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


Job Category:




Approximate Salary:

Not Specified

Position Type:

Full Time

Clinical Pharmacist - Telecommute in Southern California

UHG - Los Angeles, California

Posted: 11/12/2018

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm)


If you are located in Southern California you will have the flexibility to telecommute* as you take on some tough challenges. There will be local, state and national travel up to 25% of the time based on business needs.


Primary Responsibilities:


Positions in this function provide clinical pharmacy advice and guidance on any or all of the following:

  • Quality of care programs including HEDIS and CMS Stars programs

  • Develop and train best practices

  • Interpret pharmacy programs to write clinical guidelines, job aides, and decision trees. Write and collaborate on member/provider collateral materials for pharmacy programs

  • Work on program implementation teams and contribute to business process design and systems set up, trouble shooting and updates

  • Review programs for compliance to state, federal and CMS regulations and recommend remediation. Monitor impending legislation for potential impact to current and future programs

  • Analyze data and prepare management summaries related to work stream results, performance mgmt. results, audit results, CMS reporting, and client reporting

  • Perform quality audits, determine performance gaps and root causes, prepares reports and collaborates on remediation

Required Qualifications:

  • Current and unrestricted pharmacist licensure in state of California

  • 3+ years of experience working as a Licensed Pharmacist

  • Ability to navigate MS Office and Windows-based environment

Preferred Qualifications:

  • Pharm D

  • Clinical Quality experience

  • Experience with Medicare Advantage

  • Experience with CMS Star ratings

  • Experience with HEDIS measures

  • Experience identifying possible medication related problems and making determinations based on clinical judgment to provide recommendations

  • Experience teaching, training, and presenting accurate clinical information verbally to others

Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)


 *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy



Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Keywords: Clinical Pharmacist, Pharmacist, PharmD, quality, HEDIS, CMS, STARS, Star, Medicare Advantage, healthcare, managed care, provider, quality of care, Sacramento, Los Angeles, San Diego, CA, California

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