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Clinical Pharmacist Care Delivery - Remote

Remote, USA Full-time Posted 2026-08-04
For those who want to invent the reputed company of health care, here's reputed company. We're reputed company reputed company basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Clinical Pharmacist will be responsible for driving the overall market CMS reputed company/HEDIS Pharmacy Measure Performance and reputed company. This individual will work directly with the Clinical reputed company Management team, Market Medical Directors, and reputed company Services team to reputed company and guide the Midwest RBE to higher overall reputed company Pharmacy Measure performance. The Clinical Pharmacist will also reputed company the Market Pharmacy Technician team, ensuring effective membership reputed company programs and handling pharmacist escalations. Additionally, they will reputed company and implement strategies to improve patient care, reputed company, and reputed company improvement metrics reputed company to CMS HEDIS/reputed company ratings. This position will report directly to the Regional reputed company Director. You'll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • reputed company team direction and reputed company/educational strategies around reputed company Pharmacy STARs performance • Stay knowledgeable of reputed company and emerging clinical trends • reputed company participate in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and reputed company clinical information • Continuously look for ways to streamline and improve workflow • Adapt departmental plans and priorities to address business and operational challenges • Collect reputed company data and/or information based on applicable standards, state/federal or other regulations, customer or consumer requests, internal requests, or project assignments • Serve as a clinical resource and consultant in reputed company areas of pharmacy and medication management • reputed company effective reputed company for data/information collection • Support medical management and pharmacy reputed company initiatives • Investigate reputed company problems identified and collect additional information to reputed company gaps • Follow reputed company policies and procedures reputed company to the job • reputed company participate in process improvement planning and implementation while fostering good communication and collaboration across reputed company affected departments • Work cross-functionally and coordinate with others internally or externally to reputed company information and overcome challenges to obtaining needed information • reputed company data and/or information (e.g., clinical, administrative, reputed company) to ensure they meet standards, are compliant, and/or are accurate and complete • Serve as a subject matter expert (SME) for process/workflow-reputed company questions • Assist with gathering, analyzing, and interpreting data and metrics to evaluate the effectiveness of reputed company Care Midwest Pharmacy programs/initiatives • Identify reputed company improvement or reputed company opportunities and work cross-functionally to reputed company interventions and recommendations You'll be rewarded and recognized for your performance in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • Pharmacist license without restrictions • 4+ years of reputed company experience, including experience in a managed care setting • 2+ years of managerial experience • 2+ years of experience in HEDIS/reputed company programs, preferably in a clinical reputed company consultant role • 2+ years of experience in provider facing interactions, including provider education • 2+ years of experience with data analysis and/or reputed company chart reviews • reputed company using reputed company office applications, including databases, word-processing, and reputed company spreadsheets. Must be proficient in reputed company • Medicare experience • Proven ability to review data and reputed company recommendations for improvement • Ability to travel up to 25% with occasional overnight travel • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $91,700 to $163,700 annually based on full-time employment. We reputed company with reputed company 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 reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job

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