Pbm Implementation Manager Jobs in California (NOW HIRING)

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

The Clinical Consultant Pharmacist, HealthTrust Segment, provides clinical support for OptumRx implementation team, operations, and other internal departments. This individual is relied upon to support implementation activities for new clients onboarding with OptumRx, as well as be the main clinical resource for a small group of existing clients. In this role, the Clinical Consultant Pharmacist would also support HealthTrust's Clinical Advantage Service Model Account Executives with both behind-the-scenes and client facing support. The individual would also leverage clinical expertise to assist with managing HealthTrust's custom clinical programs.

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

Primary Responsibilities:

• Collaborate with the implementations team to onboard new HealthTrust clients. This role would be the primary clinical contact and support for clients new to Optum Rx via the HealthTrust coalition
• Provide clinical consultation and clinical account management for HealthTrust's Clinical Advantage Service Model. This role would provide support for client facing requests for this client pool, which the leadership team at HealthTrust has requested on numerous occasions
• Collaborate with the implementations team to onboard new HealthTrust clients. This role would be the primary clinical contact and support for clients new to OptumRx via the HealthTrust coalition
• Manage a smaller book (~5-6 clients) and provide clinical support to clients. Identify opportunities for clinical program up-sell and spearhead up-sell to assigned client(s). Provide pipeline and drug information. Participate in quarterly pharmacy review meetings. Comprehend and effectively explain formulary and clinical program changes to clients
• Assist with updates and changes to HealthTrust's portfolio of custom clinical offerings. Maintain and update custom Utilization Management Criteria. Provide the primary clinical support for HealthTrust's custom exclusion list called,
• Emerging Trends Management Program (ETMP). Additionally, the pharmacist in this role would work with marketing materials for the HealthTrust custom programs, create reporting for the programs, and train the HealthTrust clinical team on these new initiatives
• Assist leadership with biannual updates of HealthTrust's custom modified formularies. Lead work for custom formulary disruption reports, lettering, and client notification templates
• Utilize clinical knowledge to upskill the Clinical Support Consultants that support the HealthTrust Clinical team. This role would work with the CSC on efficient ways and best practices to provide support to the HealthTrust clinical consultants. This role would oversee RxComet revisioning for CASM clients, task submission, and rolling out of new functions for the CSC team
• Support sales and marketing including participating in RFP & strategic Finalist activities
• Consistently look at existing processes, methods and materials to find opportunities for improvement

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 Doctor of Pharmacy degree
• Active, unrestricted US state-specific pharmacist license
• 3+ years of pharmacy practice experience, including 2+ years of clinical account management experience within a PBM or Managed Care, including external client-facing (beyond patients and prescribers) responsibilities
• 2+ years of providing formal client presentations
• Proficiency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
• Willing and ability to travel up to 25%
• Willing to work occasionally outside of business hours as client needs dictate

Preferred Qualifications:

• ASHP/AMCP-accredited residency in Managed Care
• 3+ years of managed care or PBM experience
• Experience managing projects include developing the project plan, mapping out the timeline, driving project through completion
• Experience with process improvement project plans
• Experience developing and performing presentations to various audiences
• Experience leading or working on implementation project plans
• Experience understanding clinical programs and leading discussions around them
• Experience supporting, planning and facilitating Pharmacy & Therapeutic (P&T) committees
• Experience implementing Formulary Management and Utilization Management criteria
• Takes ownership of assigned work, seeks opportunities for process improvement, and consistently follows through on commitments

*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 $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.

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.