[Remote] Senior PBM Strategic Account Executive - Remote

Note: The job is a remote job and is open to candidates in USA. Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. They are seeking a Senior PBM Strategic Account Executive who will manage the overall relationship with a health plan client, focusing on client trend management, strategic plan development, and execution. The role involves maintaining client communications, managing contract renewals, and ensuring client-specific requirements are met.

Responsibilities

• Managing assigned accounts with a focus on client trend management, strategic plan development and execution, cultivating multi-level client relationships and management staff
• Managing client contract renewal activities with the primary goals of retaining client, obtaining multiple-year agreements and maintaining or improving profitability
• Maintaining consistent and regular client communications. Preparing and presenting regular client performance reviews, including identification of cost drivers, recommendations for cost savings opportunities, utilization and cost reports
• Prioritizes and conducts regular onsite or telephonic client meetings as appropriate to proactively review client benefits, drug utilization and trend management strategies
• Ensure that all client specific requirements are met, including but not limited to:
• Maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co-pay structures and that information is accessible to Customer Service Pharmacy Technicians
• Documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate
• Following all audit requirements. Reviews Benefit Design Summary documents at least annually with clients and receives appropriate client signature approval
• Maintaining a complete understanding of client contract terms including but not limited to the monitoring and reporting of performance guarantees. Ensuring that all assigned contracts are monitored and reported as stated in the terms
• Cultivating in-group growth through these relationships
• Staying abreast of industry trends and developments and demonstrating solid communication skills in presenting these to clients and staff
• Demonstrating expertise in pharmacy benefit strategies and clinical programs
• Supervising and assisting in the development of client specific implementation plans and managing overall client implementations
• Providing leadership to client services team members in departmental and corporate initiatives
• Providing regular feedback to management team regarding client requirements and business development opportunities
• Participating in sales preparation meetings and finalist sales presentations as necessary
• Ensuring quick response and follow-up to client inquiries per contract requirements, e.g. returning phone calls and emails within 2 hours and attempted resolution of all issues in less than 48 hours
• Follows-up with client within 24 hours after issue resolution
• Regularly attending and actively participating in company meetings as requested
• Participating as preceptor/mentor to new staff as requested. Assisting in the development of ongoing training topics and materials for staff
• Following all policies and procedures relating to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Client Services, as appropriate
• Performing other duties as assigned to meet corporate objectives
• Providing support to other departments as requested

Skills

• 4+ years of strategic PBM client account and contract management
• 2+ years of experience in the Health Plan Commercial Market
• Understanding of pharmacy benefit strategies and pricing practices
• Advanced proficiency in delivering presentations to various audiences, including executive leadership
• Proficient with MS suite - Word, Excel, PowerPoint
• Proven ability to handle complex client issues
• Proven solid PBM business and financial acumen
• Proven excellent negotiation skills
• Demonstrates a high degree of client focus and attention to service
• Ability to travel up to 10% of the time
• Project Management Experience/Certification
• 3+ years of experience with upsell programs to clients
• 2+ years of PBM operations experience
• Familiarity with RxClaim; Tracker and Navigator
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Company Overview