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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Sr. 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 conduct customer consultations, lead applicable negotiations and work with internal partners to support client commitments & contractual deliverables.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Operational Management:
Manages assigned larger/more 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 in the 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
Assists in client training for remote system access and reporting
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
Leads team, segment, or organizational projects/workgroups
Provides administrative/management/leadership back-up support to Director as necessary
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
Mentors and trains new and existing Account Managers when requested
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 familiarity with assigned client contract terms as they pertain to service level performance
Maintains and develops relationships with client leaders, key stakeholders, and brokers/consultants while maintaining focus on Optum 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:
4+ years of Pharmacy, OR Pharmacy Benefit Management (PBM) experience
4+ years of Account Management experience
Rx Claim experience
Proficient in Microsoft applications (Word, Excel, SharePoint, Outlook, etc.)
Willing and able to learn PBM tools to drive operational activities (reporting tools, issue management tools, claims adjudication, etc.)
Demonstrated communication, positive attitude, and professionalism in dealing with and having exposure to both internal and external clients
Proven ability to Prioritize multiple tasks in a fast-paced production environment
Demonstrated ability to work in self-motivated environment with limited supervision
Ability to work a minimum 8-hour shift during regular business hours
Ability to Travel 15%
Preferred Qualifications:
Certified Pharmacy Technician
SalesForce or ServiceNow experience
Advanced reporting skills
*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 $89,900 to $160,600 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.
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.
