Pharmacy Account Manager – National Remote

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 Pharmacy Account Manager is responsible for driving client satisfaction by managing ongoing contract relationships and service delivery to client accounts. This role acts as an outward-facing, dedicated resource for assigned accounts, typically with direct client contact for large/complex accounts. The Account Manager builds client relationships and serves as the primary point of contact for overall & day-to-day service delivery by working closely with the internal partners. This role represents clients internally and coordinates with other functions to capture and support client requirements, complete projects, and address ongoing service needs. This role supports designated account team leaders in ongoing account upsell activity and renewals.  

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 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 
  • Participates in team, segment, or organizational projects/workgroups
  • Facilitate resolution of all escalated requests by working with the 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; monitor new products and groups, scenario testing, facilitate daily updates/progress reports with client and internal functional partners
  • Seeks stretch opportunities to expand knowledge and skillsets 

• 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
• Strong internal department knowledge of cross-functional partners
• Establish and maintain strong and appropriate relationships with clients to maintain consistency and drive client satisfaction
• Demonstrate a high level of knowledge pertaining to the customer’s specific benefit design 

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.

 

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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

 

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.

 

 

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