15 days old

Account Manager, Pharmacist Clinical Consultant, Health Plan - Philadelphia, PA or Telecommute - 918463

Philadelphia, PA 19107 Work Remotely
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  • Job Code
    918463

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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The Account Manager/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 consultants 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.

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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.

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Candidates based in the Philadelphia, PA area will be given preference, but telecommuters may be considered.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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Primary Responsibilities:

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  • 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
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  • Provides superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
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  • Comprehends and effectively explains formulary and clinical program changes to clients
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  • Stays aware of and provides clinical market intelligence to clients
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  • Provides education for clients, pharmacists, members and physicians per contractual requirements
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  • Communicates drug information to clients and responds to plan-specific clinical inquiries
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  • Formulates and delivers client recommendations based on available data
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  • Identifies opportunities for clinical program up - sell
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  • Makes clinically sound recommendations to clients based on trend
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  • Routinely collaborates with account management to provide clinical aspects of client quarterly reviews
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  • Incorporates treatment and practice guidelines into client presentations, including up-selling opportunities
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  • Effectively manages client objections to new programs and required changes
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  • Manages / Facilitates custom P&T committees for select clients
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  • Analyzes and interprets benefit designs
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  • Clearly communicates analytical and reporting needs to supporting departments
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  • Identifies and creates opportunities to manage trend and add OptumRx products
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  • Supports sales and marketing including participating in sales activities, as needed based on criteria
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  • Helps clients be competitive within their market
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  • Identifies opportunities to increase efficiency
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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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  • PharmD or Bachelor of Science in Pharmacy
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  • Current and unrestricted Pharmacist license in the state of residence
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  • 3+ years of experience working as a licensed pharmacist, at least 2 years of which must be working within a PBM or Health Plan
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  • Experience working within a PBM orHealth Plan
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  • Experience giving formal presentations
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  • Experience working with Medicare Part D
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  • Proficient in Microsoft Office and Outlook
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  • Ability to travel up to 25% (if outside of Philadelphia)
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  • You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Clinical account management and/or experience in a client-facing role with external clients (beyond patients and prescribers)
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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)

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Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. 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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For more information on our Internal Job Posting Policy,click here.

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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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Keywords: account manager, pharmacist, clinical consultant, health plan, philadelphia, PA, Pennsylvania, telecommute, remote, work from home

Posted: 2021-04-01 Expires: 2021-05-01

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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Account Manager, Pharmacist Clinical Consultant, Health Plan - Philadelphia, PA or Telecommute - 918463

UnitedHealth Group
Philadelphia, PA 19107

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