The Clinical Consultant will lead and manage ongoing contract relationships, pharmacy benefit analysis and consultation delivery to clients and mentor the team and drive processes to deliver results. Collaborate in development of strategy as outward - facing, dedicated resources for assigned accounts, typically with direct client contact for large / complex accounts. Build client relationships and serve as primary point of contact for overall and day - to - day service delivery for clinical pharmacy needs. Represent client(s) internally and coordinate with other functions to implement client systems, complete projects, and address ongoing pharmacy service needs. The Clinical Consultant will serve 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.
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.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Telecommuters based in Central or Eastern Time zones will be given preference.
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 & NCQA measures
Provide 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
Formulate and deliver client recommendations based on available data
Identifies opportunities for clinical program up - sell
Makes clinically sound recommendations to clients based on trend
Routinely collaborating with account management to provide clinical aspects of client quarterly reviews
Incorporates 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
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
PharmD or Bachelor of Science in Pharmacy
Current and unrestricted Pharmacist license (any state)
3+ years of experience working as a licensed Pharmacist
Experience in a client-facing role with external clients (beyond patients and prescribers)
Experience working within a PBM environment
Experience giving formal presentations
Proficient in Microsoft Office and Outlook
Ability to travel up to 40%
Clinical account management experience
Experience working with the Private Healthcare Exchange
Experience with Commercial clients and Employer Groups
Previous experience providing support to Sales teams
Experience giving Finalist presentations
Experience actively participating in the RFP process
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
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.