UnitedHealth Group Account Manager Pharmacist Clinical Consultant, Health Plans- Telecommute Central or Eastern Time Zones Preferred in Schaumburg, Illinois
OptumRx, a UnitedHealth Group company, with over 28,000 employees globally, specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our goal is to deliver high-quality, integrated services to promote optimal outcomes, superior savings and outstanding client and consumer experiences. We make healthier happen by creating smarter health care connections to help more than 65 million consumers nationwide realize improved care, lower costs and a better overall experience. This is a place like no other and where you’ll do your life’s best work.(sm)
The Account Manager Pharmacist / Clinical Consultant will lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation delivery to clients. Collaborate in development of strategy as outward - facing, dedicated resources for assigned accounts, typically with direct client contact for large / complex accounts. Builds client relationships and serves as primary point of contact for overall and day - to - day service delivery for clinical pharmacy needs. Represents client(s) internally and coordinates with other functions to implement client systems, complete projects, and address ongoing pharmacy service needs. The Clinical Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products and the consultant’s assigned client base. The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments. This individual is relied upon to provide proactive clinical recommendations, information regarding pharmacy trend, programs and industry changes to clients and to foster consultative relationships.
You will have the flexibility to telecommute* as you take on some tough challenges. Central or Eastern Time Zones preferred.
Collaborates with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS and NCQA measures
Provides superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
Comprehends and effectively explains formulary and clinical program changes to clients
Stays aware of and provides clinical market intelligence to clients
Provides education for clients, pharmacists, members and physicians per contractual requirements
Communicates drug information to clients and responds to plan-specific clinical inquiries
Formulates and delivers client recommendations based on available data
Identifies opportunities for clinical program up-sell
Makes clinically sound recommendations to clients based on trend
Routinely collaborates with account management to provide clinical aspects of client quarterly reviews
Able to incorporate treatment and practice guidelines into client presentations including up-selling opportunities
Effectively manages client objections to new programs and required changes
Manages / Facilitates custom P&T committees for select clients
Analyzes and interprets benefit designs
Facilitates ongoing maintenance of client custom formulary and utilization management updates
Clearly communicates analytical and reporting needs to supporting departments
Identifies and creates opportunities to manage trend and add OptumRx products
Supports sales and marketing including participating in sales activities, as needed based on criteria
Helps clients be competitive within their market
Identifies opportunities to increase efficiency
Mentors clinical coordinators, as needed
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.
Bachelor's degree in Pharmacy or Pharm D
Current and unrestricted Pharmacist license (any state)
3+ years of experience working as a licensed pharmacist
Experience working for a PBM and / or Health Plan in a client-facing role with external clients (beyond patients and prescribers)
Experience developing and delivering formal presentations
Proficient in Microsoft Office and Outlook
Ability to travel up to 25% (post-Covid restrictions)
Prefe rred Qualifications:
Clinical account management experience
Permanent residence within Central or Eastern Time Zones
Experience with new client implementations
Experience working with complex Health Plan clients w/complex benefit structures working across various lines of business, including commercial, Medicaid and Medicare
Experience working with Managed Medicaid
Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)
Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.
*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.
Job Keywords: Account Manager Pharmacist Clinical Consultant, Telecommute, Telecommuter, Telecommuting, Remote, WFH, Work from home, Work at home, Eastern, Eastern Time Zone
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