UnitedHealth Group

PBM Clinical Implementation Consultant Pharmacist - Remote

UnitedHealth Group$91K — $163K *
US-AnywhereRemote in Los Angeles, CA
Healthcare
Less than 5 years of experience
Job Overview by Ladders

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
  • 2+ years of providing formal client presentations
  • Proficiency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
  • Willing and able to travel up to 25%
  • Willing to work occasionally outside of business hours as client needs dictate

Responsibilities

  • Collaborate with the implementations team to onboard new HealthTrust clients as the primary clinical contact
  • Provide clinical consultation and account management for HealthTrust's Clinical Advantage Service Model
  • Manage a small portfolio of clients (5-6), identifying up-sell opportunities and participating in pharmacy review meetings
  • Assist with updates to HealthTrust's custom clinical offerings and provide support for custom exclusion lists
  • Work on marketing materials and reports for custom programs, and train the HealthTrust clinical team
  • Lead biannual updates of HealthTrust's custom formularies, including disruption reports and notifications
  • Support sales and marketing initiatives by participating in RFP and strategic activities
  • Continuously identify opportunities to improve existing processes and materials

Benefits

  • Comprehensive benefits package including health, dental, and vision
  • Incentive and recognition programs
  • Equity stock purchase options
  • 401k contributions
  • Opportunity for flexible remote work from anywhere in the U.S.
Full Job Description
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.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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