Clinical Consultant Pharmacist, Health Plans Sales and Retention - Remote in Philadelphia, PA

Optum • Philadelphia, PA

412d • Remote

About The Position

The position involves working as a clinical account management pharmacist at Optum, focusing on improving health outcomes through effective communication and collaboration with clients. The role requires identifying opportunities for clinical program enhancements, providing clinical consultation, and managing client relationships to ensure satisfaction and retention. The pharmacist will also analyze benefit designs, deliver presentations, and support sales and marketing efforts, all while adhering to health equity principles.

Requirements

• 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
• 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%

Nice To Haves

• Formulary analysis experience
• Experience contributing to the Request for Proposal (RFP) process
• Experience participating in Finalist presentations
• Experience working with Commercial Self-Funded clients

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 in UR sales activities as needed
• 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
• Stays aware of and provides clinical market intelligence to clients
• Communicates drug information to clients and responds to plan-specific clinical inquiries
• 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
• 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
• Incorporates 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
• Facilitates ongoing maintenance of client custom formulary and utilization management updates
• Identifies opportunities to increase efficiency
• Mentors clinical coordinators, as needed

Benefits

• Comprehensive benefits
• Career development opportunities
• Diversity and inclusion culture

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree