Senior Clinical Consultant

UnitedHealth Group • Oregon City, OR

4d • $112,700 - $193,200 • Remote

About The Position

The Senior Clinical Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, clinical products, and an assigned client base. The role provides clinical support to OptumRx account management, operations, information technology, and other internal departments. It establishes client relationships and acts as the primary contact for overall and day-to-day clinical pharmacy service delivery, offering proactive recommendations and information about pharmacy trends, clinical programs and products, and industry changes to large, complex, and strategic clients.

The consultant represents clients internally and coordinates with functional teams to implement initiatives, complete projects, and address ongoing pharmacy service needs. The position maintains strategic relationships with client leaders, stakeholders, and brokers or consultants, and supports formulary and clinical program development and other clinical pharmacy functions. It also serves as a subject matter expert for other departments and mentors and supports the development of less experienced Clinical Consultants.

This position is remote from anywhere within the United States. Employees working remotely must comply with UnitedHealth Group’s Telecommuter Policy. Travel may be required up to 10% of the time. The annual salary range is $112,700–$193,200, based on full-time employment and other factors.

Requirements

• Bachelor of Science in Pharmacy or Doctor of Pharmacy degree.
• Active, unrestricted pharmacist license specific to a U.S. state.
• At least 5 years of pharmacy practice experience or equivalent.
• At least 3 years of PBM experience.
• At least 3 years of client-facing or clinical account management experience.
• At least 2 years of experience providing formal client presentations.
• Experience managing multiple clients simultaneously.
• Experience prioritizing customer-centric activities.
• Basic competency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook.
• Ability and willingness to travel up to 10% of the time.

Nice To Haves

• Specialty Pharmacy experience.
• Medicaid experience.
• Intermediate-level competency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook.
• Remote work from the West Coast region.

Responsibilities

• Provide clinical consultation and clinical account management focused on client satisfaction, retention, and trend management.
• Collaborate with clients to establish clinical program goals, including goals for generic dispensing rates, utilization management, medication adherence, therapy gaps, formulary compliance, and applicable HEDIS and NCQA measures.
• Communicate drug information and respond to plan-specific clinical inquiries.
• Monitor and share clinical market intelligence with clients.
• Identify opportunities to up-sell clinical programs and products, and lead those efforts for assigned clients.
• Incorporate treatment and practice guidelines into client presentations, including up-selling opportunities.
• Explain formulary and clinical program changes and manage client objections to new programs and required changes.
• Identify opportunities to manage pharmacy trends and add OptumRx products; formulate clinically sound, fiscally responsible recommendations based on available data and trends.
• Collaborate with account management on the clinical aspects of client quarterly reviews.
• Analyze and interpret benefit designs, apply critical thinking to relevant information, and generate ideas that can be scaled across the organization.
• Develop clinical strategy as a direct client contact for large, complex, and strategic accounts, and communicate analytical and reporting needs to supporting departments.
• Help clients remain competitive in their markets and identify opportunities to increase efficiency.
• Lead and manage ongoing contract relationships, pharmacy benefit analysis, and consultation delivery to clients.
• Manage or facilitate custom P&T committees for select clients as contractually required.
• Educate clients, pharmacists, members, and physicians as contractually required.
• Support sales and marketing activities, including RFPs and strategic finalist activities, in accordance with department policies.
• Serve as a subject matter expert in one or more areas and represent Clinical Consulting internally and externally.
• Assist with training and developing Clinical Consultants, and mentor consultants when requested.
• Provide administrative, management, or leadership backup support to the Director as needed.
• Drive client relationships through senior-level strategic discussions and planning focused on clients’ highest-priority issues.
• Maintain familiarity with assigned client contract terms, particularly clinical program and service pricing, and participate in contract renewal negotiations as needed.
• Review existing processes, methods, and materials for improvement opportunities.
• Maintain strategic relationships with client leaders, stakeholders, and brokers or consultants while supporting UHG and Optum strategies and goals.
• Identify, develop, and share best-practice experience with peers.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase program.
• 401(k) contribution, subject to eligibility requirements.
• Career development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior