Senior PBM Strategic Account Executive - Remote

UnitedHealth Group•Charleston, SC

1d•$112,700 - $193,200•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 Sr. Strategic Account Executive is an individual contributor role serving as the senior - level liaison to assigned client accounts. Responsible for developing client trend management strategies, retaining, and growing assigned clients, cultivating multi-level client relationships, and managing staff. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

4+ years of strategic PBM client account and contract management
2+ years of experience in the Health Plan Commercial Market
Understanding of pharmacy benefit strategies and pricing practices
Advanced proficiency in delivering presentations to various audiences
Proficient with MS suite – Word, Excel, PowerPoint
Proven ability to handle complex client issues
Proven solid PBM business and financial acumen
Demonstrates a high degree of client focus and attention to service
Proven excellent negotiation skills
Ability to travel up to 25%25 of the time

Nice To Haves

Project Management Experience/Certification
3+ years of experience with upsell programs to clients
2+ years of PBM operations experience
Familiarity with RxClaim; Tracker and Navigator

Responsibilities

Managing assigned accounts with a focus on client trend management, strategic plan development and execution, cultivating multi-level client relationships and management staff
Managing client contract renewal activities with the primary goals of retaining client, obtaining multiple-year agreements and maintaining or improving profitability
Maintaining consistent and regular client communications. Preparing and presenting regular client performance reviews, including identification of cost drivers, recommendations for cost savings opportunities, utilization and cost reports
Prioritizes and conducts regular on - site or telephonic client meetings as appropriate to proactively review client benefits, drug utilization and trend management strategies
Ensure that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. Reviews Benefit Design Summary documents at least annually with clients and receives appropriate client signature approval
Maintaining a complete understanding of client contract terms including but not limited to the monitoring and reporting of performance guarantees. Ensuring that all assigned contracts are monitored and reported as stated in the terms
Developing strategies for staff development and retention
Cultivating in - group growth through these relationships
Staying abreast of industry trends and developments and demonstrating strong communication skills in presenting these to clients and staff
Demonstrating expertise in pharmacy benefit strategies and clinical programs
Supervising and assisting in the development of client specific implementation plans and managing overall client implementations
Providing leadership to client services team members in departmental and corporate initiatives
Providing regular feedback to management team regarding client requirements and business development opportunities
Participating in sales preparation meetings and finalist sales presentations as necessary
Ensuring quick response and follow - up to client inquiries, including returning phone calls and emails within 2 hours and attempted resolution of all issues in less than 48 hours
Follows - up with client within 24 hours after issue resolution
Regularly attending and actively participating in company meetings as requested
Participating as preceptor / mentor to new staff as requested. Assisting in the development of ongoing training topics and materials for staff
Following all policies and procedures relating to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Client Services, as appropriate
Performing other duties as assigned to meet corporate objectives
Providing support to other departments as requested