Clinical Pharmacist Market Support Clinical Excellence Team - Remote in MST or PST

Clinical Pharmacist

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Excellence Quality (CEQ) Pharmacy Market team supports Optum's Care Delivery Organizations by delivering patient-centered, clinically collaborative medication consultations to help people live healthier lives. Our team focuses on the design, execution, and delivery of telephonic and digital engagement strategies designed to close STARs measure gaps in care, e.g. medication adherence, care for older adults, statins in patient with diabetes. Our interdisciplinary service delivery team is comprised of Pharmacists, Pharmacy Technicians, Licensed Vocational Nurses, and Care Coordinators.

The Clinical Pharmacist (CP) will report into the Manager of Clinical Pharmacy, Market Support. The Clinical Pharmacist will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual medication reviews and functional assessments. In addition, the CP will act as a field consultant for providers and clinics via in-person and virtual meetings. The CP will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to meet business needs based on provider/client operational time zone.

If you are located in MST or PST, you will have the flexibility to work remotely.

Primary Responsibilities:

• Role will split time between telephonic patient outreach to complete assessments and provider facing activities (virtual and in-person) working with market representatives
• Develop market business plans to motivate providers and large or complex group leadership to engage in improving Stars measures to be 4 STARS or higher in pharmacy-related measures for Statin Use in Patients with Diabetes, Statin Use in Patients with Cardiovascular Disease, and Medication Adherence for Diabetes, Cholesterol and Hypertension
• Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups for pharmacy measures including information on best practices and addressing patient barriers
• Be the primary subject matter expert for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations
• Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual Business Review meetings related to STAR activities which summarize provider and large group performance and market performance as requested by or required by Quality or Regional leadership
• Analyze and evaluate provider and large group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies
• Assist in developing of training and analytical materials for Stars and HEDIS
• Identify and assess decision makers and other key provider group personnel with a focus on identifying barriers to achieving targeted outcomes, focus communications and efforts accordingly
• Develop solution-based, user-friendly initiatives to support practice success
• Place outbound calls to members to ascertain information from the patient regarding HEDIS and Quality measures related to their care as well as obtain member information regarding any possible gaps in care
• Complete annual medication review of prescription and non-prescription medications with emphasis on patient assessment and counseling, safe and effective use of medications, identification of potential drug interactions, and other related activities
• Complete pharmacotherapy assessment of patients' claims, past medical history, and disease states
• Assess patients for medication adherence barriers and develop a plan to maximize patients' medication success through improving or maintaining adherence to medications
• Deliver a patient-centered, clinically collaborative medication consultation
• Develop a post-consultation list of action items for the patient and/or prescriber
• Maintain a high level of clinical knowledge of chronic disease states and changes in pharmacy practice in adult and geriatric patient populations to serve as an authoritative information source on drugs and their utilization in therapy
• Other duties as assigned

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:

• Doctor of Pharmacy degree or equivalent experience
• Active, unrestricted pharmacy license in state of primary residence and Oregon
• 5+ years of Clinical Pharmacy Practice experience
• 2+ years of experience with Medicare STARs & HEDIS Measures
• 2+ years of experience in provider facing interactions, including provider education
• 2+ years of experience with data analysis and/or quality chart reviews. Must be able to review data and provide recommendations for improvement
• Proficient with Microsoft Word, Excel, Outlook, PowerPoint
• Comfortable working in a rapidly changing and highly matrixed environment
• Demonstrated ability to manage multiple complex, concurrent projects
• Demonstrated planning and organizational skills to demonstrate leadership and initiative
• Demonstrated ability to work independently, as well as a member of a team

Preferred Qualifications:

• MBA/MPH Degree
• Post Graduate Training (Pharmacy Residency and/or Fellowship)
• Board certification by the Board of Pharmacy Specialties (BPS)
• Certified Geriatric Pharmacist
• Bilingual with preference given to Spanish, Mandarin, Vietnamese, Korean
• Demonstrated excellent written and verbal communication and relationship building skills
• Demonstrated solid interpersonal skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.