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. Lead and manage ongoing contract ...
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. Lead and manage ongoing contract ...
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. Lead and manage ongoing contract ...
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. Lead and manage ongoing contract ...
Clinical Consultant Account Pharmacist, Health Plans | Prairie, |
Eden Prairie, MN · On-site
$91K - $163K/yr
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. Lead and manage ongoing contract ...
Clinical Consultant Account Pharmacist, Health Plans | Prairie, |
Eden Prairie, MN · On-site
$91K - $163K/yr
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. Lead and manage ongoing contract ...
Come make an impact on the communities we serve as you help us advance health optimization on a ... Supervising and assisting in the development of client specific implementation plans and managing ...
Come make an impact on the communities we serve as you help us advance health optimization on a ... Supervising and assisting in the development of client specific implementation plans and managing ...
FOH
Atlanta, GA · On-site
$18 - $22/hr
Weekly pay (yes, every Friday!) * Health plans available for full-time team members * 1% employer-matched 401K * Parental leave savings match program * Free shift meals * Career growth opportunities ...
Quick apply
FOH
Atlanta, GA · On-site
$18 - $22/hr
Weekly pay (yes, every Friday!) * Health plans available for full-time team members * 1% employer-matched 401K * Parental leave savings match program * Free shift meals * Career growth opportunities ...
Community Health Worker
Santa Clara, CA · Hybrid
$50K - $62K/yr
Monday-Friday, standard business hours (occasional evenings/weekends as needed) About the Role We ... You'll work with individuals enrolled in enhanced care management programs, helping them navigate ...
Quick apply
Community Health Worker
Santa Clara, CA · Hybrid
$50K - $62K/yr
Monday-Friday, standard business hours (occasional evenings/weekends as needed) About the Role We ... You'll work with individuals enrolled in enhanced care management programs, helping them navigate ...
Join PacificSource and help our members access quality, affordable care! PacificSource is an equal ... The Mental Health Parity Coordinator is responsible for supporting PacificSource's compliance with ...
Join PacificSource and help our members access quality, affordable care! PacificSource is an equal ... The Mental Health Parity Coordinator is responsible for supporting PacificSource's compliance with ...
Case Management Coordinator
Doral, FL · On-site
$20/hr
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more ... Friday. Position Summary: Case Management Care Coordinators play a crucial role in helping members ...
Quick apply
Case Management Coordinator
Doral, FL · On-site
$20/hr
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more ... Friday. Position Summary: Case Management Care Coordinators play a crucial role in helping members ...
Advanced Practice Provider, Spine Program, Sentara Princess Anne Hospital
Virginia Beach, VA · On-site
$125 - $150/hr
Schedule:** Monday-Friday | Day Shift | No Call | No Weekends | No Holidays## Position ... Sentara Health is an equal opportunity employer** and prides itself on the diversity and ...
Advanced Practice Provider, Spine Program, Sentara Princess Anne Hospital
Virginia Beach, VA · On-site
$125 - $150/hr
Schedule:** Monday-Friday | Day Shift | No Call | No Weekends | No Holidays## Position ... Sentara Health is an equal opportunity employer** and prides itself on the diversity and ...
$60 - $80/hr
Hours*** Monday - Friday: 7am-3:30pm or 8am-4:30pm, along with call and working every 5th week ... Talroo-Allied Health, Monster, Echocardiographer, Echo Tech, RCCS, RDCS, RCS, Cardiovascular Tech, ...
$60 - $80/hr
Hours*** Monday - Friday: 7am-3:30pm or 8am-4:30pm, along with call and working every 5th week ... Talroo-Allied Health, Monster, Echocardiographer, Echo Tech, RCCS, RDCS, RCS, Cardiovascular Tech, ...
Account Executive - Life & Health
Champaign, IL · On-site
$21 - $31/hr
Full-time, on-site or hybrid position, Monday through Friday | 8am - 4:30 | #LI-ONSITE Please note ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Account Executive - Life & Health
Champaign, IL · On-site
$21 - $31/hr
Full-time, on-site or hybrid position, Monday through Friday | 8am - 4:30 | #LI-ONSITE Please note ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Account Executive - Life & Health
Freeport, IL · On-site
$21 - $31/hr
Full-time, on-site position (hybrid options available) , Monday through Friday | 8am - 4:30 | #LI ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Account Executive - Life & Health
Freeport, IL · On-site
$21 - $31/hr
Full-time, on-site position (hybrid options available) , Monday through Friday | 8am - 4:30 | #LI ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Account Executive - Life & Health
Pontiac, IL · On-site
$21 - $31/hr
Full-time, on-site position (hybrid options available) , Monday through Friday | 8am - 4:30 | #LI ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Account Executive - Life & Health
Pontiac, IL · On-site
$21 - $31/hr
Full-time, on-site position (hybrid options available) , Monday through Friday | 8am - 4:30 | #LI ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Account Executive - Life & Health
Kewanee, IL · On-site
$21 - $31/hr
Full-time, on-site position (hybrid options available) , Monday through Friday | 8am - 4:30 | #LI ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Account Executive - Life & Health
Kewanee, IL · On-site
$21 - $31/hr
Full-time, on-site position (hybrid options available) , Monday through Friday | 8am - 4:30 | #LI ... Working knowledge of employee benefits (medical and ancillary plans) * Illinois Life and Health ...
Member Services Representative Lead
Doral, FL · On-site
$22 - $24/hr
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more ... Position is fully onsite Monday-Friday. Location: 9250 NW 36th St, Miami, FL 33178. **Bilingual in ...
Quick apply
Member Services Representative Lead
Doral, FL · On-site
$22 - $24/hr
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more ... Position is fully onsite Monday-Friday. Location: 9250 NW 36th St, Miami, FL 33178. **Bilingual in ...
Customer Service Representative
Miami, FL · On-site
$17 - $18/hr
Position is fully onsite Mon-Friday, Bilingual ENGLISH & SPANISH is required** Location: 9250 NW 36th St, Miami, FL 33178 About us: Solis Health Plans is a new kind of Medicare Advantage Company. We ...
Quick apply
Customer Service Representative
Miami, FL · On-site
$17 - $18/hr
Position is fully onsite Mon-Friday, Bilingual ENGLISH & SPANISH is required** Location: 9250 NW 36th St, Miami, FL 33178 About us: Solis Health Plans is a new kind of Medicare Advantage Company. We ...
Practice Manager II
Norfolk, VA · On-site
$80 - $100/hr
Monday-Friday, 8:00AM - 5:00PM.**Overview**The **Practice Manager II** partners with clinical ... Experience*** Healthcare - 2 years (*Required*)* Leadership -2 years (*Required*)**Keywords:
Practice Manager II
Norfolk, VA · On-site
$80 - $100/hr
Monday-Friday, 8:00AM - 5:00PM.**Overview**The **Practice Manager II** partners with clinical ... Experience*** Healthcare - 2 years (*Required*)* Leadership -2 years (*Required*)**Keywords:
Registered Cardiovascular Electrophysiology Specialist (RCES)
Hampton, VA · On-site
$80 - $100/hr
Monday - Friday: Four/10 hour shifts per week* No call! No Weekends!**Overview**The ... Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • ...
Registered Cardiovascular Electrophysiology Specialist (RCES)
Hampton, VA · On-site
$80 - $100/hr
Monday - Friday: Four/10 hour shifts per week* No call! No Weekends!**Overview**The ... Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • ...
Licensed Clinical Social Worker
Harrisonburg, VA · On-site
$60 - $80/hr
SRMH South Main Health Center** is seeking a **Licensed Clinical Social Worker** to join our ... Monday through Friday, 8:00 AM to 5:00 PM* Hybrid work opportunity available after an initial ...
Licensed Clinical Social Worker
Harrisonburg, VA · On-site
$60 - $80/hr
SRMH South Main Health Center** is seeking a **Licensed Clinical Social Worker** to join our ... Monday through Friday, 8:00 AM to 5:00 PM* Hybrid work opportunity available after an initial ...
Advanced Practice Provider - Neurology
Virginia, MN · On-site
$100 - $125/hr
Sentara Health** is an award-winning, nationally recognized nonprofit health system and has been ... Monday - Friday | 8:00 AM - 4:30 PM* Fully integrated Epic EHR* Supportive, collegial culture that ...
Advanced Practice Provider - Neurology
Virginia, MN · On-site
$100 - $125/hr
Sentara Health** is an award-winning, nationally recognized nonprofit health system and has been ... Monday - Friday | 8:00 AM - 4:30 PM* Fully integrated Epic EHR* Supportive, collegial culture that ...
Helper Friday Health Plans information
See salary details
$10.82 - $11.98
1% of jobs
$11.98 - $13.13
8% of jobs
$13.13 - $14.29
11% of jobs
$14.62 is the 25th percentile. Wages below this are outliers.
$14.29 - $15.45
15% of jobs
The median wage is $16.40 / hr.
$15.45 - $16.61
18% of jobs
$16.61 - $17.77
18% of jobs
$18.12 is the 75th percentile. Wages above this are outliers.
$17.77 - $18.92
14% of jobs
$18.92 - $20.08
9% of jobs
$20.08 - $21.24
3% of jobs
$21.24 - $22.40
2% of jobs
$22.40 - $23.56
1% of jobs
$10
$18
$23
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$91K - $163K/yr
Other
Retirement
Posted 4 days ago
UnitedHealthcare rating
7.8
Based on 710 frontline employees who took The Breakroom Quiz
111th of 898 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.
Lead and manage ongoing contract relationships, 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 Account Pharmacist serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products for 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.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
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
- Ability to travel up to 10%
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:
- Bachelor of Science in Pharmacy or PharmD
- Active, unrestricted US state-specific pharmacist license
- 1+ years of client facing or clinical account management experience
- 1+ years of Health Plan experience
- Proficient skills in Microsoft Office and Outlook
- Willing or ability to travel up to 10%
Preferred Qualifications:
- Experience giving formal presentations
- Experience in data analytics and drawing insights
- Experience in Rx Claim
- Experience in IQPR
- Experience in MediSpan
- Experience in Reporting 360
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). The salary for this role will range from $91,700 - $163,700 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.
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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About UnitedHealthcare Services, Inc
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Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Hopkins, MN, US