Requisition number: 2360231
Job category: Sales Support
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. 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.
Primary Responsibilities:
Operational Management:
Facilitate/leads all operational ongoing maintenance (benefit updates, file updates, etc.) & ensure it is successfully executed on
Lead 1/1 readiness activities; lead daily 1/1 updates/progress reports with client and internal functional partners
Facilitate training of all OptumRx client-facing systems & tools
Able to initiate end-to-end operational readiness project plans, including identifying task duration, sequence, team resourcing, and dependencies of tasks while successfully managing projects to full execution
Own the day-to-day service experience of customers by working with the Operations Team and other functional partners as required to ensure issues are resolved promptly and accurately meeting the customer's expectations
Leads resolution of all escalated requests by working with the Operations Service Team, and conducting customer consultations as required
Develop and maintain solid relationship with internal partners in Operations Service Team to manage customer service experience
Coordinate activities to support impact reporting, root cause analysis, and full remediation
Ability to develop, negotiate, analyze, interpret, and implement SOPs and reporting
Med D/Medicaid; understands CMS compliance requirements & relationship to STAR ratings, delivers guidance memos to client; leads activities related to Corrective Action Plans (CAPs); provide consultative support to our clients
Proactively identifies and leads Process Improvements based on client feedback and/or internal breakdowns/hurdles
Able to initiate end-to-end operational project plans and successfully manage projects to full execution
Recognizes cost avoidance opportunities and offers solutions
Serves as a mentor to Account Manager and CSM roles
Seeks stretch opportunities to expand knowledge and skillsets
Client Relationship Management:
Establish and maintain solid and appropriate relationships with customers to maintain consistency and drive client satisfaction
Maintain client action logs and facilitate regular cadence of discussions to review
Conduct meetings with customers to identify issues / trends and analyze root causes to determine corrective action steps as necessary
Demonstrate a high level of knowledge pertaining to the customer's specific benefit design
Ability to develop, negotiate, interpret/translate, communicate, and execute client requirements
Ability to recognize, anticipate and manage downstream impacts to ensure project success/client satisfaction
Demonstrates a high level of industry knowledge; seen as a consultative resource focused on best practices and optimal outcomes
Competencies:
Behavioral:
Critical thinking
Problem solving
Conflict resolution (internal & external)
Solid written and verbal communication skills
Project Management
Technical:
Proficient in Microsoft applications
Has experience with using PBM tools to drive operational activities (reporting tools, issue management tools, claims adjudication, etc.); able to teach tools to others
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:
5+ years of external client-facing Healthcare Account Management or client implementation project management
3+ years of Project Management experience (PBM/Health Plan preferred)
3+ years of experience in tracking, planning projects, working with large data sets and making data-driven analytical decisions
Medicare has experience with CMS and their relation to the pharmacy benefit
Ability to support PST time zone hours
Driver's License and access to a reliable transportation
Preferred Qualifications:
3+ years PBM project management experience
Experience and understanding of PBM Client impact reporting, root cause analysis and full remediation
Solid experience development large project timelines, driving cross functional project teams, to meet project deadline
Experience with 1.1 PBM client readiness
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 $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
