location_onMinneapolis, MN, USA
watch_later Posted: Feb 04, 2025
Job Description
The Senior Oncology Pharmacist will focus on providing evidence-based and clinical guidance to help implement a next-generation comprehensive oncology solution which will successfully meet clinical, quality, and financial performance objectives. This solution will help ensure providers deliver high-quality, evidence-based and cost-efficient oncology care for our clients. As such, this role requires an innovative, hands-on, action-oriented clinical expert. The position will serve as a key Oncology medicine expert dedicated to helping ensure high levels of quality, affordability, and member and provider satisfaction. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Schedule: Monday - Friday, standard business hours in your time zone
Primary Responsibilities
Required Qualifications
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Schedule: Monday - Friday, standard business hours in your time zone
Primary Responsibilities
- Provide clinical guidance in the creation, implementation, and refinement of an Oncology utilization management solution
- Serve as a subject matter expert in evidence-based oncology guidelines - especially those produced by the National Comprehensive Cancer Network (NCCN) - and help ensure all clinically relevant policies and processes are informed by the best available evidence
- Research upcoming drug releases and treatment guidelines, develop and maintain pharmacy programs, such as formulary lists, drug utilization review, prior authorization, health outcomes, disease state management, care management, and other specialty programs. May also include presenting at Pharmacy & Therapeutics Committee.
- Interpret pharmacy programs to write clinical guidelines, job aids, 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 & updates
- Support utilization review determinations for oncology populations, and broader case and disease management teams to achieve optimal clinical outcomes
- Evaluate clinical and other data (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes
- Serve as Clinical Lead for assigned clients to advise on Oncology Prior Authorization List creation, Preferred Strategy opportunities and tool functionality
Required Qualifications
- BS in Pharmacy or PharmD Degree
- Active, unrestricted Pharmacist license
- 5+ years clinical pharmacy experience
- 2+ years of clinical oncology experience advising on chemotherapy and supportive therapy treatment plans (utilizing/reviewing medical case notes, medication list, lab results)
- Experience utilizing, interpreting, and critically evaluating NCCN, ASCO, and ESMO Guidelines to make evidence-based treatment decisions and treatment recommendations
- Experience in one or more of the following: managed care, medical care delivery systems, utilization management, case management, disease management, quality management, product development or peer review
- Experience working collaboratively across clinical and non-clinical team to gain credibility, influence and partner with other oncology professionals
- Board Certified Oncology Pharmacist (BCOP)
- Managed Care experience (e.g., Utilization Management, criteria development, Clinical Pathways development)
- Working knowledge of radiation treatment plan
- Pharmacy and Therapeutics (P&T) Committee experience
- Experience in client-facing roles
- Clinical Trial experience
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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