Clinical Consultant Account Pharmacist, Health Plans
About The Position
The Clinical Consultant Account Pharmacist leads ongoing client contract relationships, pharmacy benefit analysis, and consultation delivery. This outward-facing role serves as the primary contact for clinical pharmacy service delivery to assigned accounts and acts as the liaison between OptumRx clinical operations, professional practice, and clinical products. The pharmacist provides clinical support to account management, operations, information technology, and other internal departments, while offering clients proactive clinical recommendations and information about pharmacy trends, programs, and industry changes. The role partners with clients to set and pursue clinical program goals, deliver clinical account management and consultation, explain formulary and program changes, interpret benefit designs, and formulate recommendations from available data. It also supports client education, trend management, program opportunities, custom P&T committees, sales and marketing activities, and client quarterly reviews. The position is remote within the United States and may require travel up to 10%.
Requirements
- Bachelor of Science in Pharmacy or PharmD.
- Active, unrestricted pharmacist license specific to a U.S. state.
- At least 1 year of client-facing or clinical account management experience.
- At least 1 year of Health Plan experience.
- Proficiency with Microsoft Office and Outlook.
- Willingness or ability to travel up to 10%.
Nice To Haves
- Experience giving formal presentations.
- Experience in data analytics and drawing insights.
- Experience with Rx Claim.
- Experience with IQPR.
- Experience with MediSpan.
- Experience with Reporting 360.
Responsibilities
- Collaborate with clients to establish clinical program goals, including goals related to generic dispensing rates, utilization management, medication adherence, therapy gaps, formulary compliance, HEDIS, and NCQA measures.
- Provide clinical consultation and account management focused on client satisfaction, retention, and trend management.
- Explain formulary and clinical program changes to clients.
- Monitor and provide clients with clinical market intelligence.
- Educate clients, pharmacists, members, and physicians as required by contracts.
- Communicate drug information to clients and respond to plan-specific clinical inquiries.
- Develop and deliver client recommendations based on available data and pharmacy trends.
- Identify opportunities to upsell clinical programs and other OptumRx products.
- Collaborate with account management on the clinical aspects of client quarterly reviews.
- Incorporate treatment and practice guidelines into client presentations, including potential upselling opportunities.
- Manage client objections to new programs and required changes.
- Manage or facilitate custom P&T committees for selected clients.
- Analyze and interpret benefit designs.
- Communicate analytical and reporting needs to supporting departments.
- Support sales and marketing, including participating in sales activities when needed.
- Help clients remain competitive in their markets and identify efficiency opportunities.
- Mentor clinical coordinators as needed.
- Travel up to 10%.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution, subject to eligibility requirements.
- Career development opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
