Clinical Consultant Pharmacist - FMS, UMR, TPA - 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 Clinical Consultant for Formulary Management Services (FMS), TPA and UMR 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.
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 work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Collaborates with clients to establish achievable but aggressive clinical program goals, implementation of utilization management programs, formulary compliance targets, and rebate performance.
- Provides superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and formulary 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 client-specific clinical inquiries.
- Formulates and delivers client recommendations based on available data.
- Makes clinically sound recommendations to clients.
- Routinely collaborates with account management to provide clinical aspects of client quarterly reviews.
- Effectively manages client objections to new programs and required changes.
- Manages/Facilitates custom formulary strategies 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.
- 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 analysts, 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.
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 for a PBM and/or Health Plan in a client-facing role with external clients (beyond patients and prescribers).
- Experience in and understanding of PBM operations.
- Experience analyzing client's performance against target performance.
- Experience developing and delivering formal presentations.
- Formulary Management experience.
- Proficient in Microsoft Office and Outlook.
- Ability to travel up to 25%.
Preferred Qualifications:
- Clinical account management experience.
- Financial modeling experience.
- Advanced knowledge in MS Excel.
- Proficiency in MS Access.
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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).
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.
#J-18808-Ljbffr
