Job Details
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 diversity and inclusion, 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 to start Caring. Connecting. Growing together.
The Account Manager serves as a contact for the clients staff for management of day to day inquires between OptumRx and the client. You will be responsible for coordinating the activities of multiple internal departments to deliver best-in-class service to our client. You will serve as the lead to coordinate efforts with internal operational areas to ensure we are meeting these requirements. The ability to proactively identify client’s needs and establish proactive plans will be key in this role. Relationship development, both internal and with the client’s key stakeholders, will be necessary to ensure client satisfaction. As a key member of the Account team, you will be responsible for supporting the Director of Account Management and Strategic Account Executive with client retention and growth. This position requires a high-performing individual with proven communication skills and a comprehensive understanding of the PBM environment.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Builds a strong working partnership with the SAE to ensure customer satisfaction and retention
- Understand and execute the client contract according to the terms and conditions, including but not limited to the monitoring and reporting of performance guarantees
- Serve as the primary OptumRx contact for tactical, day to day management of assigned client processes. Represents client internally and coordinates with other functional area to implement client systems, complete projects and address ongoing service needs
- Understand and document all processes required to meet client’s contractual needs and monitor performance. Identify areas for process improvement and lead projects to meet contractual requirements and client’s goals
- Monitor Plan Member issues, track and report issues and resolution metrics and monitor and identify and resolve global issues quickly
- Actively participate in OptumRx’s Compliance and Ethics Program, including attending annual compliance and ethics training and reporting suspected violations of the law or OptumRx’s policies and procedures
- Ensures quick response and follow-up to client inquiries, including returning phone calls and emails within 2 hours and attempted resolution of all issues in less than 24 hours. Follows-up with client within 24 hours after issue resolution
- Assist eligibility and enrollment analyst with eligibility management as needed
- Manage and load administrative overrides in accordance with clients benefit and policy
- Identify, track and report global issues; and assist with root cause analysis and issue resolution process
- Stay abreast of industry trends and developments
- Provide regular feedback to management team regarding client requirement status and business development opportunities
- Participate as mentor to new staff as requested
- Other duties as assigned
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:
- High School Diploma/GED (or higher)
- 2+ years of experience working with clients and contracts
- 2+ years of client management experience with the ability to handle and resolve complex client issues
- 1+ years of experience working within the PBM industry
- 1+ years of experience with pharmacy benefit strategies and pricing practices
- Intermediate level of proficiency with Microsoft Office products including Excel, Word, and Outlook
Preferred Qualifications:
- Medicare Part D Employer Group Waiver Plan experience
- Understanding of pharmacy benefit strategies and pricing practices
- Strong business and financial acumen
- Demonstrates a high degree of client focus and attention to excellent service
- Excellent negotiation skills
Soft Skills:
- Excellent written and oral communication skills
- Strong presentation, project management, project implementation skills
- Ability to solve practical issues and deal with many variables in situations where only limited standardization exists
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only: The salary range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents is $70,200 to $137,800 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
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.
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.
#RPO #Green
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more