UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the millions people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.
Here's an office-based Clinical Pharmacist position that offers excellent benefits and tremendous potential for future advancement. Additionally, you will have the opportunity to use all of your clinical expertise and decision-making skills to help improve the lives of our members. If you are ready to bring your talents to a Fortune 50 organization, we encourage you to apply.
***This position can be based in Moline, IL or Edina, MN***
Key responsibilities include:
- Conduct clinical pharmacy appeals identified by the UHPS Regulatory Compliance group as requiring pharmacist review.
- Deliver high quality, timely decisions consistent with UHPS coverage policies.
- Research clinical pharmacy data and literature to support appeals decisions
- Provide detailed written explanations on why an appeal was either approved or denied.
- Respond to inquires from internal stakeholders as well as external regulatory bodies as needed for any items that need clarification or justification
Requirements:
- Current unrestricted Pharmacist license in the state you reside.
- A minimum of 3 years of Pharmacy experience
- Experience working in a Managed Care setting
- Excellent written and verbal communication skills
- Strong computer skills required
Additional preferred assets:
- Pharm D
- Appeals experience
- PBM experience
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
|
