This listing was posted on WhatJobs.
At UnitedHealthcare, we're simplifying the health care
Location:
Miami, FL
Description:
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility of a hybrid role, if you live within the central or south Florida, as you take on some tough challenges. Must be willing to travel 50% of your time within the main markets of Tampa, Orlando and South Florida. Primary Responsibilities: Develops and implements programs focused on Pharmacy (Part D) Stars Improvement, medication adherence and closing gaps in care toward improving care of health plan members and Star ratingsCollaborates with participating providers in South Florida's STARS Pay-for-Performance (P4P) incentive program to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, formulary compliance targets, and HEDIS and NCQA measuresManages 78% of PCN/PCP membership under risk agreements; 58% of membership under UHC Risk agreementsConducts special projects to maximize market goals - i.e., analyze Part B pharmacy utilization to reduce cost, partnering up with Sales and Network Management to educate Specialists on C-SNP pharmacy benefitsLeads education efforts to Primary Care Physicians and Specialists on Pharmacy Star Initiatives and Stars performance programsParticipates in monthly STARS JOC meetings with FL market leadership to discuss contract and measure level Part D performanceParticipates in Quarterly SFL Risk Provider JOC meetings to review performance, provide proactive clinical recommendations, review initiatives and pharmacy benefitsLeads Monthly Part D meeting to discuss SUPD, SPC and Med Adherence best practices, challenges and/or barriers with segmented FL leaders.Handles provider general pharmacy-related inquiries as well as patient-specific mattersClearly communicates analytical and reporting needs to providers and internal departments such as Stars Network, Network Management, and Risk PerformanceWorks with Part D Product team on formulary updates for annual benefit planningContributes with Corporate Communications team to create and add the annual formulary changes document, diabetes reference guides and formulary guides to UHC provider siteDevelops initiatives to further improve overall star ratings and assists with special projects as needed to help the FL market achieve their goals 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: Undergraduate degree or equivalent experiencePharm D degree from an accredited college or universityCurrent, unrestricted Pharmacist license in the state of Florida2+ years of Medicare Advantage Pharmacy Stars experience2+ years of clinical experienceBilingual skills; Fluent in Spanish/EnglishReliable Transportation to travel 50% of the time within the state of FL Preferred Qualifications: Clinical account management experienceExperience working with Medicaid/MedicareExperience working with complex Health Plan clients w/complex benefit structures *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.
Company:
Unitedhealth Group
Posted:
January 2 on WhatJobs
Visit Our Partner Website
This listing was posted on another website. Click here to open: Go to WhatJobs
Important Safety Tips
- Always meet the employer in person.
- Avoid sharing sensitive personal and financial information.
- Avoid employment offers that require a deposit or investment.
To learn more, visit the Safety Center or click here to report this listing.
More About this Listing: At UnitedHealthcare, we're simplifying the health care
At UnitedHealthcare, we're simplifying the health care is a Nurse & Healthcare Health Care Worker Job at Unitedhealth Group located in Miami FL. Find other listings like At UnitedHealthcare, we're simplifying the health care by searching Oodle for Nurse & Healthcare Health Care Worker Jobs.
At UnitedHealthcare, we're simplifying the health care is a Nurse & Healthcare Health Care Worker Job at Unitedhealth Group located in Miami FL. Find other listings like At UnitedHealthcare, we're simplifying the health care by searching Oodle for Nurse & Healthcare Health Care Worker Jobs.