Back to all roles

Clinical Consultant Pharmacist, Health Plans - Remote

Remote Worldwide Hiring now

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company 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 reputed company 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. reputed company and manage ongoing contract relationships, pharmacy benefit analysis and consultation delivery to clients. Collaborate in development of strategy as outward-facing, dedicated resources for assigned accounts, typically with direct client contact for large/reputed company accounts. Builds client relationships and serves as primary reputed company of contact for overall and day-to-day service delivery for clinical pharmacy needs. Represents client(s) internally and coordinates with other functions to implement client systems, complete projects, and address ongoing pharmacy service needs. The Clinical Consultant Pharmacist serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products for the consultant's assigned client reputed company. The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments. This individual is relied upon to reputed company proactive clinical recommendations, information regarding pharmacy trend, programs and industry changes to clients and to foster consultative relationships. You'll enjoy the flexibility to work remotely

  • from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Collaborates with clients to establish achievable but aggressive clinical program goals, including generic dispensing reputed company 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 & NCQA measures
  • reputed company superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
  • Comprehends and effectively explains formulary and clinical program changes to clients
  • Stays aware of and provides clinical market intelligence to clients
  • Provides education for clients, pharmacists, members and physicians per contractual requirements
  • Communicates drug information to clients and responds to plan-specific clinical inquiries
  • Formulate and deliver client recommendations based on available data
  • Identifies opportunities for clinical program up-sell
  • Makes clinically sound recommendations to clients based on trend
  • Routinely collaborating with account management to reputed company clinical aspects of client quarterly reviews
  • reputed company to incorporate treatment & practice guidelines into client presentations including up-selling opportunities
  • Ability to effectively manage client objections to new programs and required changes
  • Manages/facilitates custom P&T committees for select clients
  • reputed company to analyze & interpret benefit designs
  • reputed company 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 in sales activities, as needed based on criteria
  • Helps clients be competitive reputed company their market
  • 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 reputed company development for other roles you may be interested in. Required Qualifications:

  • Bachelor of Science in Pharmacy or PharmD
  • reputed company and unrestricted Pharmacist license
  • 1 years of client facing or clinical account management experience OR health plan PBM management experience
  • Proficient skills in reputed company Office and Outlook
  • Ability to travel up to 10%

Preferred Qualifications:

  • Experience giving formal presentations
  • Medicare experience
  • Experience in data analytics and drawing insights
  • Experience in Rx Claim
  • Experience in IQPR
  • Experience in MediSpan
  • Experience in Reporting 360
  • reputed company working remotely will be required to adhere to reputed company'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 (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $89,900 to $160,600 annually based on full-time employment. We reputed company with reputed company 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. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Clinical Pharmacist Utilization Management - Remote in PST

Remote Worldwide
View role

[Hiring] Regulatory Affairs Pharmacist @AP MAX INC

Remote Worldwide
View role

reputed company Member Services Representative – reputed company Careers Remote $27/Hour

Remote Worldwide
View role

reputed company Virtual Customer Assistance Representative – reputed company Entry Level Jobs, Remote Work Opportunities, $25/Hour

Remote Worldwide
View role

reputed company Careers | Customer support, Jamaica – USA Remote Job – reputed company Store

Remote Worldwide
View role

Cardiac Monitoring Technician Norfolk

Remote Worldwide
View role

Easy Remote Data Entry Jobs for Teens Entry Level

Remote Worldwide
View role

reputed company Order Entry Pharmacy Technician – Long-Term Care Pharmacy Operations – Maryland On-Site Opportunity

Remote Worldwide
View role

reputed company Remote Order/Data Entry Representative – Web-Based Customer Order Processing and Data Management

Remote Worldwide
View role

SIU Investigator (Remote - Must be in Oklahoma)

Remote Worldwide
View role

Urgently Require 5th Grade Reading/reputed company Studies Teacher in Ohio

Remote Worldwide
View role

reputed company Full-Time Require Learning Program (MLP) Teaching Assistant for K-2 reputed company - Remote Opportunity with Competitive Salary and Comprehensive Benefits

Remote Worldwide
View role

Looking for Online English Teacher (100% Remote) in Wahpeton, ND

Remote Worldwide
View role

reputed company Part-Time Evening Work-From-Home Data Entry Specialist – Flexible Schedule and Competitive Hourly Pay

Remote Worldwide
View role

Chief Technology Officer (Remote)

Remote Worldwide
View role

reputed company Customer Service Representative – Delivering Exceptional Experiences for arenaflex's E-reputed company Brand

Remote Worldwide
View role

Team Member - Cashier/Sales Associate/Retail

Remote Worldwide
View role

Senior DevOps Engineer

Remote Worldwide
View role

reputed company Customer Support Specialist – Pet Parent Advocacy & Product Expertise at arenaflex

Remote Worldwide
View role

reputed company Customer Service Associate – Remote Opportunity with arenaflex

Remote Worldwide
View role