Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Position Overview:
The Pharmacy Account Manager drives retention and growth through development of account strategies and business relationships with external clients. In this role, the focus will be on delivering best-in-class service to clients, leading, and managing internal and external relationships, as well as developing new business from existing clients. The ability to proactively identify client's needs and establish proactive plans will be key in this role. This role will work with internal partners to support client commitments & contractual deliverables.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Operational Management:
Manages assigned complex external accounts with daily interactions with clients, consultants, brokers, and leaders both internal and externally
Responsible for managing the day-to-day operational functions of multiple clients supporting areas of Implementation /onboarding new customers, escalated member/client concerns, benefit design setup and changes, product/program implementation and other service delivery projects to ensure operational quality and client satisfaction
Collaborates with multiple layers of operational teams in a complex matrix driven organization to ensure quality service delivery for the clients you serve
Provides regular communication to management on client concerns and feedback
Oversees all PBM operational functions pertaining to day-to-day management of the client
Responsible for the PBM operational management of self-funded clients in coordination with assigned account team members
Identifies solutions to non-standard requests and problems and translates concepts into practice
Consistently looks at existing processes, methods, and materials to find and implement opportunities for improvement
Serves as Subject Matter Expert (SME) for other departments on specific issues/inquires
Routinely identifies, develops, and shares best practice experience with peers
Facilitate resolution of all escalated requests by working with internal partners and conducting customer consultations as required
Coordinate activities to support impact reporting, root cause analysis, and full remediation
Ability to read, analyze and interpret SOPs and reporting
Demonstrate a high level of knowledge pertaining to the customer's specific benefit design
Coordinate 1/1 readiness activities; monitors new products and groups, scenario testing, facilitate daily updates/progress reports with client and internal functional partners
Proactively identifies and leads process improvements initiatives
Seeks stretch opportunities to expand knowledge and skillsets
Perform other assignments and responsibilities as required by management
Client Relationship Management:
Represent the client internally to implement plan design, complete projects, and address ongoing service needs
Assesses and interprets client needs and requirements and represents both internally and externally?
Maintains and develops relationships with client leaders, key stakeholders, and brokers/consultants while maintaining focus on organizational strategies and goals
Advanced internal department knowledge of cross-functional partners
Establish and maintain strong relationships with clients to maintain consistency and drive client satisfaction
Collaborate with boarder Account Team and Internal Business partners to maintain client action logs of outstanding items and identify issues/trends to determine corrective action steps; participate in regular discussions to review
Demonstrate a high level of knowledge pertaining to the customer's specific benefit design
Ability to understand, interpret, communicate, and execute on client requirements
Ability to recognize, anticipate and manage downstream impacts to ensure project success/client satisfaction
Seen as a consultative resource focused on best practices and optimal outcomes
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:
3+ years of Pharmacy Benefit Management (PBM) experience with the ability to learn PBM tools to drive operational activities (reporting tools, issue management tools, claims adjudication, etc.)
3+ years of Account Management experience
1+ years of RxClaim experience
Intermediate level of proficiency in Microsoft applications (Word, Excel, SharePoint, Outlook, etc.)
Ability to work a minimum 8-hour shift during regular business hours
Ability to travel up to 10% of the time
Preferred Qualifications:
Client Management experience
ServiceNow experience
Advanced reporting skills
Soft Skills:
Excellent communication, positive attitude, and professionalism in dealing with and having exposure to both internal and external clients
Prioritizing multiple tasks in a fast-paced production environment
Ability to work in self-motivated environment with limited supervision
Critical thinking
Problem solving
Conflict resolution (internal & external)
Project coordination/facilitation
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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 UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
RPO #GREEN
