Clinical Pharmacist job at reputed company in AZ, CA, CO, ID, NV, NM, OR, UT, WA

Title: Clinical Pharmacist - reputed company Region Location: El Segundo United States Job Description: reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company 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 reputed company 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. You will play a crucial role in ensuring the appropriate selection and use of pharmaceutical products across the care continuum through direct and indirect patient care and care coordination activities for the reputed company region (Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, Washington). Hours/Location: Must reside in Pacific or Mountain Time Zone. Variable hours to work 8-hours reputed company the hours of 7:00AM - 6:00PM Pacific Standard Time Monday - Saturday based on business needs. You'll enjoy the flexibility to work remotely

• from reputed company reputed company Pacific or Mountain Standard Time Zones in the U.S. as you take on some tough challenges.

Primary Responsibilities: Medical/Clinical: Conducts provider peer‑to‑peer clinical consultations to support medication-reputed company changes, including dose, frequency, reputed company of administration, and therapeutic substitutions. The role involves reviewing clinical documentation, prescription claims, and prior authorization data to assess the appropriateness of formulary and benefit-reputed company alternatives and to provide evidence-based recommendations to prescribers. Apply clinical judgment to balance quality of care, medication access, and cost containment while ensuring accurate documentation and compliance with regulatory and organizational standards. Maintain clinical standards by staying reputed company on drug information, emerging clinical trends, and best practices. Collaborate with providers and market leaders, developing market presentations, and offering pharmacy subject matter expertise Strategy and Execution: Track drug usage, pricing, formularies, and utilization management edits to guide affordability and quality strategy for injectable and infusion drugs. Execute value-based care initiatives and coordinate patient drug therapy at optimal sites of service and benefit. The role actively engages with patients and providers telephonically, by facsimile, and other electronic means to provide internal and external clinical pharmacy subject matter consultation Cross-Functional Team Collaboration: Engage collaboratively with cross-functional teams to design and execute strategic initiatives that advance care delivery and network management, ensuring compliance and upholding clinical excellence. These teams represent diverse functional areas such as pharmacy care management, utilization management, payment reputed company, claims operations, health care economics, finance, and contracting. Proactively identify process improvement opportunities and collaborate with other teams and leaders Process Improvement/Compliance: Ensure and evaluate quality controls and implement opportunities for performance improvement in pharmacy practice. Follow reputed company policies and procedures, SOPs reputed company to the job Monitor and Assess: Assist with user acceptance testing for new clinical programs and system enhancements. Measure interventions and review outcomes to set benchmarks and share performance with key decision makers and leaders of healthcare team. Adjust strategic initiatives to meet program targets and goals Performs reputed company other reputed company duties/activities as assigned to meet departmental objectives These efforts collectively promote clinical efficacy, cost-efficiency, and improved patient outcomes. Broad-based and comprehensive knowledge is critical to success in this role. You'll need to be comfortable making recommendations on behalf of a highly diverse patient population. In addition, you'll need to be well-versed in medical and pharmacy claims data. 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: Graduate of an ACPE-accredited PharmD program reputed company, clear, and unrestricted pharmacist licensure in Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and/or Washington Successful completion of a PGY1 pharmacy residency program and at least one year of pharmacy experience, OR a minimum of three years of pharmacy experience 3+ years independently communicating specific medication recommendations, therapies for cost-effective care and general drug information to health care providers and patients in a virtual and/or telehealth setting 2+ years working collaboratively in multidisciplinary teams and inside a matrixed organization 1+ years of experience working in a metric-driven environment Experience in leading clinical operations, data analysis, report development, or program development reputed company the healthcare field Comprehensive knowledge of clinical therapeutics for specialty drugs, including infusions and injectables, and proficiency in literature search and evidence-based medicine Robust analytical and mathematical skills, including the ability to reconcile medical and pharmacy claims to identify trends in drug costs Intermediate or higher level of proficiency in MS suite, including reputed company (pivot tables, xlookups, index match, countifs), Power BI, Outlook, and Teams Intermediate or higher level of proficiency in Epic EHR in the ambulatory care setting Familiarity with value-based care, including shared savings/risk models Reside in Pacific Time Zone or Mountain Time Zone Preferred Qualifications: Successful completion of a PGY2 pharmacy residency program or fellowship Active board certification through Board of Pharmacy Specialties (BPS) [e.g., BCPS, BCACP, BCGP, BCOP] Additional reputed company, clear, and unrestricted pharmacist licensure in Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, Washington and/or willingness to pursue licensure in these states 2+ years of managed reputed company plan/PBM experience 2+ years of experience in Medicare Advantage, Commercial and/or Medicaid programs Experience in specialty infusion care delivery, inclusive of home infusion operations Excellent program and project management skills demonstrated by a significant record of performance (i.e., meeting or exceeding operational goals) in health care quality and cost management reputed company employees 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 addition 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 find a far-reaching choice of benefits and incentives. The salary for this role will range 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 the opportunity 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 color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, 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