Managed Care Clinical Pharmacist - Remote (CA License)
Pharmacist job at Tenet Healthcare
We are seeking a dedicated and detail-oriented clinical pharmacist for an operation-centric role focused on conducting clinical reviews of medical data to facilitate prior authorization for specialty medications. Provides clinical pharmacy services and support to assist the Prior Authorization, Case Management and Quality teams.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Prior Authorization review and approve or deny coverage for pharmaceuticals based on medical necessity criteria. Coordinates with medical directors as needed
* Specialty Drug claims review based on medical necessity criteria
* Comprehensive Medication Management Review for complex members in Case Management
* Assists with Transitions of Care Medication Reconciliation Post-Discharge (TOC MRP)
* Supports Quality with Medication Adherence Measures
* Redirects pharmaceuticals to PBM when appropriate
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
* Ability to communicate effectively both verbally and in writing.
* Experienced computer skills with Microsoft Word, Microsoft Outlook, Excel and experience working in a health plan medical management documentation system.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* Requires BA/BS in Pharmacy; PharmD preferred
* Experience reviewing Medical Drugs (J-codes and Q-codes a plus
* Three (3) to Five (5) years of pharmacy experience.
* Two years of managed care experience in Medical Management preferred.
* ICD-9 and CPT coding experience preferred.
* Experience in EZ-CAP preferred.
* Prefer Prior Authorization experience
REQUIRED CERTIFICATIONS/LICENSURE
Include minimum certification required to perform the job.
* Requires a registered pharmacist
* Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh)
* Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills a must
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
OTHER
* some travel may be required
Compensation and Benefit Information
Compensation
* Pay: $44.52-$66.78 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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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
Auto-ApplyPharmacist/PT/Days
Lima, OH jobs
Pharmacist/PT/Days (Job Number: 549808) Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.
Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job SummaryThe Pharmacist works in collaboration with the Director of Pharmacy and according to standard procedure compounds and dispenses medications and pharmaceutical supplies up receiving written prescriptions from the physician.
Participates on Performance Improvement plans within the hospital.
Consults with and advises Administration, Medical Staff and hospital staff on quality, regulatory and risk issues within the organization.
Supports and serves as consultant to all clinical and Medical Staff.
Assists the Director in coordinating and implementing the activities of the Pharmacy.
Interprets medication orders, compounds and dispenses medication and other pharmaceutical preparations in accordance with the legal, ethical and professional standards of pharmacy practice.
Supervises the technical support staff.
Assists with clinical, quality management and education programs.
Provides support for all departments with respect to the care of all patients aged 18 through the geriatric population ages 65 and older.
Essential FunctionsParticipates in the maintenance and dissemination of drug information through in-service education of hospital personnel, consultation with patients, hospital and medical staff Actively assists other Pharmacists and Technicians in the discharge of routine duties as necessary Directs activities of and provides professional and technical guidance to Pharmacy personnel Exercises professional judgment in imparting therapeutic and drug information to patients and health professionals Is competent in the range of treatment needed by the following patients as appropriate to the ages served by the hospital: Adult and GeriatricCapable of entering a minimum of 40 orders per four-hour shift Generates required reports; Pick I.
V.
, Production reports.
Performs Backup Procedures correctly.
Assists Technicians in performing technical tasks.
Maintains aseptic techniques.
Recycles product as appropriately.
Checks technician prepared products prior to release.
Ensures Technician maintains I.
V.
refrigerator temperature and hood cleaning logs Fills orders with correct medication Checks support staff accuracy prior to medication release Prioritizes work to prepare STAT, Now and Waiting in order of importance.
Follows through on fill on arrival orders.
Reviews patient profile to ensure appropriate and safe drug therapy.
No therapeutic duplication Prevents significant drug interaction.
Prevents avoidable ADR secondary to allergies Medication ordered is appropriate for patient height, weight, age, renal function and disease state Must have knowledge of patient population served Pharmacokinetics Dosing Service: Ensures Apriority dosing is appropriate.
Interprets levels appropriately.
Modifies doses appropriately.
Writes progress notes per protocol.
Dates times and initials all vials for reuse.
Capable of calculating fluid, electrolyte and calories needs.
Monitors patient appropriateness for formulation.
Clarifies controversial orders with physician.
Keeps current on new drugs.
Adds additive in the proper sequence Syringe and Vial counts reflect what has been made Labels containers accurately including auxiliary labels Completes packages including seals, protective wraps, etc.
Maintains security of Pharmacy.
Maintains security of controlled substances.
Informs staff of pending problems, physical call back, etc.
Fills orders with correct medications.
Prepares unit of use dosage when possible.
Keeps Director informed of workload status.
Prioritizes work to prepare Stat, now and waiting in order of importance.
Follows through on fill on arrival orders.
Knowledge/Skills/Abilities/ExpectationsBasic understanding of the role and use of a computer in the processing of prescription orders with minimum word processing skills Self-motivated, self-directed with excellent organizational skills Ability to effectively handle multiple tasks simultaneously Ability to organize meetings and inspections Must read, write and speak fluent EnglishMust have good and regular attendance Approximate percent of time required to travel: 0%Qualifications EducationGraduate of an accredited School of Pharmacy with Pharmacist degree Licenses/CertificationsCurrent state license in good standing BCLS certification ExperienceMinimum of three (3) months of experience in pharmacy Working knowledge of OSHA, JCAHO, HCFA and state guidelines Experience in facilitating teams Experience in writing policies and procedures Job: PharmacyPrimary Location: OH-Lima-Kindred Hospital-LimaOrganization: 4851 - Kindred Hospital-LimaShift: Day
Auto-ApplyCorporate Traveling Pharmacist - Remote
Columbus, OH jobs
**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, nonexempt, Traveling Corporate Pharmacist with our CPS Advance team, you will be deployed from your home to various client sites throughout the designated state(s) to as-needed assignments that will vary in length from a few days to a few weeks or even month. You'll work with other pharmacists and hospital healthcare professionals to provide pharmacy services that meet the highest standards of the profession. You'll fill orders with accuracy; check technician-prepared products before release; maintain security of pharmacy and controlled substances; enter orders and patient information with accuracy; aid in the training of new staff; update the Director about the daily activities of the pharmacy; and aid the Director in maintaining the pharmacy.
Schedule: This position has no regularly scheduled hours and works as needed to cover shifts at various facilities, which may include reimbursable/paid travel.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Assist current client hospital clients as needed
+ Assist with set up of new clients
+ Ability to travel nationwide as needed
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:**
+ BS or Pharm D from an ACPE-accredited School of Pharmacy
+ 1 active Pharmacist license in good standing (preference for one of the following states: IN, MI, MN, CA, OH, WV, PA, AZ)
+ Willingness to obtain additional state Pharmacist licenses
+ 2+ years of recent hospital pharmacy work experience as a Pharmacist (which may include an ASHP pharmacy residency program)
+ Experience in IV admixtures, unit dose drug distribution and computer order entry
+ Very good drug knowledge base including pharmacokinetics dosing and nutritional support
+ Valid driver's license and ability to pass company Motor Vehicle (MVR) background check
+ Ability to travel by car or airplane, sometimes on short notice
+ Willing to travel for all assignments
*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 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.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Pharmacy Fellow - Health Equity and Systems Thinking
Columbus, OH jobs
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.
Corporate Traveling Pharmacist - Remote
Detroit, MI jobs
**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, nonexempt, Traveling Corporate Pharmacist with our CPS Advance team, you will be deployed from your home to various client sites throughout the designated state(s) to as-needed assignments that will vary in length from a few days to a few weeks or even month. You'll work with other pharmacists and hospital healthcare professionals to provide pharmacy services that meet the highest standards of the profession. You'll fill orders with accuracy; check technician-prepared products before release; maintain security of pharmacy and controlled substances; enter orders and patient information with accuracy; aid in the training of new staff; update the Director about the daily activities of the pharmacy; and aid the Director in maintaining the pharmacy.
Schedule: This position has no regularly scheduled hours and works as needed to cover shifts at various facilities, which may include reimbursable/paid travel.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Assist current client hospital clients as needed
+ Assist with set up of new clients
+ Ability to travel nationwide as needed
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:**
+ BS or Pharm D from an ACPE-accredited School of Pharmacy
+ 1 active Pharmacist license in good standing (preference for one of the following states: IN, MI, MN, CA, OH, WV, PA, AZ)
+ Willingness to obtain additional state Pharmacist licenses
+ 2+ years of recent hospital pharmacy work experience as a Pharmacist (which may include an ASHP pharmacy residency program)
+ Experience in IV admixtures, unit dose drug distribution and computer order entry
+ Very good drug knowledge base including pharmacokinetics dosing and nutritional support
+ Valid driver's license and ability to pass company Motor Vehicle (MVR) background check
+ Ability to travel by car or airplane, sometimes on short notice
+ Willing to travel for all assignments
*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 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.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Corporate Traveling Pharmacist - Remote
Detroit, MI jobs
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, nonexempt, Traveling Corporate Pharmacist with our CPS Advance team, you will be deployed from your home to various client sites throughout the designated state(s) to as-needed assignments that will vary in length from a few days to a few weeks or even month. You'll work with other pharmacists and hospital healthcare professionals to provide pharmacy services that meet the highest standards of the profession. You'll fill orders with accuracy; check technician-prepared products before release; maintain security of pharmacy and controlled substances; enter orders and patient information with accuracy; aid in the training of new staff; update the Director about the daily activities of the pharmacy; and aid the Director in maintaining the pharmacy.
Schedule: This position has no regularly scheduled hours and works as needed to cover shifts at various facilities, which may include reimbursable/paid travel.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Assist current client hospital clients as needed
* Assist with set up of new clients
* Ability to travel nationwide as needed
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:
* BS or Pharm D from an ACPE-accredited School of Pharmacy
* 1 active Pharmacist license in good standing (preference for one of the following states: IN, MI, MN, CA, OH, WV, PA, AZ)
* Willingness to obtain additional state Pharmacist licenses
* 2+ years of recent hospital pharmacy work experience as a Pharmacist (which may include an ASHP pharmacy residency program)
* Experience in IV admixtures, unit dose drug distribution and computer order entry
* Very good drug knowledge base including pharmacokinetics dosing and nutritional support
* Valid driver's license and ability to pass company Motor Vehicle (MVR) background check
* Ability to travel by car or airplane, sometimes on short notice
* Willing to travel for all assignments
* 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 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Corporate Traveling Pharmacist - Remote
Los Angeles, CA jobs
**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, nonexempt, Traveling Corporate Pharmacist with our CPS Advance team, you will be deployed from your home to various client sites throughout the designated state(s) to as-needed assignments that will vary in length from a few days to a few weeks or even month. You'll work with other pharmacists and hospital healthcare professionals to provide pharmacy services that meet the highest standards of the profession. You'll fill orders with accuracy; check technician-prepared products before release; maintain security of pharmacy and controlled substances; enter orders and patient information with accuracy; aid in the training of new staff; update the Director about the daily activities of the pharmacy; and aid the Director in maintaining the pharmacy.
Schedule: This position has no regularly scheduled hours and works as needed to cover shifts at various facilities, which may include reimbursable/paid travel.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Assist current client hospital clients as needed
+ Assist with set up of new clients
+ Ability to travel nationwide as needed
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:**
+ BS or Pharm D from an ACPE-accredited School of Pharmacy
+ 1 active Pharmacist license in good standing (preference for one of the following states: IN, MI, MN, CA, OH, WV, PA, AZ)
+ Willingness to obtain additional state Pharmacist licenses
+ 2+ years of recent hospital pharmacy work experience as a Pharmacist (which may include an ASHP pharmacy residency program)
+ Experience in IV admixtures, unit dose drug distribution and computer order entry
+ Very good drug knowledge base including pharmacokinetics dosing and nutritional support
+ Valid driver's license and ability to pass company Motor Vehicle (MVR) background check
+ Ability to travel by car or airplane, sometimes on short notice
+ Willing to travel for all assignments
*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 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.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Pharmacy Investigator - Remote in NY, NJ, PA
New York, NY jobs
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
Pharmacy Investigator - Remote in NY, NJ, PA
New York, NY jobs
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
Pharmacy Investigator - Remote in NY, NJ, PA
Newark, NJ jobs
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
Pharmacy Investigator - Remote in NY, NJ, PA
Philadelphia, PA jobs
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
Per Diem Staff Pharmacist
Columbus, OH jobs
**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._
Per Diem Staff Pharmacist
Columbus, OH jobs
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.
Staff Pharmacist
Logan, OH jobs
**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._
Part-time Staff Pharmacist
Logan, OH jobs
**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._
Part-time Staff Pharmacist
Logan, OH jobs
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.
Staff Pharmacist
Logan, OH jobs
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.
Clinical Pharmacist
Wheelersburg, OH jobs
**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.**
We are currently conducting a search for a full-time Clinical Pharmacist to join a growing team of colleagues at our customer site, Southern Ohio Medical Center, to provide outstanding service to patients with complex, specialty diseases to help them achieve improved clinical outcomes.
**Pharmacy Location:** Located within Southern Ohio Medical Center in Wheelersburg, OH
**Schedule:** Monday through Friday 8:00am - 5:00pm
**Primary Responsibilities:**
+ Establishing great working relationships with clinic staff and physicians in customer clinics
+ Leading medication management in the clinic(s), owning clinical outcome KPIs (as set), and ensuring that the patient/CPS engagement is appropriate and consistent with customer preferences. This includes:
+ Ensuring that every patient who can benefit from specialty pharmacy services is identified and met in clinic upon arrival
+ Showing patients, through action, the benefits of using the customer's specialty pharmacy services, without impeding the patient choice of pharmacy
+ Leading clinical follow-up with patients per defined protocols - through outbound phone calls and in-person appointments - to ensure patients are adherent to therapy and any issues are identified and resolved expediently
+ Accepting inbound calls from patients, and sharing in on-call coverage to ensure 24/7 patient support
+ Appropriately addressing clinical questions, triaging as appropriate
+ Partnering with physicians in clinics to ensure therapies selected are evidence-based
+ Participating in leadership and clinic staff meetings to help explain the CPS model
+ Assisting the site leader with recruiting and training of on-site Pharmacy Liaisons and Clinical Pharmacists
+ Assisting with dispensing, administrative, compliance-related or other tasks to ensure patients in the program receive unmatchable service
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:**
+ PharmD or BS Pharmacy degree with equivalent and acceptable experience from a College of Pharmacy accredited by American Association of Colleges of Pharmacy (AACP)
+ Licensed to practice, or the ability to become licensed as a Pharmacist in the applicable state
**Preferred Qualification:**
+ Pharmacy residency or Board Certification
+ 1+ years of clinical experience or residency equivalent is preferred, but all candidates will be considered
+ Ambulatory or specialty experience
+ Proficiency in multiple EMR systems such as Cerner, EPIC or Meditech
+ Proficiency with dispensing systems such as Willow Ambulatory, QS1, RX30, Computer Rx, etc. along with experience in pharmacy dispensing
+ Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
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 $89,900 to $160,600 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._
Clinical Pharmacist
Wheelersburg, OH jobs
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.
We are currently conducting a search for a full-time Clinical Pharmacist to join a growing team of colleagues at our customer site, Southern Ohio Medical Center, to provide outstanding service to patients with complex, specialty diseases to help them achieve improved clinical outcomes.
Pharmacy Location: Located within Southern Ohio Medical Center in Wheelersburg, OH
Schedule: Monday through Friday 8:00am - 5:00pm
Primary Responsibilities:
* Establishing great working relationships with clinic staff and physicians in customer clinics
* Leading medication management in the clinic(s), owning clinical outcome KPIs (as set), and ensuring that the patient/CPS engagement is appropriate and consistent with customer preferences. This includes:
* Ensuring that every patient who can benefit from specialty pharmacy services is identified and met in clinic upon arrival
* Showing patients, through action, the benefits of using the customer's specialty pharmacy services, without impeding the patient choice of pharmacy
* Leading clinical follow-up with patients per defined protocols - through outbound phone calls and in-person appointments - to ensure patients are adherent to therapy and any issues are identified and resolved expediently
* Accepting inbound calls from patients, and sharing in on-call coverage to ensure 24/7 patient support
* Appropriately addressing clinical questions, triaging as appropriate
* Partnering with physicians in clinics to ensure therapies selected are evidence-based
* Participating in leadership and clinic staff meetings to help explain the CPS model
* Assisting the site leader with recruiting and training of on-site Pharmacy Liaisons and Clinical Pharmacists
* Assisting with dispensing, administrative, compliance-related or other tasks to ensure patients in the program receive unmatchable service
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:
* PharmD or BS Pharmacy degree with equivalent and acceptable experience from a College of Pharmacy accredited by American Association of Colleges of Pharmacy (AACP)
* Licensed to practice, or the ability to become licensed as a Pharmacist in the applicable state
Preferred Qualification:
* Pharmacy residency or Board Certification
* 1+ years of clinical experience or residency equivalent is preferred, but all candidates will be considered
* Ambulatory or specialty experience
* Proficiency in multiple EMR systems such as Cerner, EPIC or Meditech
* Proficiency with dispensing systems such as Willow Ambulatory, QS1, RX30, Computer Rx, etc. along with experience in pharmacy dispensing
* Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
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 $89,900 to $160,600 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.