PBM Clinical Implementation Consultant Pharmacist - Remote

UnitedHealth Group•Los Angeles, CA

2d•$91,700 - $163,700•Remote

About The Position

The Clinical Consultant Pharmacist, HealthTrust Segment, provides clinical support for OptumRx implementation team, operations, and other internal departments. This individual is relied upon to support implementation activities for new clients onboarding with OptumRx, as well as be the main clinical resource for a small group of existing clients. In this role, the Clinical Consultant Pharmacist would also support HealthTrust’s Clinical Advantage Service Model Account Executives with both behind-the-scenes and client facing support. The individual would also leverage clinical expertise to assist with managing HealthTrust’s custom clinical programs. 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
3+ years of pharmacy practice experience, including 2+ years of clinical account management experience within a PBM or Managed Care, including external client-facing (beyond patients and prescribers) responsibilities
2+ years of providing formal client presentations
Proficiency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
Willing and ability to travel up to 25%
Willing to work occasionally outside of business hours as client needs dictate

Nice To Haves

ASHP/AMCP-accredited residency in Managed Care
3+ years of managed care or PBM experience
Experience managing projects include developing the project plan, mapping out the timeline, driving project through completion
Experience with process improvement project plans
Experience developing and performing presentations to various audiences
Experience leading or working on implementation project plans
Experience understanding clinical programs and leading discussions around them
Experience supporting, planning and facilitating Pharmacy & Therapeutic (P&T) committees
Experience implementing Formulary Management and Utilization Management criteria
Takes ownership of assigned work, seeks opportunities for process improvement, and consistently follows through on commitments

Responsibilities

Collaborate with the implementations team to onboard new HealthTrust clients. This role would be the primary clinical contact and support for clients new to Optum Rx via the HealthTrust coalition
Provide clinical consultation and clinical account management for HealthTrust’s Clinical Advantage Service Model. This role would provide support for client facing requests for this client pool, which the leadership team at HealthTrust has requested on numerous occasions
Collaborate with the implementations team to onboard new HealthTrust clients. This role would be the primary clinical contact and support for clients new to OptumRx via the HealthTrust coalition
Manage a smaller book (~5-6 clients) and provide clinical support to clients. Identify opportunities for clinical program up-sell and spearhead up-sell to assigned client(s). Provide pipeline and drug information. Participate in quarterly pharmacy review meetings. Comprehend and effectively explain formulary and clinical program changes to clients
Assist with updates and changes to HealthTrust’s portfolio of custom clinical offerings. Maintain and update custom Utilization Management Criteria. Provide the primary clinical support for HealthTrust’s custom exclusion list called, Emerging Trends Management Program (ETMP). Additionally, the pharmacist in this role would work with marketing materials for the HealthTrust custom programs, create reporting for the programs, and train the HealthTrust clinical team on these new initiatives
Assist leadership with biannual updates of HealthTrust’s custom modified formularies. Lead work for custom formulary disruption reports, lettering, and client notification templates
Utilize clinical knowledge to upskill the Clinical Support Consultants that support the HealthTrust Clinical team. This role would work with the CSC on efficient ways and best practices to provide support to the HealthTrust clinical consultants. This role would oversee RxComet revisioning for CASM clients, task submission, and rolling out of new functions for the CSC team
Support sales and marketing including participating in RFP & strategic Finalist activities
Consistently look at existing processes, methods and materials to find opportunities for improvement