance to Philadelphia, Kings, and Essex counties * Ability to participate in legal proceedings, arbitration and depositions at the direction of management * Access to reliable transportation and valid US driver's license Preferred Qualifications: * License and/or Certified Pharmacy Technician (CPhT) * Accredited Health Care Fraud Investigator (AHFI) * Basic level of knowledge in health care policies, procedures and documentation standards * Basic level of skills in developing investigative strategies * Basic level of knowledge in pharmacy claims processing * Specialized knowledge/training in healthcare fraud, waste and abuse (FWA) investigations * Basic level of knowledge in analyzing data to identify FWA trends * Basic level of knowledge in state and federal regulatory FWA requirements * Active affiliations: * National Health Care Anti-Fraud Association (NHCAA) * Certified Fraud Examiner (CFE) * Operational experience with a pharmacy and/or pharmacy benefits manager (PBM) * All Telecommuters 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). 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 $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. #RPO #GREEN

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The **Investigator** is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The **Investigator** will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The **Investigator** is responsible to conduct investigations which may include field work to perform interviews and obtain records and/or other relevant documentation. If you reside within the state of New Jersey, New York, and Pennsylvania, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Applicants must be within commutable distance to Philadelphia, Kings, and Essex counties. **Travel:** Up to 50% **Primary Responsibilities:** + Assess complaints of alleged misconduct received within the Company + Investigate **low** to **medium** complex cases of fraud, waste and abuse + Detect fraudulent activity by members, providers, employees and other parties against the Company + Develop and deploy the most effective and efficient investigative strategy for each investigation + Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system + Collect and secure documentation or evidence and prepare summaries of the findings + Participate in settlement negotiations and/or produce investigative materials in support of the latter + Collect, collate, analyze and interpret data relating to fraud, waste and abuse referrals + Ensure compliance of applicable federal/state regulations or contractual obligations + Report suspected fraud, waste and abuse to appropriate federal or state government regulators + Comply with goals, policies, procedures and strategic plans as delegated by SIU leadership + Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings + Communicate effectively, including written and verbal forms of communication + Develop goals and objectives, track progress and adapt to changing priorities **What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:** + Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Medical Plan options along with participation in a Health Spending Account or a Health Saving account + Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage + 401(k) Savings Plan, Employee Stock Purchase Plan + Education Reimbursement + Employee Discounts + Employee Assistance Program + Employee Referral Bonus Program + Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) + More information can be downloaded at: ************************* 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 OR Associate's Degree + 2+ years of equivalent work experience with healthcare related employment + Basic level of proficiency in Microsoft Excel and Word + Ability to travel up to 50% within PA, NY, and NJ + Reside in PA, NY, or NJ - commutable distance to Philadelphia, Kings, and Essex counties + Ability to participate in legal proceedings, arbitration and depositions at the direction of management + Access to reliable transportation and valid US driver's license **Preferred Qualifications:** + License and/or Certified Pharmacy Technician (CPhT) + Accredited Health Care Fraud Investigator (AHFI) + Basic level of knowledge in health care policies, procedures and documentation standards + Basic level of skills in developing investigative strategies + Basic level of knowledge in pharmacy claims processing + Specialized knowledge/training in healthcare fraud, waste and abuse (FWA) investigations + Basic level of knowledge in analyzing data to identify FWA trends + Basic level of knowledge in state and federal regulatory FWA requirements + Active affiliations: + National Health Care Anti-Fraud Association (NHCAA) + Certified Fraud Examiner (CFE) + Operational experience with a pharmacy and/or pharmacy benefits manager (PBM) *All Telecommuters 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). 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 $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ \#RPO #GREEN

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. The Staff Pharmacist will have the opportunity to apply your clinical expertise by evaluating and interpreting medication orders, compounding, and dispensing prescriptions in accordance with legal and professional standards. You will play a critical role in identifying, preventing, and resolving medication-related issues to ensure safe, effective, and individualized patient care. Through the application of evidence-based protocols, you will promote clinically sound and cost-effective drug therapy, contributing to improved patient outcomes and advancing the standard of pharmaceutical care. Pharmacy Location: Located within Hocking Valley Community Hospital - 601 OH-644 N, Logan, OH 43138 Hours: Monday-Friday 7:30a to 6:00p and Saturdays 8:00a to 4:30p closed Sundays and Holidays 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: * ACPE-accredited pharmacy degree * Active applicable state pharmacist license in good standing * 1+ years of recent pharmacist experience, (hospital setting preferred) * Skilled with pharmacy systems and Microsoft Office Preferred Qualifications: * PharmD * Residency training and hospital experience * Skilled with EPIC and Pyxis 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.

**Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a Staff Pharmacist you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance. **Pharmacy location:** Located within Hocking Valley Community Hospital - 601 OH-664 N, Logan, OH 43138 **Hours:** Monday-Friday 7:30am to 6:00pm and Saturdays 8:00am to 4:30pm closed on Sundays and some holidays 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:** + ACPE-accredited pharmacy degree (PharmD preferred) + Active applicable state pharmacist license in good standing + 1+ years of recent pharmacist experience, (hospital setting preferred) + Skilled with pharmacy systems and Microsoft Office 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._

**Explore opportunities with CPS** , part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** The Staff Pharmacist will have the opportunity to apply your clinical expertise by evaluating and interpreting medication orders, compounding, and dispensing prescriptions in accordance with legal and professional standards. You will play a critical role in identifying, preventing, and resolving medication-related issues to ensure safe, effective, and individualized patient care. Through the application of evidence-based protocols, you will promote clinically sound and cost-effective drug therapy, contributing to improved patient outcomes and advancing the standard of pharmaceutical care. **Pharmacy Location** : Located within Hocking Valley Community Hospital - 601 OH-644 N, Logan, OH 43138 **Hours:** Monday-Friday 7:30a to 6:00p and Saturdays 8:00a to 4:30p closed Sundays and Holidays 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:** + ACPE-accredited pharmacy degree + Active applicable state pharmacist license in good standing + 1+ years of recent pharmacist experience, (hospital setting preferred) + Skilled with pharmacy systems and Microsoft Office **Preferred Qualifications:** + PharmD + Residency training and hospital experience + Skilled with EPIC and Pyxis 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._