Optum Logo

Optum

Pharmacist Call Center - San Juan, PR

Posted Yesterday
Be an Early Applicant
In-Office
San Juan
Entry level
In-Office
San Juan
Entry level
Provide telephonic clinical pharmacy consultations and comprehensive medication reviews using prescription claims data. Identify gaps in therapy, adherence issues, interactions, and provide education and recommendations to members and their providers. Document care, follow HIPAA, meet productivity targets, participate in meetings and special projects, and work rotating shifts between 9:00 AM and 9:00 PM AST.
The summary above was generated by AI
Requisition Number: 2371717
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Clinical Pharmacist will report to the Operations Team Leader. This role is primarily responsible for performing telephonic consultations with members to complete comprehensive medication reviews, adherence related consultations, and improve disease state management. In addition, the Clinical Pharmacist will document the delivery of care and communicate essential information to the member's primary care providers.
Primary Responsibilities:
  • Engage members telephonically and schedule pharmacist consultation appointments with members that participate in any of the clinical programs operationally supported by the Clinical Engagement Services Center
  • Prioritize the privacy and confidentiality of the patient's medical information, adhering to HIPAA regulations, and organizational policies at all times
  • Utilize prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
  • Assess medication regimen for unnecessary medications, ineffective medications, inappropriate doses, and adverse drug reactions
  • Provide patient education on medication regimen and disease states
  • Accurately document patient care notes and recommendations in an efficient, professional, concise and clear manner
  • Keep current with new and emerging clinical trends
  • Active participation in departmental meetings to improve clinical programs and enhance processes
  • Follow all policies and procedures related to job
  • Meet productivity and performance expectations set forth by management
  • Support Clinical Service Engagement team as needed for special projects
  • Other duties as assigned by Operations Manager

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
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:
  • Active, unrestricted Pharmacist license or Pharmacist Intern (Pharm D) license in Puerto Rico
  • Experience working independently within a cross functional team environment, self-directed with excellent organizational skills
  • Solid knowledge of drug products and clinical pharmacy
  • Computer proficiency, including the use of Microsoft office applications
  • Solid English communication skills (written and verbal)
  • Ability to work a flexible schedule with rotating shifts between the hours of 9:00 AM and 9:00 PM AST, Monday through Friday. Extended hours and occasional weekends may be required as needed

Preferred Qualifications:
  • 1+ years of Pharmacy work experience in retail, community pharmacy, or Pharmacy Benefit Management
  • Call center experience

Soft Skills:
  • Demonstrates interpersonal, consultative, and problem-solving skills - Ability to ask questions to understand patient needs while having empathy and actively listening
  • Solid telephonic skills - Ability to speak clearly and communicate with senior citizens and healthcare professionals
  • Capable of defusing conflict appropriately with solid conflict management skills
  • Commitment to professionalism and a dedicated desire to advance patient care
  • Ability to interact cross functionally within the organization
  • Excellent attention to detail, time management, organizational, and prioritization skills and ability to balance multiple priorities

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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Similar Jobs at Optum

3 Days Ago
In-Office
Senior level
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provide technical support for employee computers, troubleshoot issues, manage IT equipment inventory, and participate in process improvements in a team-oriented environment.
Top Skills: AltirisMs Office SuiteMs WindowsSccmServicenowVpn
6 Days Ago
In-Office
Junior
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Perform full-cycle member identification, validation, enrollment and billing. Assist members with enrollment and premium payment issues, reconcile billing discrepancies, generate monthly premium bills, update payment types, and complete account reconciliations while adhering to protocols and HIPAA.
Top Skills: Microsoft WordMS OfficePowerPoint
6 Days Ago
In-Office
Junior
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Supervise and coach a team of Enrollment Specialists in a call center, monitor performance, maintain scorecards, handle escalations, deliver compliant enrollment/billing processes, and facilitate team training and meetings.
Top Skills: ExcelMicrosoft OutlookMicrosoft WordWindows

What you need to know about the Los Angeles Tech Scene

Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.

Key Facts About Los Angeles Tech

  • Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
  • Key Industries: Artificial intelligence, adtech, media, software, game development
  • Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
  • Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account