Philadelphia, Pennsylvania
Wilmington, Delaware
Akron, Ohio
Columbus, Georgia
Los Angeles, California
Lancaster, California
Posted: 03-Dec-24
Location: Philadelphia, Pennsylvania
Categories:
Internal Number: 144875562
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.
If you are located in Philadelphia, PA , you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Identifies opportunities for clinical program up-sell
- 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 UR sales activities, as needed based on criteria
- Supports RFPs (tier analyses, formulary disruptions, answer questions)
- Supports Implementations (presenting on formulary disruptions or discussing clinical programs)
- Participates in health fairs and other member events
- Identifies and creates opportunities to manage trend and add OptumRx products
- Stays aware of and provides clinical market intelligence to clients
- Communicates drug information to clients and responds to plan-specific clinical inquiries
- Helps clients be competitive within their market
- Analyzes and interprets benefit designs
- Makes clinically sound recommendations to clients based on trend
- Comprehends and effectively explains formulary and clinical program changes to clients
Additional Responsibilities:
- Routinely collaborates with account management to provide clinical aspects of client quarterly reviews
- Provides superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
- Provides education for clients, pharmacists, members and physicians per contractual requirements
- Formulates and delivers client recommendations based on available data
- Able to incorporate treatment and practice guidelines into client presentations including up-selling opportunities
- Effectively manages client objections to new programs and required changes
- 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 and NCQA measures
- Facilitates ongoing maintenance of client custom formulary and utilization management updates
- Identifies opportunities to increase efficiency
- Mentors clinical coordinators, 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 of Science in Pharmacy or PharmD
- Current and unrestricted Pharmacist license in the state of Pennsylvania
- 3+ years of experience working as a licensed pharmacist
- 3+ years of clinical account management pharmacist experience
- Experience working for a PBM or Health Plan in a client-facing role with external clients (beyond patients and prescribers)
- Experience developing and delivering formal presentations to clients
- Proficient skills in Microsoft Office, Power Point, Excel, Word, Teams, OneNote, and Outlook
- Permanent residence within a commutable distance to the Philadelphia, PA area
- Ability to travel locally up to 30%
Preferred Qualifications:
- Formulary analysis experience
- Experience contributing to the Request for Proposal (RFP) process
- Experience participating in Finalist presentations
- Experience working with Commercial Self-Funded clients
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
