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SalaryOptum 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 Senior Account Manager, OptumRx will join forces with the Client Management team to deliver exceptional service, drive value, client retention and growth. Senior Account Managers work closely with Strategic Account Executives on prospective clients and RFP responses, answer client inquiries and identify new business opportunities among existing customers. Senior Account Managers also represent clients internally as their advocate and coordinates with other functional areas within the company to implement client benefits, complete projects and address service needs. This individual will liaise with cross-functional internal teams to improve the entire customer experience. This is a vital role in keeping clients satisfied and engaged.
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
- Own the day-to-day service experience of customers by working with Clinical Consultants and other functional partners as required to ensure issues are resolved promptly and accurately meeting the customer's expectations
- Proactively identify issues and trends, and analyze root causes to determine corrective action steps as necessary
- Share responsibility in creating, maintaining and delivering standard operating procedures with internal departments specific to assigned client and departmental processes
- Share responsibility in creating, maintaining and delivering standard and custom reports to the client
- Develop and maintain strong relationship with internal partners to manage customer service experience to Coordinate and provide final resolution response on escalated issues and service concerns related to customers
- Coordinate/leads new product/new group implementation activities, open enrollment activities and training of all Optum Rx client-facing systems and tools
- Lead 1/1 readiness activities; lead daily 1/1 updates/progress reports with client and internal functional partners
Med D: understands CMS compliance requirements & relationship to STAR ratings, delivers guidance memos to client; leads activities related to Corrective Action Plans (CAPs); offers consultative advice to clients - Able to initiate project plans and successfully manage projects to full execution
- Serves as a mentor to Account Manager and CSM roles
- Perform other assignments and responsibilities as required by management
- Client Relationship Management
- Establish and maintain strong and appropriate relationships with customers to maintain consistency and drive client satisfaction
- Maintain client action logs and facilitate regular cadence of discussions to review
- Leads resolution of all escalated requests by conducting customer consultations as required
- 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
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:
- 2+ years of external client-facing Healthcare Account Management (PBM/Health Plan preferred)
- Med D; Understanding of CMS role and requirements and their relation to the pharmacy benefit
- PBM or pharmacy experience
- Experience delivering client-focused solutions to customer needs
- Proficient in Microsoft applications (Word, Excel, PowerPoint)
- Proven ability to learn PBM tools to drive operational activities (reporting tools, issue management tools, claims adjudication, etc.); able to teach tools to others
- Willing or ability to travel up to 15% up of the time
Preferred Qualifications:
- Project Management experience
- Experience reading and understanding contract terms
- Experience communicating and presenting information professionally and effectively
- Experience juggling multiple client projects at a time
- Experience using ServiceNow, RXClaim, RxTrack, etc...
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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 employers 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
