Clinical Consultant Pharmacist, Sales and Retention - Columbia, SC

UnitedHealth Group; New York (NY); À distance; USD 92 000 - 164 000; Plein temps

Résumé du poste

UnitedHealth Group's Optum Rx is seeking a Clinical Consultant Pharmacist – Sales and Retention to provide expert pharmacy benefits guidance and managed care acumen for regional clients. You will drive up-sell opportunities, support RFPs, deliver client presentations, and help optimize formulary programs while enhancing member care and cost management.

This role requires a PharmD or B.S. in Pharmacy, an active SC license, 3+ years in pharmacy, PBM experience, and travel up to 25% with onsite

Qualifications

• Bachelor of Science in Pharmacy or PharmD is required.
• 3+ years of experience as a licensed pharmacist.
• 3+ years of clinical account management pharmacist experience.
• Experience working for a PBM or Health Plan in a client-facing role.

Responsabilités

• Identifies opportunities for clinical program up-sell.
• Communicates analytical and reporting needs to supporting departments.
• Supports sales and marketing including UR sales activities.
• Supports RFPs (tier analyses, formulary disruptions, answer questions).
• Supports Implementations (formulary disruptions or clinical program discussions).
• Participates in health fairs and other member events.
• Provides clinical market intelligence to clients.
• Explains formulary and clinical program changes to clients.
• Collaboration with account management for quarterly client reviews.
• Sourcing solutions for custom client requests.

Connaissances

Client-facing

Presentation skills

PBM knowledge

Travel 25% max

Formation

Bachelor of Science in Pharmacy or PharmD

Outils

Microsoft Office Suite

Description du poste

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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

As an Optum Rx Clinical Consultant Pharmacist - Sales and Retention, you'll partner with one of the leading health insurers, dedicated to enhancing the health and well‑being of nearly three million members across the region. You'll join a client‑centric team that bridges clinical excellence with business impact‑driving new program growth, supporting retention efforts, and delivering actionable market intelligence.

You will be a trusted clinical advisor, applying your pharmacy expertise and managed care acumen to help strengthen market position, drive sustainable cost management, and deliver superior care solutions to members.

If you are located in Columbia, SC, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Identifies opportunities for clinical program up-sell
• Clearly communicates analytical and reporting needs to supporting departments. Identifies and creates opportunities to manage trend and add OptumRx products
• Supports sales and marketing including participating UR sales activities, as needed based on criteria
• Supports RFPs (tier analyses, formulary disruptions, answer questions)
• Supports Implementations (presenting on formulary disruptions or discussing clinical programs)
• Participates in health fairs and other member events
• Identifies and creates opportunities to manage trend and add OptumRx products
• Stays aware of and provides clinical market intelligence to clients
• Communicates drug information to clients and responds to plan‑specific clinical inquiries
• Helps clients be competitive within their market
• Experience working within or closely supporting the PBM industry, with knowledge of both independent or regional PBMs and large national PBM organizations related to sales strategy
• Analyzes and interprets benefit designs
• Makes clinically sound recommendations to clients based on trend
• Comprehends and effectively explains formulary and clinical program changes to clients
• Routinely collaborates with account management to provide clinical aspects of client quarterly reviews
• Independently navigate internal resources and relationships to source solutions for custom client requests
• Provides superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
• Provides education for clients, pharmacists, members and physicians per contractual requirements
• Formulates and delivers client recommendations based on available data
• Able to incorporate treatment and practice guidelines into client presentations including up‑selling opportunities
• Effectively manages client objections to new programs and required changes
• Collaborates with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS and NCQA measures
• Facilitates ongoing maintenance of client custom formulary and utilization management updates
• Identifies opportunities to increase efficiency
• Mentors clinical coordinators, as needed

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:

• Bachelor of Science in Pharmacy or PharmD
• Current and unrestricted Pharmacist license in South Carolina
• 3+ years of experience working as a licensed pharmacist
• 3+ years of clinical account management pharmacist experience
• Experience working for a PBM or Health Plan in a client‑facing role with external clients (beyond patients and prescribers)
• Experience developing and delivering formal presentations to clients
• Proficient skills in Microsoft Office, Power Point, Excel, Word, Teams, OneNote, and Outlook
• Ability to travel locally up to 25%
• Ability to work onsite in Columbia, SC

Preferred Qualifications:

• Experience contributing to the Request for Proposal (RFP) process
• Experience participating in Finalist presentations
• Formulary analysis experience
• Experience working with Commercial Self‑Funded, Fully‑Insured, ERISA and Non‑ERISA clients

*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 $91,700 - $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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.