Clinical Consultant Pharmacist - Remote

UnitedHealth Group•Eden Prairie, MN

3d•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 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The HealthTrust Clinical Consultant Pharmacist serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products. The HealthTrust Clinical Consultant is contractually dedicated to HealthTrust. The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments. The HealthTrust Clinical Consultant establishes client relationships and serves as primary point of contact for overall and day-to-day service delivery for clinical pharmacy needs. This individual is relied upon to provide proactive clinical recommendations, information regarding pharmacy trend, clinical programs and products, and industry changes to clients, thereby fostering consultative relationships with large, complex and/or strategic clients. This individual also represents client(s) internally and coordinates with other functional areas to implement client initiatives, complete projects, and address ongoing pharmacy service needs. In addition, the HealthTrust Clinical Consultant supports the clinical pharmacy team with formulary development, clinical program development and clinical pharmacy functions as the need arises. T. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Bachelor of Science in Pharmacy or Doctor of Pharmacy degree
Active, unrestricted US state-specific pharmacist license
5+ years of pharmacy practice experience, including 3+ years of clinical account management experience within a PBM or Managed Care
2+ years of providing formal client presentations, including external client-facing (beyond patients and prescribers) responsibilities
Proficiency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
Willing and ability to travel up to 25%25

Nice To Haves

ASHP/AMCP-accredited residency in Managed Care
5+ years of managed care or PBM experience
Experience supporting, planning and facilitating Pharmacy & Therapeutic (P&T) committees
Experience implementing Formulary Management and Utilization Management criteria

Responsibilities

Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
Collaborate 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 and formulary compliance targets.
Communicate drug information to clients and respond to plan-specific clinical inquiries
Stay aware of and provide clinical market intelligence to clients
Identify opportunities for clinical program up-sell and spearhead up-sell to assigned client(s)
Incorporate treatment and practice guidelines into client presentations including up-selling opportunities
Comprehend and effectively explain formulary and clinical program changes to clients
Effectively manage client objections to new programs and required changes
Identify and create opportunities to manage trend and add OptumRx products
Formulate client recommendations based on available data and trend
Deliver clinically sound and fiscally responsible recommendations to clients based on their trend
Routinely collaborate with account management to provide clinical aspects of client quarterly reviews
Analyze & interpret benefit designs
Demonstrate critical thinking by analyzing relevant information with multiple methods
Generate innovative ideas that can be scaled across the organization
Develop clinical strategy as outward-facing, direct client contact for large, complex and/or strategic accounts
Clearly communicate analytical and reporting needs to supporting departments
Help clients be competitive within their market
Identify opportunities to increase efficiency
Lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation delivery to clients
Manages/facilitates custom P&T committees for select clients, per contractual requirements
Provide education for clients, pharmacists, members and physicians per contractual requirements
Support sales and marketing including participating in RFP & strategic Finalist activities, per department policies
Serve as subject matter expert in one or multiple areas and represent Clinical Consulting department in these areas – internally and externally
Provide administrative/management/leadership back-up support to Director as necessary
Drive enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority to the client
Maintain familiarity with assigned client contract terms; particularly pricing of clinical programs/services, and is able to actively engage in contract renewal negotiations as needed
Consistently look at existing processes, methods and materials to find opportunities for improvement
Maintain strategic relationships with client leaders, key stakeholders, and brokers/consultants while maintaining focus on UHG and Optum strategies and goals
Serve as Subject Matter Expert (SME) for other departments on Clinical Consulting-specific issues/inquires
Routinely identify, develop and share best practice experience with peers