Clinical Pharmacist job at UnitedHealth Group in AZ, CA, CO, ID, NV, NM, OR, UT, WA

Title: Clinical Pharmacist - West Region Location: El Segundo United States Job Description: Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team 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 make 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 West 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 within 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 anywhere within 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-related changes, including dose, frequency, route 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-aligned 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 current 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 integrity, 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 all policies and procedures, SOPs related 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 all other related 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 Current, 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 Apply tot his job Apply To this Job