Clinical Consultant Pharmacist, Health Plans

UnitedHealth Group•Eden Prairie, MN

9h•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work done with this team directly improves health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. The culture is guided by inclusion, talented peers, comprehensive benefits and career development opportunities. The Clinical Consultant Pharmacist leads and manages ongoing contract relationships, pharmacy benefit analysis, and consultation delivery to clients. This role involves collaborating in strategy development as an outward-facing, dedicated resource for assigned accounts, typically with direct client contact for large/complex accounts. The pharmacist builds client relationships and serves as the primary point of contact for overall and day-to-day service delivery for clinical pharmacy needs. They represent clients internally and coordinate with other functions to implement client systems, complete projects, and address ongoing pharmacy service needs. The Clinical Consultant Pharmacist also serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products for their assigned client base, providing 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. This position offers the flexibility to work remotely from anywhere within the U.S.

Requirements

Bachelor of Science in Pharmacy or PharmD
Active, unrestricted US state-specific pharmacist license
1+ years of client facing or clinical account management experience
1+ years of Health Plan experience
Proficient skills in Microsoft Office and Outlook
Ability to travel up to 10%

Nice To Haves

Medicare experience
Experience giving formal presentations
Experience in data analytics and drawing insights
Experience in Rx Claim
Experience in IQPR
Experience in MediSpan
Experience in Reporting 360

Responsibilities

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
Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
Comprehends and effectively explains formulary and clinical program changes to clients
Stays aware of and provides clinical market intelligence to clients
Provides education for clients, pharmacists, members and physicians per contractual requirements
Communicates drug information to clients and responds to plan-specific clinical inquiries
Formulate and deliver client recommendations based on available data
Identifies opportunities for clinical program up-sell
Makes clinically sound recommendations to clients based on trend
Routinely collaborating with account management to provide clinical aspects of client quarterly reviews
Able to incorporate treatment & practice guidelines into client presentations including up-selling opportunities
Ability to effectively manage client objections to new programs and required changes
Manages/facilitates custom P&T committees for select clients
Able to analyze & interpret benefit designs
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 sales activities, as needed based on criteria
Helps clients be competitive within their market
Identifies opportunities to increase efficiency
Mentors clinical coordinators, as needed