21 days old

Senior Clinical Consultant - Telecommute - 922391

Eden Prairie, MN 55344 Work Remotely
  • Job Code
    922391

The Senior Clinical Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products and the Clinical Consultants assigned client base. The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments. The Senior Clinical Consultant establishes client relationships and serves as 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 trend, clinical programs and products, and industry changes to clients, thereby fostering consultative relationships with large, complex and/or strategic clients. 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.In addition, the Senior Clinical Consultant supports the clinical pharmacy team with formulary development, clinical program development and clinical pharmacy functions as the need arises. The Senior Clinical Consultant translates United Health Groups culture and values into action and is a role model for Clinical Consultants on the team.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges, however canddiates residing in Pacific or Mountain time zones will be given preference.

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Primary Responsibilities

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  • Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
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  • Collaborate 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 where applicable
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  • Communicate drug information to clients and respond to plan-specific clinical inquiries
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  • Stay aware of and provide clinical market intelligence to clients
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  • Identify opportunities for clinical program up-sell and spearhead up-sell to assigned client(s)
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  • Incorporate treatment and practice guidelines into client presentations including up-selling opportunities
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  • Comprehend and effectively explain formulary and clinical program changes to clients
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  • Effectively manage client objections to new programs and required changes
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  • Identify and create opportunities to manage trend and add OptumRx products
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  • Formulate client recommendations based on available data and trend
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  • Deliver clinically sound and fiscally responsible recommendations to clients based on their trend
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  • Routinely collaborate with account management to provide clinical aspects of client quarterly reviews
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  • Analyze & interpret benefit designs
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  • Demonstrate critical thinking by analyzing relevant information with multiple methods
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  • Generate innovative ideas that can be scaled across the organization
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  • Develop clinical strategy as outward-facing, direct client contact for large, complex and/or strategic accounts
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  • Clearly communicate analytical and reporting needs to supporting departments
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  • Help clients be competitive within their market
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  • Identify opportunities to increase efficiency
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  • Lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation delivery to clients.
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  • Manages/facilitates custom P&T committees for select clients, per contractual requirements
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  • Provide education for clients, pharmacists, members and physicians per contractual requirements
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  • Support sales and marketing including participating in RFP & strategic Finalist activities, per department policies
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  • Serve as subject matter expert in one or multiple areas and represent Clinical Consulting department in these areas internally andexternally
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  • Assist in training new Clinical Consultants in part or inwhole
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  • Assist in development of existing ClinicalConsultants
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  • Provide administrative/management/leadershipback-up support to Director asnecessary
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  • Drive enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority to the client
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  • Maintain familiarity with assigned client contract terms; particularly pricing of clinical programs/services, and is able to actively engage in contract renewal negotiations as needed
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  • Consistently look at existing processes, methods and materials to find opportunities for improvement
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  • Maintain strategic relationships with client leaders, key stakeholders, and brokers/consultants while maintaining focus on UHG and Optum strategies and goals
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  • Serve as Subject Matter Expert (SME) for other departments on Clinical Consulting-specific issues/inquires
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  • Routinely identify, develop and share best practice experience with peers
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  • Mentor new clinical consultants when requested
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  • Mentor clinical consultants on the team when requested
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Youll 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.

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Required Qualifications:

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  • Bachelor of Science in Pharmacy or Doctor of Pharmacy degree required
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  • Active, unrestricted US state-specific pharmacist license
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  • 10+ years of pharmacy practice experience, including""
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    • 3+ years of clinical account management experience within a PBM or Managed Care, including external client-facing (beyond patients and prescribers) responsibilities
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    • 2+ years of providing formal client presentations
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  • Proficiency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
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  • Ability and willingness to travel up to 50% (travel currently suspended; expectation upon re-instatement of business travel)
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications

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  • 5+ years of managed care or PBM experience
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  • ASHP/AMCP-accredited residency in Managed Care
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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 youll fill far more than prescriptions. As a member of one of our pharmacy teams, youre 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)
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Colorado Residents Only: The salary/hourly range for Colorado residents is $94,500 to $171,700. 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.
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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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"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.

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"UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords:Account Manager Pharmacist, Clinical Consultant Pharmacist, Telecommute

Categories

Posted: 2021-04-16 Expires: 2021-05-16

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Senior Clinical Consultant - Telecommute - 922391

UnitedHealth Group
Eden Prairie, MN 55344

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