Senior Clinical Consultant

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 inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The Senior Clinical Consultant serves as the primary liaison between Optum Rx clinical operations, professional practice, and clinical products and the Clinical Consultant's assigned client base. The role provides clinical support for Optum Rx account management, operations, information technology, and other internal departments. The Senior Clinical Consultant establishes client relationships and serves as primary point of contact for overall and day-to-day service delivery for clinical pharmacy needs.

This individual is relied upon to provide proactive clinical recommendations, information regarding pharmacy trend, clinical programs and products, and industry changes to clients, thereby fostering consultative relationships with large, complex and/or strategic clients. This individual also represents client(s) internally and coordinates with other functional areas to implement client initiatives, complete projects, and address ongoing pharmacy service needs. The Senior Clinical Consultant is expected to maintain strategic relationships with client leaders, key stakeholders, and brokers/consultants.

In addition, the Senior Clinical Consultant supports the clinical pharmacy team with formulary development, clinical program development and clinical pharmacy functions as the need arises. The Senior Clinical Consultant serves as a subject matter expert (SME) for other departments on Clinical Consulting-specific issues and provides mentorship to less experienced Clinical Consultants.

You’ll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

• Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
• Collaborate 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 where applicable
• Communicate drug information to clients and respond to plan-specific clinical inquiries
• Stay aware of and provide clinical market intelligence to clients
• Identify opportunities for clinical program up-sell and spearhead up-sell to assigned client(s)
• Incorporate treatment and practice guidelines into client presentations including up-selling opportunities
• Comprehend and effectively explain formulary and clinical program changes to clients
• Effectively manage client objections to new programs and required changes
• Identify and create opportunities to manage trend and add Optum Rx products
• Formulate client recommendations based on available data and trend
• Deliver clinically sound and fiscally responsible recommendations to clients based on their trend
• Routinely collaborate with account management to provide clinical aspects of client quarterly reviews
• Analyze & interpret benefit designs
• Demonstrate critical thinking by analyzing relevant…