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Clinical Account Executive Pharmacist - Telecommute

01/29/2019Call Center
Job Location:
Irvine, CA
Metro Area:
CA - Los Angeles
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) OptumRx is a leading pharmacy benefit management company that helps consumers obtain the medications and products they need to live healthier lives. Services offered by the company include pharmacy network contracting, rebate contracting and administration, clinical and MTM services, mail order pharmacy facilities, specialty drugs and retail drug claims processing. The company is one of only three in the United States to have received URAC dual accreditation and provides clinical services to help its clients provide cost effective, quality-driven results. The company is part of Optum, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans.. We’re looking for Clinical Account Executive Pharmacist with a background in managed care to join our client services team.. The Clinical Account Executive Pharmacist is assigned health plan clients will comprise of Medicare Part D and Medicaid plans in several states. This is an excellent opportunity to enjoy a dynamic M-F daytime schedule and all the perks that accompany working for our Fortune 6 organization. Primary Responsibilities: Manages ongoing contract relationships and service delivery to clients for one or more accounts Acts as outward-facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts As the Clinical Account Executive Pharmacist, you will assist health plan clients with formulary management and audit support activities, review of utilization data and providing consultative recommendations, and supporting the account management team for all clinical projects and programs Builds relationships with employer/group clients (not individual members) and serves as the primary point of contact for overall and day-to-day service delivery Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs This function includes employees who are in dedicated on-site service role Reviews the work of others Develops innovative approaches Sought out as expert Serves as a leader/ mentor Serve in a leadership role in managing Medicaid  and Part D clients, with an emphasis on identifying unmet clinical needs and developing effective solutions Manage complex, ongoing clinical projects to successful outcomes Work extensively with other internal departments (clinical, claims administration, network management, rebate contracting) to ensure that clients’ service level standards and clinical needs are met Establish strong and effective working relationships with key clients, including traveling to meet with them in person as appropriate Provide a clinical leadership role within the account management team Assisting clients with the formulary management and audit process Presenting client utilization information and consultative recommendations to clients during quarterly business review meetings Designing and interpreting client utilization reports and recommending benefit changes or utilization management strategies to assist clients in maximizing the value of their pharmacy benefit Provide clinical support for retrospective and concurrent drug utilization review (DUR) programs and benefit design Analyzing data and identifying gaps in service, and working with the account team to provide solutions Assisting sales with responses to requests for proposals (RFPs)


Required Qualifications: Doctor of Pharmacy (Pharm.D.) or B.S. in Pharmacy degree with 2 to 3 years of experience in managed care pharmacy Pharmacist license in state of residence Proficiency in Microsoft Office applications, particularly Excel Travel up to 25%   Preferred Qualifications: Experience in working with Medicaid and/or Medicare Part D plans Pharmacy Claims Experience Clinical Program Reporting Experience Client facing experience Account Management Experience Ability to work cross functionally and at all levels                UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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