Pharmacy Service Specialist - Wausau, WI or Rocky Hill, CT - Full-time / Part-time

Position Description:

Great Sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.SM 

This
position is responsible for primary-level support of specific client(s). The
Pharmacy Service Specialist coordinates programs and services between OptumRx
and its clients. The Pharmacy Service Specialist assures Client satisfaction by
acting as a knowledgeable representative of products and services from an
Operational standpoint. Responsibilities include acting as the liaison and
primary resource to Internal and/or External clients and Internal departments
for all Client-related matters including: Plan review, Research, and effectively
Communicating to Members and Clients.

Primary Responsibilities: 

• Cultivate customer trust by providing day-to-day information regarding
  Benefit Plans (co-payments, deductibles, quantity and day's supply limitations,
  etc.) to assure accurate Claims processing and Client/Member
  satisfaction.
• Maintain expert knowledge of assigned Clients' Plan Benefit design and
  implementation information, by implementing Customer Service skills, as well as
  utilizing phone and computer databases and online support.
• Serve as the primary contact for escalated calls/e-mails from the Client
  and assist by responding to Service/Operational issues providing prompt
  resolution for complete Client satisfaction. Keep Account Management team
  apprised at all times.
• Facilitate or host regularly scheduled Client meetings (bi-weekly,
  monthly) and coordinate follow-ups with both Internal and External
  clients.
• Interface with Internal OptumRx resources (Customer Service,
  Implementation, Mail Service, Specialty, Clinical, Pharmacy Operations, Benefit
  Design, Eligibility or Client Management, Finance, etc) for further
  investigation and resolution of Client requests.
• Work within and establish Operational requirements and support daily
  Client needs alongside the SAE (Strategic Account Executive).
• Maintain critical Client documentation, plan matrixes, formulary
  database, meeting agendas, notes, action grids, Customer Service Issue logs, and
  more.
• Coordinate Eligibility process flow and troubleshoot
  problems.
• Manage supplemental business initiatives and processes involved with
  servicing clients as needed or assigned.
• Train clients on Internal systems, access, and procedures.
• Responsible for submitting and coordinating ongoing Plan Design changes
  through Protrak by obtaining all pertinent information required to complete the
  request including Audit-related deliverables to ensure compliance.
• Responsible for working with Project Manager and SAE on New Client
  implementations, transitions, developing/updating, and distributing Member
  materials.
• Interface with identified External Client liaisons and/or vendors for
  support of Client Task accomplishments; Work with SAE on appropriate sign off
  required and SOP. 
• Assist with Sales RFP requests, as necessary, or assigned by
  Manager.
• Perform User Acceptance Testing functions, when needed, within scheduled
  period.
• Other duties, as assigned, and willingness to support Team objectives
  with a positive attitude.

Required Qualifications:

• High School Diploma/GED.
• 2+ years of Client Relations experience or experience in a similar Account
  Management position.
• Ability to travel approximately 10% to Client locations and Corporate
  offices within the Northeast and Central regions.
• Microsoft
  Excel proficiency, to include maintaining critical Client documentation, matrix planning, formulary database, meeting agendas, notes, action grids, Customer Service logs, and more.
• Microsoft Word &
  PowerPoint proficiency, including the ability to create documents and presentations.

Preferred Qualifications:

• College Degree.
• Pharmacy Benefits Management (PBM) Terminology knowledge is a
  plus.
• Healthcare Industry exposure.
• Pharmacy Tech Certification.
• Process Improvement background.

Soft
Skills:

• Excellent verbal and written Communication skills
• Professional appearance, demeanor
  

UnitedHealth Group is working to create the Healthcare system of
tomorrow and you can help. Already Fortune 17, we are totally focused on
innovation and change.  We work a little harder. We aim a little higher.
We expect more from ourselves and each other. And at the end of the day, we're
doing a lot of good.



Through our family of businesses and a lot of inspired individuals, we're building
a high-performance Healthcare system that works better for more people in more
ways than ever. Now we're looking to reinforce our team with people who are
decisive, brilliant and built for speed. 
Join with us and start doing your life's best work.SMDiversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.