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.
You're looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management. Here you'll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. With better schedules than retail and more reach than any hospital, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
The Clinical Consultant will lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation delivery to Public Sector and Government Markets clients. Collaborate in development of strategy as outward - facing, 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. This individual also represents client(s) internally and coordinates with other functional areas to implement client initiatives, complete projects, and address ongoing pharmacy service needs.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
If you are located in the Eastern time zone, preferably in Florida, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
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
Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
Incorporate treatment and practice guidelines into client presentations including up-selling opportunities
Makes clinically sound recommendations to clients based on trend
Routinely collaborates with account management to provide clinical aspects of client quarterly reviews
Demonstrated ability 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
Bring innovative ideas that can be scaled across the organization
Work in a collaborative manner with the Consultant(s) of assigned client(s) while maintaining focus on UHG and Optum strategies and goals
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
Support sales and marketing including participating in RFP & Finalist activities, per department policies
Helps clients be competitive within their market
Provide education for clients, pharmacists, members, and physicians per contractual requirements
Identifies opportunities to increase efficiency
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:
Bachelor's degree in Pharmacy or Pharm D
Current and unrestricted Pharmacist license
3+ years of managed care or PBM experience
2+ years of client facing or clinical account management experience
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 25%
Preferred Qualifications:
Experience working with Public Sector and Government Markets clients
Experience working with large, complex clients
EGWP experience
ASHP-accredited residency in Managed Care
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
A t 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.