Specialty Pharmacy Account Executive - Telecommute

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Specialty Pharmacy Account Executive role is the specialty pharmacy account management operational subject matter expert for designated clients and internal OptumRx teams. This position is designed to provide support for new and existing specialty clients, strengthening the client relationship, improving client retention, contractual adherence, overall operational capture rate and profitability. Additionally, this role is responsible for various client and operational reporting and projects.

You ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

The Specialty Pharmacy Account Executive is the client facing operational point of contact that manages a book of designated clients, from implementation through the life cycle of the client, ensuring all specialty contractual operational and reporting requirements are met.

• Acts as Subject Matter Expert SME for specialty operational services and processes to internal teams and clients
• Develops relationship with clients and cross functional teams
• Provides specialty pharmacy operational support during client implementation through the life cycle of the client
• Perform client contract reviews to identify specialty operational requirements and performance guarantees; ensure and facilitate compliance to regulatory requirements and contractual requirements
• Maintains client information in databases, audits client information to ensure accuracy
• Manages operational and client reporting for specialty programs and products CMP, Therapy Solutions, Optum Connections, QBRs, etc.
• Acts as Client facing specialty pharmacy consultant for monthly, quarterly, annual and adhoc client meetings
• Assists with complex and escalated issue resolution for designated clients, including working with payer on claim rejects due to adjudication issues, network issues, etc.
• Manages Client Service Remediation Plans, ensuring that actions are completed and reported to account team and client
• Presents specialty enhancements and opportunities to internal teams and assigned clients
• Collaborates with marketing to create specific collateral needs
• Monitors claims processing to ensure profitability and script capture goals are achieved
• Attends internal meetings, trainings and provides mentoring / coaching to team members
• Coordinates with cross functional operational teams and provides support on special projects as needed
• Travel for meetings, conferences and outside client support may be required

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:

• Associate Degree or 2 year technical certificate
• 3+ years PBM Account Management experience
• 3+ years of client facing experience
• Proficient with Microsoft Suite
• Ability to travel up to 25% of the time
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• Bachelors Degree
• Experience facilitating meetings with various audiences
• Experience in relationship development and problem solving
• Experience managing and completing complex projects
• Experience with PBM claims and adjudication processing
• Experience working with PBM client contracts
• Experience with new and existing client implementations
• Experience with Tableau
• Experience with Service now
• Solid knowledge and understanding of specialty pharmacy operations
• Solid knowledge of specialty pharmacy products and programs
• Highly proficient using MS Power Point

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you ll fill far more than prescriptions. As a member of one of our pharmacy teams, you re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

All Telecommuters will be required to adhere to UnitedHealth Group s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.