Clinical Account Executive Pharmacist
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 Irvine, California-based client services team or in our Minnetonka, MN client services team 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. This position will require approximately 25% travel to meet with clients in person across the United States. Experience in working with Medicare Part D plans is strongly preferred. The Clinical Account Executive Pharmacist's assigned health plan clients will comprise Medicare Part D 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 50 organization.
Key responsibilities of the Clinical Account Executive Pharmacist include:
Serving in a leadership role in managing Part D clients, with an emphasis on identifying unmet clinical needs and developing effective solutions.
Managing complex, ongoing clinical projects to successful outcome.
Working extensively with other internal departments (clinical, claims, network, rebate contracting) to ensure that clients service level standards and clinical needs are met.
Establishing strong and effective working relationships with key clients, including traveling to meet with them in person as appropriate.
Providing 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.
Analyzing data and identifying gaps in service, and working with the account team to provide solutions.
Giving presentations to prospective clients.
Assisting sales with responses to requests for proposals (RFP's).