Clinical Consultant Pharmacist - Telecommute - Northeast states - Full-time / Part-time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while 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.
 
***This role is a remote, home - based position, but candidates must be located in the Northeast states.***
 
Typical work schedule is Monday - Friday from 8:00am - 5:00pm
 
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.
  
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

Required Qualifications:


BS in Pharmacy
Minimum 3 years of Pharmacist experience or completion of a Managed Care Pharmacy Residency program
A current, unrestricted Pharmacist license (any state)
Proficient computer skills including in Microsoft Outlook and Office
Ability to travel 25% on average
 
Preferred Qualifications:


Strong clinical and analytic background

3+ years of managed care or PBM experience

2+ years of client facing or clinical account management experience

PharmD

Experience preparing and giving presentations

Careers with OptumRx. We’re one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life’s best work.(sm)
 
 
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

 
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