Sr Director Clinical Consulting - Remote

Change Healthcare-posted 4 months ago
$132,200 - $226,600/Yr
Full-time • Senior
Remote • Eden Prairie, MN
Professional, Scientific, and Technical Services
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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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Director of Clinical Consulting will oversee clinical consulting client relationships, proactively identify clinical solutions, and manage clinical resource allocation for one of OptumRx's major segments of Clinical Consulting support. They will work with executive clinical leadership in developing a strategy related to the delivery of proactive consultative services and driving clinical upsell targets, including deployment of appropriate use guidelines and protocols, utilization management strategies, clinical products / services and formulary management strategies. The Sr. Director is accountable for direct management of a staff of clinical consultants, as well as other personnel and assumes ultimate ownership and accountability for client relationships, retention, and satisfaction levels within their segment.

  • Determine and manage clinical consulting resource allocation and assignment
  • Provide routine reporting to clinical leadership regarding milestone attainment and any significant issues within their segment that may be impacting overall team performance
  • Maintain understanding of individual client contracts and ensure proper execution of all clinical deliverables specific to those agreements
  • Develop department goals and ensure departmental execution
  • Work with the Clinical Leadership Team to establish strategic clinical goals and objectives
  • Provide routine reporting to the Executive Leadership Team regarding milestone attainment and any significant issues within the segment that may be impacting overall performance
  • 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, formulary compliance targets, and HEDIS & NCQA measures
  • Formulate and deliver clinically-sound and fiscally responsible recommendations to clients based on trend
  • Create and maintain departmental policies and procedures
  • Create action plans to address any client satisfaction concerns
  • Provide mentoring / coaching for Clinical Consultants in order to enhance employee engagement, promote professional development and maintain high levels of staff satisfaction
  • Assist in the recruitment, on-boarding and mentoring of new Clinical Consultant team members
  • Ensure the Clinical Consultants are delivering on client satisfaction, client retention, and trend management
  • Stay aware of and provide clinical market intelligence to clients
  • Provide education for clients, pharmacists, members and physicians per contractual requirements
  • Support strategies around other revenue-enhancement efforts (e.g., specialty, formulary, UM, mail, etc.) in coordination with client mgmt./sales teams where appropriate
  • Routinely collaborate with client management leadership peers to provide well-coordinated, impactful quarterly performance review sessions with clients
  • Serve as a key resource for new clinical product/service ideation and liaison to clinical product development / management areas to create new or enhance existing programs
  • Identify and collaborate with client management leadership on clinical renewal strategies
  • Drive enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority for the client
  • Consistently look at existing processes, methods, and materials to find opportunities for improvement
  • Maintain strategic relationships with client leaders, key stakeholders, and brokers/consultants
  • Support sales and marketing including participating in RFP/finalist activities as needed based on current standard operating procedure
  • Serve as Subject Matter Expert (SME) for other departments on Clinical Consulting-specific issues/inquiries
  • Lead departmental and interdepartmental workgroup and project work
  • Bachelor of Science in Pharmacy or Doctor of Pharmacy degree
  • Active, unrestricted US state-specific pharmacist license
  • 8+ years of pharmacy practice experience or equivalent
  • 3+ years of client facing or clinical account management experience with 2+ years of providing formal client presentations
  • 3+ years in a leadership position or equivalent
  • 2+ years of health plan experience or equivalent
  • Proven basic competency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
  • Proven excellent written, communication, and interpersonal skills
  • Demonstrated solid clinical and analytic background
  • Demonstrated solid presentation skills and experience
  • Ability to successfully manage multiple clients simultaneously
  • Demonstrated sound decision making
  • Demonstrated high level of critical thinking
  • Ability to exhibit a growth mindset
  • Ability to prioritize customer-centric activities
  • Experience in creating high-performing teams
  • Ability to successfully manage conflict
  • Ability to communicate effectively
  • Demonstrate ability to effectively engage with other leaders
  • Ability to foster innovation
  • Ability to successfully develop others
  • Ability and willingness to travel
  • MBA or similar advanced degree
  • 5+ years of managed care and/or PBM experience
  • Formalized sales training
  • Formalized leadership training
  • Formalized presentation skills training
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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