Sr. PBM Strategic Account Executive - Health Plans -Remote
About The Position
Optum is seeking a senior-level Strategic Account Executive to serve as the liaison for assigned client accounts. This individual-contributor role focuses on developing client trend-management strategies, retaining and growing accounts, cultivating multilevel client relationships, and managing staff. The position is remote and may be performed from anywhere in the United States, with travel of up to 25% of the time. The role manages account strategy and contract renewals, monitors client performance and guarantees, and ensures client-specific benefit and audit requirements are met. It also supports client implementations, staff development, sales presentations, and broader departmental initiatives. The position requires expertise in pharmacy benefit strategies and clinical programs, strong client service and negotiation skills, and the ability to resolve complex client issues promptly.
Requirements
- At least 4 years of strategic PBM client account and contract management experience.
- At least 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.
- Proficiency with Microsoft Word, Excel, and PowerPoint.
- Proven ability to handle complex client issues.
- Proven solid PBM business and financial acumen.
- High degree of client focus and attention to service.
- Excellent negotiation skills.
- Ability to travel up to 25% of the time.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
- Candidates must pass a drug test before beginning employment.
Nice To Haves
- Project management experience or certification.
- At least 3 years of experience with upsell programs to clients.
- At least 2 years of PBM operations experience.
- Familiarity with RxClaim, Tracker, and Navigator.
Responsibilities
- Manage assigned accounts with a focus on client trend management, strategic plan development and execution, multilevel client relationships, and management of staff.
- Manage client contract renewals to retain clients, secure multiyear agreements, and maintain or improve profitability.
- Maintain regular client communications and prepare and present performance reviews, including cost drivers, cost-saving recommendations, utilization, and cost reports.
- Conduct regular onsite or telephonic client meetings to review benefits, drug utilization, and trend-management strategies.
- Ensure client-specific requirements are met, including maintaining current benefit-design documentation, documenting and obtaining approval for plan changes, updating Benefit Design Summaries, confirming changes, and following audit requirements.
- Review Benefit Design Summary documents with clients at least annually and obtain appropriate client signature approval.
- Understand client contract terms, monitor performance guarantees, and ensure assigned contracts are monitored and reported as specified.
- Develop strategies for staff development and retention.
- Cultivate in-group growth through client relationships.
- Stay current on industry trends and developments and present them to clients and staff.
- Demonstrate expertise in pharmacy benefit strategies and clinical programs.
- Supervise and assist with developing client-specific implementation plans and manage overall client implementations.
- Provide leadership to client services team members in departmental and corporate initiatives.
- Provide management with feedback on client requirements and business-development opportunities.
- Participate in sales-preparation meetings and finalist sales presentations as needed.
- Respond promptly to client inquiries, including returning calls and emails within two hours and attempting to resolve issues within 48 hours; follow up with clients within 24 hours after issue resolution.
- Attend and actively participate in company meetings as requested.
- Precept or mentor new staff as requested and assist in developing ongoing staff training topics and materials.
- Follow policies and procedures related to job responsibilities and participate in developing and maintaining departmental Client Services policies and procedures as appropriate.
- Perform other duties as assigned to meet corporate objectives and support other departments as requested.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase program.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
