Account Consultant Pharmacist - Remote

UnitedHealth Group • Dublin, OH • 2h ago

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 Account Consultant Pharmacist is responsible for evaluating clinical and financial drug data to support formulary management for client. This role involves reviewing clinical studies, drug utilization trends, and cost analyses to develop custom drug criteria and make strategic recommendations for formulary placement. Position ensures timely and accurate delivery of formulary updates and required reports and actively participates in Pharmacy & Therapeutics (P&T) meetings.

Positions in this function manage and support ongoing relationship with client. Build client relationship and serve as outward-facing primary point of contact for overall and day-to-day service delivery (e.g., formulary management, clinical inquiries, program implementation/review) for pharmacy needs for large/complex state Medicaid program. Manage utilization and ensure program fits the population served.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

Analyze clinical data, comparative drug reports, cost metrics, and utilization trends to develop evidence-based drug criteria

Recommend drug placement strategies for client formulary based on clinical and financial evaluations

Prepare and deliver error-free quarterly drug formulary reflecting approved changes from P&T meetings

Attend and actively contribute to in-person quarterly P&T meetings

Generate and submit accurate monthly, quarterly, and annual reports as contractually required

Present findings and updates to clients confidently; serve as a backup for the account manager when needed

Review weekly MediSpan drug files to assess coverage status of newly released medications

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:

PharmD

Current and active Pharmacist license without restrictions

2+ years of experience with and knowledge in the clinical therapeutic groupings of drugs using various data elements through drug information databases (First DataBank or MediSpan)

Experience in formulary management, clinical data analysis, and/or managed care pharmacy

Experience working collaboratively in cross-functional teams and client-facing environments

MBA, MHA or MPA, or other advanced business degree or comparable work experience

Working knowledge of CMS rules, regulations, and guidance regarding Medicaid

Proficiency with reporting tools (Excel)

Proven solid analytical, communication, and presentation skills

Preferred Qualifications:

Experience in a role that requires accuracy & quality assurance in data delivery

Medicaid Drug Rebate Program knowledge (MDRP)

*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 $110,200 to $188,800 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.

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