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Contract Remote Pbm Jobs in Indiana (NOW HIRING)

Contract Remote Pbm information

What are common challenges faced by contract remote PBMs, and how can they be addressed?

One common challenge for Contract Remote PBM (Pharmacy Benefit Manager) professionals is maintaining clear communication with clients and team members, as remote work can sometimes lead to misunderstandings or delays. Additionally, staying updated on ever-changing pharmacy regulations and plan requirements can be demanding. To address these challenges, it's important to utilize reliable communication tools, establish regular check-in meetings, and actively participate in ongoing training. Building strong relationships with stakeholders and being proactive in addressing client concerns also contribute to successful remote contract management.

What is a contract remote PBM?

A Contract Remote PBM refers to a pharmacy benefit manager (PBM) who works on a contractual basis and operates remotely, rather than being employed full-time on-site. PBMs are companies or professionals that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. Their primary responsibilities include negotiating with drug manufacturers and pharmacies to control drug spending, processing prescription drug claims, and creating formularies to determine which drugs are covered. A contract remote PBM performs these duties from a remote location, often utilizing digital tools to collaborate with clients and stakeholders.

What is the difference between Contract Remote Pbm vs Contract Remote Pharmacist?

AspectContract Remote PbmContract Remote Pharmacist
CredentialsLicensing, certification in pharmacy benefit managementState pharmacy license, certification (e.g., PTCB)
Work EnvironmentRemote, healthcare/insurance industryRemote, healthcare/pharmacy industry
Employer & Industry UsageHealth plans, PBMs, insurance companiesPharmacy chains, hospitals, insurance companies
Common Search & ComparisonYesYes

Contract Remote Pbm roles focus on managing pharmacy benefits, requiring knowledge of benefit design and healthcare policies, while Contract Remote Pharmacist roles involve direct pharmacy practice, medication review, and dispensing. Both are remote healthcare positions but differ in responsibilities and industry focus.

What skills and qualifications are needed to thrive as a contract remote PBM?

To thrive as a Contract Remote PBM, you need a strong understanding of pharmacy benefit management, contract negotiation, and healthcare regulations, often supported by experience in pharmacy or healthcare administration. Familiarity with PBM software platforms, claims adjudication systems, and knowledge of regulatory compliance tools is essential. Excellent analytical skills, attention to detail, and effective remote communication are standout soft skills for this role. These abilities ensure optimal contract outcomes, regulatory adherence, and seamless collaboration with clients and stakeholders in a remote environment.
What are the most commonly searched types of Remote Pbm jobs in Indiana? The most popular types of Remote Pbm jobs in Indiana are:
What are popular job titles related to Contract Remote Pbm jobs in Indiana? For Contract Remote Pbm jobs in Indiana, the most frequently searched job titles are:

PBM Account Manager - Remote

UnitedHealth Group

Michigan City, IN • Remote

Full-time

Retirement

Posted 7 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers


Job description

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 a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Account Manager is responsible for driving client satisfaction by managing ongoing contract relationships and service delivery to client accounts. This role acts as an outward-facing, dedicated resource for assigned accounts, typically with direct client contact for large/complex accounts. The Account Manager builds client relationships and serves as the primary point of contact for overall & day-to-day service delivery by working closely with the internal partners. This role represents clients internally and coordinates with other functions to capture and support client requirements, complete projects, and address ongoing service needs. This role supports designated account team leaders in ongoing account upsell activity and renewals.

This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • OPERATIONAL MANAGEMENT
    • Facilitate all operational ongoing maintenance (benefit updates, file updates, etc.) & ensure it is successfully executed on
    • Own the day-to-day service experience of customers by working with the Operations Team and other functional partners as required to ensure issues are resolved promptly and accurately meeting the customer's expectations
    • Facilitate resolution of all escalated requests by working with the Operations Service Team and conducting customer consultations as required
    • Develop and maintain strong relationship with internal partners in Operations Service Team to manage customer service experience
      Coordinate activities to support impact reporting, root cause analysis, and full remediation
    • Ability to read, analyze and interpret SOPs and reporting
    • Coordinate implementation activities for new products and new groups
    • Coordinate annual open enrollment activities
    • Perform other assignments and responsibilities as required by management
    • Coordinate 1/1 readiness activities; facilitate daily 1/1 updates/progress reports with client and internal functional partners
    • Coordinate training of all OptumRx client-facing systems & tools
      Med D; understands basic CMS compliance requirements, delivers guidance memos to client; coordinates activities related to Corrective Action Plans (CAPs)
  • CLIENT RELATIONSHIP MANAGEMENT
    • Establish and maintain strong and appropriate relationships with customers to maintain consistency and drive client satisfaction
    • Maintain client action logs and facilitate regular cadence of discussions to review
    • Conduct meetings with customers to identify issues / trends and analyze root causes to determine corrective action steps as necessary
    • Demonstrate a high level of knowledge pertaining to the customer's specific benefit design
    • Understand, define, translate, communicate, and execute on client requirements

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 2 years of external client-facing experience
  • Experience with project coordination/facilitation
  • Experience with Microsoft Office applications (create, navigate, edit, save and send documents)
  • Experience with conflict resolution with both internal and external partners
  • Proven ability to learn PBM tools to drive operational activities (reporting tools, issue management tools, claims adjudication, etc.)
  • Ability to travel up to 25% of the time
  • Ability to work any 8-hour shift between the hours of 8:00am - 5:00pm CST including the flexibility to work occasional overtime based on business need
  • Driver's License and access to a reliable transportation

Preferred Qualification:

  • 1 years of PBM experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


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