Clinical Pharmacist

Minneapolis, Minnesota
Jan 23, 2021
Feb 26, 2021
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.


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.



UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.
Working at UCare is more than 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. Employees join UCare and stay because of the opportunity to have a purpose-driven job.
Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 11 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.


Position Description

This position is responsible to support 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.

• Complete clinical review of medical drug prior authorizations and appeals for Medicare Part D, State Public Programs and Health Exchange membership. Assist with identifying and recommending 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.

• Perform outreach to members and/or providers to educate on drug therapy or promote a UCare pharmacy initiative.

• 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.

• 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 projects

• Other projects and duties as assigned.
Bachelors of Science in Pharmacy or PharmD required. Current and unrestricted Minnesota pharmacy licensure required.

Required Experience

Three 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 Experience

Two 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 difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, 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.

JOB POST DATE: 01/22/2021

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