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Clinical Pharmacist - Office based - Las Vegas, NV

UnitedHealth Group

Las Vegas, NV
Job Code:
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Job Details

Clinical Pharmacist - Office based - Las Vegas, NV(Job Number:716576)

The Clinical Pharmacist - Medicaid Quality will primarily perform a clinical role to support Health Plan of Nevada Medicaid. Functions will consist of member and provider engagement along with case management support and prior authorization review. Goals of this position include collaborating with the Pharmacy Services management team to build and implement clinical pharmacy programs that will support improvement in pharmacy focused HEDIS measures. This job reports to the Director, Pharmacy Quality and Population Health Strategy.


Primary Responsibilities:

  • Execute upon programs developed in coordination with the Pharmacy Services management team to improve pharmacy-based HEDIS measures in the Health Plan of Nevada Medicaid population
  • Monitor all clinical activities performed which are related to pharmacy engagement within the plan to ensure alignment with both UHC and  State objectives
  • Assist with development and submission of all reports related to Medicaid Pharmacy Utilization to key stakeholders including the State of Nevada
  • Serve as pharmacy subject matter expert regarding both clinical and benefit-related issues for field based roles including clinical practice consultants; provider services provider advocate team and community health workers
  • Review and approve / deny requests for prescription prior authorizations
  • Performs all duties and functions in compliance with state and federal pharmacy laws and regulations
  • Train other clinical teams regarding pharmacy benefit as applicable
  • Assist in mentoring PharmD students
  • Perform all other related duties as assigned to meet departmental objectives

Job Pharmacy Clinical Programs
Primary Location US-NV-Las Vegas
Other Location 
Organization E&I Nevada-Utah-Idaho
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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