Account Clinical Consultant - Remote - Remote Eligible

Caring. Connecting. Growing Together.

The Account Clinical Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, clinical products, and the Clinical Consultant's assigned Fee-for-Service Medicaid client. The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments. The Clinical Consultant establishes client relationships and serves as the primary point of contact for overall and day-to-day service delivery for clinical pharmacy needs. This individual is relied upon to provide proactive clinical recommendations, information regarding pharmacy trends, clinical programs and products, and industry changes to clients, thereby fostering consultative relationships. This individual also represents clients internally and coordinates with other functional areas to implement client initiatives, complete projects, and address ongoing pharmacy service needs.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. 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
• Collaborate with the client to establish achievable but aggressive clinical program goals, implementation and ongoing management of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, and preferred drug list (PDL) initiatives and support
• Communicate drug information to clients and respond to plan-specific clinical inquiries
• Stay aware of and provide clinical market intelligence to clients
• Incorporate treatment and practice guidelines into client presentations including up-selling opportunities
• Comprehend and effectively explain formulary and clinical program changes to clients and internal departments
• Effectively manage client objections to new programs and required changes
• Identify and create opportunities to manage trends and add Optum products
• Deliver clinically sound and fiscally responsible recommendations to clients based on their trend
• Routinely collaborate with account management to provide clinical aspects of client quarterly reviews
• Analyze & interpret benefit designs
• Collaborate in development of strategy as outward facing, dedicated or designated resource for assigned accounts, typically with direct client contact
• Work in a collaborative manner with the Consultant(s) of assigned client(s) while maintaining focus on UHG and Optum strategies and goals
• Clearly communicate analytical and reporting needs to other supporting departments
• Identify opportunities to increase efficiency
• Support the Client with Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements
• Support/Prepare meeting material
• Review and recommend clinical prior authorization criteria
• Implement changes to the PDL and prior authorization requirements which will include modifications to the POS system and all supporting systems and documents
• Provide education for clients, pharmacists, members and physicians per contractual requirements

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 experience working as a licensed pharmacist
• Experience working in a client-facing role with external clients (beyond patients and prescribers)
• Fee-for-Service Medicaid experience
• Experience developing and delivering formal presentations
• Proficient in Microsoft Office and Outlook
• Primary residence in the continental US
• Willing or ability to travel up to 25%

Preferred Qualifications:

• Clinical account management experience
• Experience working for a PBM and/or Health Plan in a client-facing role
• Experience working with complex public sector and government clients with complex benefit structures
• Experience with transition/implementation of clients
• Formulary Management experience
• DUR experience

*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). 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.