Clinical Consultant
Telecommute Central or
Eastern Time Zones Preferred
(862953)
Position Description
The Clinical Consultant will lead and manage ongoing
contract relationships, pharmacy benefit analysis and
consultation delivery to clients and mentor the team and
drive processes to deliver results. Collaborate in
development of strategy as outward-facing, dedicated
resources for assigned accounts, typically with direct client
contact for large / complex accounts. Build client
relationships and serve as primary point of contact for
overall and day-to-day service delivery for clinical pharmacy
needs. Represent client(s) internally and coordinate with
other functions to implement client systems, complete
projects, and address ongoing pharmacy service needs.
The Clinical Consultant will serve as the primary liaison
between OptumRx clinical operations, professional practice,
and clinical products and the consultant’s assigned client
base. The role provides clinical support for OptumRx
account management, operations, information technology,
and other internal departments. This individual is relied
upon to provide proactive clinical recommendations,
information regarding pharmacy trend, programs and
industry changes to clients and to foster consultative
relationships.
To perform this job successfully, an individual must be able
to perform each essential duty satisfactorily. The
requirements listed below are representative of the
knowledge, skill, and / or ability required. Reasonable
accommodations may be made to enable individuals with
disabilities to perform the essential functions.
You’ll enjoy the flexibility to telecommute* from anywhere
within the U.S. as you take on some tough challenges.
Telecommuters based in the Central or Eastern time zones
will be given preference.
Primary Responsibilities:
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 & NCQA measures
Provide 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
provide clinical aspects of client quarterly reviews
Incorporates treatment and practice guidelines into
client presentations, including up-selling opportunities
Effectively manages client objections to new programs
and required changes
Manages / Facilitates custom P&T committees for
select clients
Analyzes and interprets benefit designs
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 in
sales activities, as needed based on criteria
Helps clients be competitive within their market
Identifies opportunities to increase efficiency
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.