Job: Clinical Account Executive Pharmacist - CA or MN

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Jobing Description

OptumRx is a leading pharmacy benefit management company that helps consumers obtain the medications and products they need to live healthier lives. Services offered by the company include pharmacy network contracting, rebate contracting and administration, clinical and MTM services, mail order pharmacy facilities, specialty drugs and retail drug claims processing. The company is one of only three in the United States to have received URAC dual accreditation and provides clinical services to help its clients provide cost effective, quality-driven results. The company is part of Optum, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans.

We're looking for Clinical Account Executive Pharmacist with a background in managed care to join our Irvine, California-based client services team or in our Minnetonka, MN client services team as the Clinical Account Executive Pharmacist, you will assist health plan clients with formulary management and audit support activities, review of utilization data and providing consultative recommendations, and supporting the account management team for all clinical projects and programs. This position will require approximately 25% travel to meet with clients in person across the United States. Experience in working with Medicare Part D plans is strongly preferred. The Clinical Account Executive Pharmacist's assigned health plan clients will comprise Medicare Part D plans in several states. This is an excellent opportunity to enjoy a dynamic M-F daytime schedule and all the perks that accompany working for our Fortune 50 organization.

Key responsibilities of the Clinical Account Executive Pharmacist include:

Serving in a leadership role in managing Part D clients, with an emphasis on identifying unmet clinical needs and developing effective solutions.

Managing complex, ongoing clinical projects to successful outcome.

Working extensively with other internal departments (clinical, claims, network, rebate contracting) to ensure that clients service level standards and clinical needs are met.

Establishing strong and effective working relationships with key clients, including traveling to meet with them in person as appropriate.

Providing a clinical leadership role within the account management team.

Assisting clients with the formulary management and audit process.

Presenting client utilization information and consultative recommendations to clients during quarterly business review meetings.

Designing and interpreting client utilization reports and recommending benefit changes or utilization management strategies to assist clients in maximizing the value of their pharmacy benefit.

Analyzing data and identifying gaps in service, and working with the account team to provide solutions.

Giving presentations to prospective clients.

Assisting sales with responses to requests for proposals (RFP's).

OptumRx is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable health care solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. In the largest and most personal sense, your impact can be greater than even you thought at OptumRx.

Skills / Requirements

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  Undergraduate degree or equivalent experience preferred
  


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  A Doctor of Pharmacy (Pharm.D.) degree or RPH required
  


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  An active and current Pharmacist license in state of residence
  


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  1-2 years of experience in managed care (PBM or HealthPlan)
  


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  1-2 years of experience with Executive Groups in PBM settings preferred
  


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  Employer group or Part D experience preferred
  


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  A history of working successfully with clients w/ a PBM or Healthplan clients
  


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  Experience with pharmacy database reporting and analytics
  


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  Project management experience
  


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  Proficiency in Microsoft Office applications, particularly Excel and Access (pivot tables, v-lookups)
  


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  Excellent verbal and written communication skills
  


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  Ability to work independently
  


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  A proactive, can do approach
  


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  Excellent presentation skills