Clinical Program Consultant, Infusion Quality Control And Assurance - Remote

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The individual will work closely with team members, operations, and other subject matter experts to identify quality and patient safety opportunities requiring improvement. Expectations for the candidate in this role include:

• Serving as a subject matter expert in quality and patient safety science principles
• Supporting the training of junior team members and
• Providing as a clinical quality expert in all applicable meetings

This individual will be seen as a leader to their junior peers and can drive clinical improvement recommendations to operational areas. This individual will be responsible for providing feedback to the pharmacies on high-risk areas and alerting leadership of any trends identified. This position will provide direct coaching opportunities to improve pharmacist and nurse actions through the appropriate quality tools and communication methods. The candidate for this role must be willing to learn and keep abreast of the complex and evolving pharmacy and infusion world. Clinical Analysts are the most senior subject matter experts (SMEs). This role requires exceptional critical thinking, problem-solving skills and is self-directed.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Review clinical quality related events, determine root cause, and complete the narrative consistent to team approach
• Conduct Root Cause Analysis (RCA) and investigation and categorize events based on state & regulatory pharmacy law
• Provide feedback for clinical coaching within operations
• Provide feedback for various levels of clinical and non-clinical leadership on incident trends
• Effectively communicate (written and spoken) to all levels of the organization
• Provide recommendations to operations for the improvement of service delivery and patient experience
• Engage with multidisciplinary departments to lead and / or assist in quality improvement projects (QIP) and Correction and Preventive Actions (CAPA)

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.

Years of post-high school education can be substituted/is equivalent to years of experience.

Required Qualifications:

• Current and unrestricted Pharmacist or Nursing License
• 2+ years healthcare Quality Control & assurance experience
• 2+ years minimum demonstrated experience using root cause analysis / problem solving
• 2+ years of experience in a matrixed organization
• Experience working on quality improvement projects (QIP) and Correction and Preventive Actions (CAPA)
• Experience organizing quality data in appropriate reporting format
• Experience investigating, analyzing, synthesizing, and formulating conclusions
• Intermediate proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams)

Preferred Qualifications:

• Clinical Pharmacist OR Nursing experience within an Infusion focused pharmacy
• CPHQ, CPPS, or other relevant certifications
• CPR+, CareLink (or other pharmacy prescription processing) system experience
• URAC or other accreditations knowledge

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.