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Clinical Call Center Pharmacist - Schaumburg, IL

UnitedHealth Group

Schaumburg, IL
Job Code:
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Job Details

Clinical Call Center Pharmacist - Schaumburg, IL(Job Number:729187)

You're looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management. Here you'll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. With better schedules than retail and more reach than any hospital, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Take this opportunity to start doing your life's best work.(sm)
The Clinical Call Center team provides a variety of clinical services, such as:  Adherence, Diabetes, Fraud Waste & Abuse, Medication Therapy Management, Post - Hospital Discharge, and Retrospective Drug Utilization.
The team comprises of clinical pharmacists and certified pharmacy technicians that complete various functions to successfully meet the operational requirements of each clinical service.  The work hours required are Monday through Friday, 7:45am-4:15pm primarily. However, one or more 11:30am - 8:00pm shift will be required.
The Clinical Pharmacist will report into the Operations Team Manager.  This role is primarily responsible for performing telephonic consultations with members to complete comprehensive medication reviews and improve disease state management.  In addition, the clinical pharmacist with document the care delivered and communicates essential information to the member’s primary care providers. 
Primary Responsibilities:
  • Utilize prescription and medical claim data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols
  • Provide clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
  • Utilize client formulary information to guide appropriate medication recommendations
  • Keep current with new and emerging clinical trends
  • Active participation in departmental meetings to improve clinical programs and enhance processes
  • Share clinical information and department procedure protocols during client site visits
  • Assist with user acceptance testing for new clinical programs and system enhancements
  • Call members to schedule consultation appointments
  • Performing other duties as assigned to meet departmental objectives
  • Follow all policies and procedures related to job
  • Support Clinical Call Center as needed for special projects
  • Other duties as assigned by Operations Manager

Job Pharmacy Clinical Programs
Primary Location US-IL-Schaumburg
Other Location 
Organization OptumRx Pharmacy Svcs
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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