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Clinical Consultant Telecommute Pacific Time Zone Only

UnitedHealth Group Los Angeles, CA
  • Posted: September 17, 2019
  • Full-Time

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.
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.
If you are located in the Pacific time zone, you will have the flexibility to telecommute* 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 and NCQA measures
  • Provides 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
  • Formulates and delivers client recommendations based on available data
  • Identifies opportunities for clinical program up-sell
  • Makes clinically sound recommendations to clients based on trend
  • Routinely collaborates with account management to provide clinical aspects of client quarterly reviews
  • Able to incorporate treatment and practice guidelines into client presentations including up-selling opportunities
  • Effectively manages client objections to new programs and required changes
  • Manages / Facilitates custom P&T committees for select clients
  • Analyzes and interprets 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
Required Qualifications:
  • PharmD or Bachelor of Science in Pharmacy
  • Current and unrestricted Pharmacist license (any state)
  • 3+ years of experience working as a licensed pharmacist
  • 1+ year of Clinical account management experience within a PBM or Health Plan, in a client-facing role with external clients (beyond patients and prescribers)
  • Experience giving formal presentations
  • Proficient in Microsoft Office and Outlook
  • Ability to travel up to 40%
  • Reside in the Pacific time zone of the U.S.
Preferred Qualifications:
  • Experience working with the Healthcare Exchange
  • Experience working within the state of California
  • Experience working with CalPERS
  • EGWP experience
Careers with Optum. Here's the idea. We built
an entire organization around one giant objective; make health care work better
for everyone. So when it comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices or manage
pharmacy benefits for millions, our first goal is to leap beyond the status quo
and uncover new ways to serve. Optum, part of the UnitedHealth Group family of
businesses, brings together some of the greatest minds and most advanced ideas
on where health care has to go in order to reach its fullest potential. For
you, that means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible company and a
singular opportunity to do your life's bestwork.(sm)
  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Clinical Consultant, Pacific Time Zone, PST, Telecommute, Telecommuter, Telecommuting, Remote, WFH, Sacramento, Los Angeles, San Francisco, San Diego, CA, California, Phoenix, AZ, Arizona, Las Vegas, NV, Nevada, Seattle, WA, Washington

UnitedHealth Group


Los Angeles, CA
90006 USA

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