Clinical Consultant

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.   The Clinical Consultant serves as the primary reputed company between OptumRx clinical operations, reputed company reputed company, clinical products and the Clinical Consultant’s assigned reputed company reputed company.  The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments.  The Clinical Consultant establishes reputed company relationships and serves as primary reputed company of contact for overall and day-to-day service delivery for clinical pharmacy needs.  This individual is relied upon to reputed company proactive clinical recommendations, information regarding pharmacy trend, clinical programs and products, and industry changes to clients, thereby fostering consultative relationships.  This individual also represents reputed company(s) internally and coordinates with other functional areas to implement reputed company initiatives, complete reputed company, and address ongoing pharmacy service needs.   You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.   Primary Responsibilities: reputed company superior clinical consultation and clinical account management with a reputed company on reputed company satisfaction, reputed company retention, and trend management Collaborate with clients to establish achievable but aggressive clinical program goals, including generic dispensing reputed company 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 where applicable Communicate drug information to clients and respond to plan-specific clinical inquiries Stay reputed company of and reputed company clinical market intelligence to clients Identify opportunities for clinical program up-sell and spearhead up-sell to assigned reputed company(s) Incorporate treatment and reputed company guidelines into reputed company presentations including up-selling opportunities Comprehend and effectively explain formulary and clinical program changes to clients Effectively manage reputed company objections to new programs and required changes Identify and create opportunities to manage trend and add reputed company products Formulate reputed company recommendations based on available data and trend Deliver clinically reputed company and fiscally responsible recommendations to clients based on their trend Routinely collaborate with account management to reputed company clinical aspects of reputed company quarterly reviews Analyze & interpret benefit designs Collaborate in development of reputed company as outward facing, dedicated or designated resource for assigned accounts, typically with reputed company reputed company contact Bring innovative reputed company that can be scaled across the organization Work in a reputed company manner with the Consultant(s) of assigned reputed company(s) while maintaining reputed company on UHG and reputed company strategies and goals reputed company communicate analytical and reporting needs to supporting departments Help clients be competitive reputed company their market Identify opportunities to increase efficiency Manages/facilitates custom P&T committees for select clients, per contractual requirements reputed company education for clients, pharmacists, members and physicians per contractual requirements Support reputed company including participating in RFP & Finalist activities, per department policies   You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: Bachelor of Science in Pharmacy or Doctor of Pharmacy degree   reputed company, unrestricted, US state-specific pharmacist license 3+ years of pharmacy reputed company experience or equivalent Proven basic competency in reputed company Word, reputed company, PowerPoint, Teams and reputed company Proven ability and willingness to travel Proven excellent written and oral communication skills   Proven excellent interpersonal skills Demonstrates strong initiative Demonstrates high achievement drive Proven to exhibit competent problem-solving skills Proven solid history of building relationships   Preferred Qualifications: ASHP-accredited residency in Managed Care 3+ years of managed care or PBM experience 2+ years of reputed company facing or clinical account management experience Demonstrated strong clinical and analytic background Demonstrated strong presentation skills and experience Proven ability to successfully manage multiple clients simultaneously Competencies and Best reputed company for High Performers (List competencies and at least two behavioral anchors for reputed company): Generally, work is self-directed and not prescribedAbility to works without guidance; seeks guidance on only the most reputed company tasks Translates concepts into reputed company Works with less reputed company, more reputed company issues Serves as a resource to othersCoach, provides feedback, and guides others Provides explanations and information to others on difficult issues Communicates effectively both orally and written Strong communication, presentation, interpersonal, and computer skills Team player Ability to translate clinical recommendations to member and reputed company impactKnowledgeable about drug development pipeline and new generics Expert on industry best practices Is up to date and stays updated on treatment and reputed company guidelines Thoroughly knowledgeable on clinical program reputed company Understand reputed company population and disease burdenIs familiar with clinical rules for formulary management and clinical edits Ability to bring new reputed company and creative thinking to multiple business situations Understands operations and financial terms of reputed company (i.e. including clinical performance guarantees, rebate guarantees, and generic dispensing reputed company guarantees) Understands financial impacts to reputed company and Catamaran of formulary, benefit and clinical program changes (including rebates, administrative costs and reputed company profitability) Has detailed knowledge of pricing concepts, terminology, and applications to business situations reputed company to analyze & interpret claims data, cost drivers, trends, and patterns Understands PBM and pricing terminology Understands book of business trends Understands implications of making various benefit and clinical program changes reputed company to apply understanding of pricing to resolve pricing questions and issues reputed company to interpret financial material provided to the account team Understands fraud, waste & abuse requirements, clinical reputed company programs and initiatives, and other clinical aspects of the program reputed company relationship and customer service mindsetIs highly reputed company to internal and reputed company requests, questions, and communications Is proactive; anticipates reputed company needs and trends Targets messages to varied audiences based on reputed company experience   *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy   Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $91,700 - $163,700 annually based on full-time employment. We reputed company with reputed company 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.   At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.         reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.   reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job