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Clinical Consultant - Telecommute

UnitedHealth Group

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Job Details

Clinical Consultant - Telecommute(Job Number:728772)

You're looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management. Here you'll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. With better schedules than retail and more reach than any hospital, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Take this opportunity to start doing your life's best work.(sm)
The Clinical Consultant will lead and manage ongoing contract relationships and pharmacy benefit analysis and consultation delivery to clients.  Collaborate in development of strategy as outward - facing, dedicated resources for assigned accounts, typically with direct client contact for large / complex accounts.  Builds client relationships and serves as primary point of contact for overall and day - to - day service delivery for clinical pharmacy needs.  Represents client(s) internally and coordinates with other functions to implement client systems, complete projects, and address ongoing pharmacy service needs.  The Clinical Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products and the consultant’s assigned client base. The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments. This individual is relied upon to provide proactive clinical recommendations, information regarding pharmacy trend, programs and industry changes to clients and to foster consultative relationships.
***This will be a telecommute position. Candidates based in the Continental U.S. within a commutable distance to a major airport will be considered ***
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Primary Responsibilities:
  • Collaborates 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.
  • Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
  • Comprehends and effectively explains formulary and clinical program changes to clients
  • Stays aware of and provides clinical market intelligence to clients
  • Provides education for clients, pharmacists, members and physicians per contractual requirements
  • Communicates drug information to clients and responds to plan - specific clinical inquiries
  • Formulate and deliver client recommendations based on available data
  • Identifies opportunities for clinical program up - sell
  • Makes clinically sound recommendations to clients based on trend
  • Routinely collaborating with account management to provide clinical aspects of client quarterly reviews
  • Able to incorporate treatment & practice guidelines into client presentations including up - selling opportunities
  • Ability to effectively manage client objections to new programs and required changes
  • Manages / facilitates custom P&T committees for select clients
  • Able to analyze & interpret benefit designs
  • Clearly communicates analytical and reporting needs to supporting departments
  • Identifies and creates opportunities to manage trend and add OptumRx products
  • Supports sales and marketing including participating in sales activities, as needed based on criteria
  • Helps clients be competitive within their market
  • Identifies opportunities to increase efficiency
  • Mentors clinical coordinators, as needed

Job Clinical Pharmacy Acct Mgmt
Primary Location US-Illinois
Other Location 
Organization OptumRx Pharmacy Svcs
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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