Talent.com
Sr. Pharmacy Account Manager - PST Remote

Sr. Pharmacy Account Manager - PST Remote

California StaffingCarlsbad, CA, US
22 hours ago
Job type
  • Full-time
  • Remote
Job description

Caring. Connecting. Growing Together.

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.

The Sr. Account Manager drives retention and growth through development of account strategies and business relationships with external clients. 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. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

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 readiness 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 PBM experience
  • 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
  • DSNP, Med D, Medicaid with CMS and their relation to the pharmacy benefits
  • Ability to work PST time hours and the occasional HI time hours
  • Preferred Qualifications

  • 3+ years of 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
  • 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). The salary for this role will range from $89,900 to $160,600 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.

    Create a job alert for this search

    Sr Account Manager • Carlsbad, CA, US

    Related jobs
    • Promoted
    Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Oceanside, CA

    Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Oceanside, CA

    LifeStance HealthOceanside, CA, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Licensed Mental Health Therapist (LMFT & LCSW) - Hybrid Role - Encinitas, CA

    Licensed Mental Health Therapist (LMFT & LCSW) - Hybrid Role - Encinitas, CA

    LifeStance HealthEncinitas, CA, US
    Full-time
    We are actively looking to hire talented therapists in the San Diego area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral heal...Show moreLast updated: 9 hours ago
    • Promoted
    Travel Nurse RN - Home Health - $2,682 per week in San Marcos, CA

    Travel Nurse RN - Home Health - $2,682 per week in San Marcos, CA

    TravelNurseSourceSan Marcos, CA, US
    Full-time
    TravelNurseSource is working with Triage Staffing to find a qualified Home Health RN in San Marcos, California, 92069!.Travel Long Term Care : Home Health San Marcos. Shift Details : 8H Days (12 : 00 ...Show moreLast updated: 1 day ago
    • Promoted
    Account Director - Enterprise (California)

    Account Director - Enterprise (California)

    OneStream SoftwareCarlsbad, CA, United States
    Full-time
    Account Director - Enterprise (California).US candidates only)+ Benefits / Variable Comp / Equity - Range may vary based on experience. Vision, Medical, Life, Dental, 401K.An Account Director is respons...Show moreLast updated: 17 days ago
    • Promoted
    Travel Nurse RN - Cardiac Catheterization Lab - $2,039 per week in La Jolla, CA

    Travel Nurse RN - Cardiac Catheterization Lab - $2,039 per week in La Jolla, CA

    TravelNurseSourceLa Jolla, CA, US
    Full-time
    TravelNurseSource is working with Magnet Medical to find a qualified Cath Lab RN in La Jolla, California, 92037!.Purpose of the Position : Responsible for the delivery of direct patient care usi...Show moreLast updated: 1 day ago
    • Promoted
    Psychiatry

    Psychiatry

    CompHealthOceanside, California, US
    Full-time
    Psychiatry physician employment in California : Interested in this assignment? Or maybe you still haven't found what you're looking for? Contact one of our specialty-specific recruiters to get acce...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Licensed Mental Health Therapist (LMFT & LCSW) - Hybrid Role - Escondido, CA

    Licensed Mental Health Therapist (LMFT & LCSW) - Hybrid Role - Escondido, CA

    LifeStance HealthEscondido, CA, US
    Full-time
    We are actively looking to hire talented therapists in the San Diego area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral heal...Show moreLast updated: 9 hours ago
    • Promoted
    Travel Nurse RN - Home Health - $2,400 per week in San Marcos, CA

    Travel Nurse RN - Home Health - $2,400 per week in San Marcos, CA

    TravelNurseSourceSan Marcos, CA, US
    Full-time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Home Health RN in San Marcos, California, 92078!. Client in CA seeking Registered Nurse : Home Health.We are looking for a hea...Show moreLast updated: 1 day ago
    • Promoted
    Director, Safety Physician - Medical Safety (Remote)

    Director, Safety Physician - Medical Safety (Remote)

    Jazz PharmaceuticalsCarlsbad, CA, United States
    Remote
    Full-time
    If you are a current Jazz employee please apply via the Internal Career site.Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to transform the lives of patients and ...Show moreLast updated: 14 days ago
    • Promoted
    Travel Nurse RN - Home Health - $2,496 per week in San Marcos, CA

    Travel Nurse RN - Home Health - $2,496 per week in San Marcos, CA

    TravelNurseSourceSan Marcos, CA, US
    Full-time
    TravelNurseSource is working with Skyline Med Staff to find a qualified Home Health RN in San Marcos, California, 92078!. Join the Best in Travel Nursing! Skyline Med Staff was honored as t...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Home Health - $2,678 to $2,951 per week in San Marcos, CA

    Travel Nurse RN - Home Health - $2,678 to $2,951 per week in San Marcos, CA

    TravelNurseSourceSan Marcos, CA, US
    Full-time
    TravelNurseSource is working with AMN Healthcare to find a qualified Home Health RN in SAN MARCOS, California, 92078!.Job Description & Requirements. Registered Nurse – Home Health - Travel - (HH R...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Home Health - $2,306 to $2,651 per week in San Marcos, CA

    Travel Nurse RN - Home Health - $2,306 to $2,651 per week in San Marcos, CA

    TravelNurseSourceSan Marcos, CA, US
    Full-time
    TravelNurseSource is working with Fusion Medical Staffing to find a qualified Home Health RN in San Marcos, California, 92078!. Facility in San Marcos, California.Fusion Medical Staffing is seeking ...Show moreLast updated: 1 day ago
    • Promoted
    OR Manager / Lead Circulator with Ophthalmology Experience

    OR Manager / Lead Circulator with Ophthalmology Experience

    Ramin Tayami MD IncSan Clemente, CA, US
    Full-time +1
    West Coast Center for Surgeries is a Medicare-certified Ambulatory Surgery Center.We are seeking an energetic OR Manager / Lead Circulator with Ophthalmology experience who is able to assist the Dire...Show moreLast updated: 11 days ago
    • Promoted
    Psychiatry

    Psychiatry

    The Inline GroupVista, California, US
    Full-time +1
    Psychiatry physician employment in California : The Inline Group -.Hours : 20 - 32 hours per week; 11 8 one night p / wk and 9 4 one Saturday per month. Compensation : - $120 to $160 / hr- $10,000 Sign-...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Licensed Mental Health Therapist (LMFT & LCSW) - Hybrid Role - Oceanside, CA

    Licensed Mental Health Therapist (LMFT & LCSW) - Hybrid Role - Oceanside, CA

    LifeStance HealthOceanside, CA, US
    Full-time
    We are actively looking to hire talented therapists in the San Diego area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral heal...Show moreLast updated: 9 hours ago
    • Promoted
    Residency Program Director - Psychiatry - Physician - Mount Sinai South Nassau - Oceanside, NY

    Residency Program Director - Psychiatry - Physician - Mount Sinai South Nassau - Oceanside, NY

    Mount Sinai Health SystemOceanside, US
    Full-time
    Icahn School of Medicine at Mount Sinai (ISMMS) seeks an inaugural Program Director for its Psychiatry residency program located primarily at the Mount Sinai South Nassau (MSSN) in Oceanside, NY!.T...Show moreLast updated: 30+ days ago
    • Promoted
    Licensed Marriage Family Therapist (LMFT) - Hybrid Role - Oceanside, CA

    Licensed Marriage Family Therapist (LMFT) - Hybrid Role - Oceanside, CA

    LifeStance HealthOceanside, CA, US
    Full-time
    We are actively looking to hire talented therapists in the Poway area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healthca...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Licensed Mental Health Therapist (LMFT, LCSW,LPCC) - Oceanside, CA

    Licensed Mental Health Therapist (LMFT, LCSW,LPCC) - Oceanside, CA

    LifeStance HealthOceanside, CA, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 9 hours ago