About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


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Approximate Salary:

Not Specified

Position Type:

Full Time

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Clinical Administrative Pharmacist - Nashville, TN

UHG - Tennessee, US

Posted: 10/20/2018

You're looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management. Here you'll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. Take this opportunity to start doing your life's best work.(sm)
This particular position is for the TennCare (TN Medicaid) request for proposal (RFP).  Employment is contingent upon contract award. 
State of Tennessee
Department of Finance and Administration
Division of Health Care Finance and Administration
Bureau of TennCare
Request for Proposals for Pharmacy Benefit Management
The Clinical Administrative Pharmacist will be dedicated to the Health Care Finance and Administration’s (HCFA) Medicaid Programs, TennCare, CoverRx and CoverKids.
Primary Responsibilities:
The Clinical Administrative Pharmacist shall be licensed by the State of Tennessee Board of
Pharmacy and whose duties shall include, but are not limited to:
  • TennCare Prior Authorization (PA) program and process
  • TennCare First Level PA Appeals process
  • TennCare Pharmacy Lock-In process
  • Assistance with the TennCare Pharmacy Audit process

Required Qualifications:
  • BS degree in Pharmacy or PharmD
  • Current and unrestricted Pharmacist license in the state of Tennessee
  • Minimum 1 year of experience working as a licensed Pharmacist
  • Proficiency in Microsoft Word, Excel and Outlook
Preferred Qualifications:
  • Medicaid Fee For Service or  Medicaid Managed Care experience
  • PBM experience
  • Prior Authorization experience
  • Pharmacy Audit experience
  • Client facing or clinical account management experience
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


 Job Keywords: Nashville, Tennessee, TN, Clinical Facing, Medicaid, Pharmacy


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