7 days left
- Employment Status
- Full Time
Health Care that Starts with You!
Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.
ABOUT UCAREAt UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities. WORKING AT UCAREWorking at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do. CLINICAL PHARMACIST Position DescriptionThis position is responsible to support UCare Clinical Pharmacy initiatives related to formulary, drug utilization management and clinical program development and management. Responsibilities include day to day management of existing programs and the development, implementation and management of new programs focused on improving health, appropriate use and optimizing medication outcomes. Collaborate with UCare departments, our Pharmacy Benefit Management Company (PBM), and other external parties to ensure strategic goals related to UCare pharmacy services are met. Specific duties and responsibilities include: Complete clinical review of medical drug prior authorizations and appeals for Medicare Part D, State Public Programs and Health Exchange membership. Help to develop efficiencies in the administration of processes.Conduct retrospective safety and utilization reviews (e.g. opioids) in accordance with UCare protocols and/or regulatory requirements.Support development and maintenance of UCare formularies, drug management strategies, pharmacy clinical programs and integrated health improvement initiatives.Proactively monitor pharmaceutical industry developments, UCare financial and utilization data, and regulatory guidance to identify emerging trends and inform management strategies.Provide oversight of clinical services and programs delegated to PBM, and assist with audits and other regulatory, contractual and operational PBM matters.Complete and present new drug reviews, UM evaluation and analysis and P&T content development at UCare P&T meetings.Develop and support quality program initiatives (e.g. Stars, HEDIS, etc.) surrounding medication utilization. Mentor and educate pharmacy rotation students on managed care principles and guide them in completing various projectsOther projects and duties as assigned. EducationBachelors of Science in Pharmacy or PharmD required. Current, unrestricted Minnesota pharmacy licensure required and verified throughout employment at UCare. Required ExperienceThree years of clinical pharmacy practice experience. Experience included quality improvement, utilization review, risk management, and patient care. Knowledge and advocacy of managed care principles and the primary care model. Preferred ExperienceTwo years of experience in managed care pharmacy environment. Experience with practice guidelines, pharmacy claim data analysis, Medicare Part D, Medicaid and geriatric pharmacy principles. Specialty pharmacy experience. THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 8th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply. As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.
At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.