Clinical Consultant Pharmacist, Health Plans
$91.7k - $163.7kStryker Orthopaedics
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 to start Caring. Connecting. Growing together. Primary Responsibilities 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 Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management Comprehend and effectively explain formulary and clinical program changes to clients Stay aware of and provide clinical market intelligence to clients Provide education for clients, pharmacists, members and physicians per contractual requirements Communicate drug information to clients and respond to plan-specific clinical inquiries Formulate and deliver client recommendations based on available data Identify opportunities for clinical program up‑sell Make clinically sound recommendations to clients based on trend Collaborate with account management to provide clinical aspects of client quarterly reviews Incorporate treatment & practice guidelines into client presentations including up‑selling opportunities Effectively manage client objections to new programs and required changes Manage/facilitate custom P&T committees for select clients Analyze & interpret benefit designs Communicate analytical and reporting needs to supporting departments Identify and create opportunities to manage trend and add OptumRx products Support sales and marketing including participating in sales activities, as needed based on criteria Help clients be competitive within their market Identify opportunities to increase efficiency Provide mentorship to clinical coordinators, as needed Required Qualifications Bachelor of Science in Pharmacy or PharmD Active, unrestricted US state‑specific pharmacist license 1+ years of client‑facing or clinical account management experience 1+ years of Health Plan experience Proficient skills in Microsoft Office and Outlook Ability to travel up to 10% Preferred Qualifications Medicare experience Experience giving formal presentations Experience in data analytics and drawing insights Experience in Rx Claim Experience in IQPR Experience in MediSpan Experience in Reporting 360 All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $91,700 to $163,700 annually based on full‑time employment. We comply with all minimum wage laws as applicable. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Stryker Corporation
$91.7k - $163.7k
...Clinical Consultant Pharmacist Optum is a global organization that delivers care, aided by technology... ...with our team will directly improve health outcomes by connecting people with the... ...information to clients and responds to plan-specific clinical inquiries...Health InsuranceMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal areaRemote work$91.7k - $163.7k
Optum is seeking a Clinical Consultant Pharmacist to lead client relationships and provide clinical support. The role involves collaboration on strategic clinical programs, enhancing client satisfaction, and addressing pharmacy service needs. Candidates must hold a Bachelor...Health InsuranceRemote job$91.7k - $163.7k
Texas Health Institute is seeking a Pharmacist with clinical account management experience in Eden Prairie, Minnesota. This role focuses on client collaboration... ...clinical program goals while providing excellent consultation and support. A Bachelor of Science in Pharmacy or...Health InsuranceRemote job$91.7k - $163.7k
Stryker Corporation is seeking a Clinical Account Manager to drive improvements in client... ...adherence and compliance with health plans. Candidates must possess a Bachelor of... ...Pharmacy or PharmD, along with a valid pharmacist license. With responsibilities including...Health InsuranceRemote job$91.7k - $163.7k
Phipps Pharmacy seeks a Clinical Account Manager to collaborate with clients in establishing clinical program goals and provide superior consultation. The ideal candidate will hold a PharmD and an unrestricted pharmacist license and possess at least one year of experience...Health InsuranceRemote jobWork at office$91.7k - $163.7k
...Clinical Consultant Optum is a global organization that delivers care, aided... ...team will directly improve health outcomes by connecting... ...information to clients and respond to plan-specific clinical inquiries... ...education for clients, pharmacists, members and physicians per...Remote jobMinimum wageFull timeWork experience placementLocal area- Stryker Corporation seeks a Clinical Consultant to manage client relationships and provide clinical support. This role focuses on pharmacy trends... ...the ability to travel are essential, as well as a dedication to improving health outcomes. #J-18808-Ljbffr Stryker CorporationRemote job
- Optum in Eden Prairie, Minnesota is looking for a Clinical Consultant to serve as the primary liaison for clinical operations and client relationships. The ideal candidate will have extensive pharmacy practice experience and a strong ability to manage client needs. This...Remote job
- Phipps Pharmacy is seeking a Clinical Consultant to act as the primary liaison between clinical operations and client services. This role... ...candidate will hold a Doctor of Pharmacy degree, possess an active pharmacist license, and have at least three years of relevant...Remote job
- Wisconsin Psychiatric Association Inc. is looking for a Clinical Consultant based in Eden Prairie, Minnesota. This role involves providing clinical... ...collaborate with various internal departments to enhance health outcomes and client initiatives. Qualifications include a...Remote job
- ...of State and Territorial Epidemiologists is looking for a Clinical Consultant in Eden Prairie, Minnesota. This role serves as the primary... ...Candidates should have a Bachelor of Science in Pharmacy, an active pharmacist license, and at least 3 years of pharmacy practice...Remote job
- The Texas Health Institute is seeking a Clinical Consultant to serve as the primary liaison between OptumRx clinical operations and clients. You will provide clinical support and establish relationships while delivering recommendations and insights based on pharmacy trends...Remote job
$91.7k - $163.7k
Sarasota Memorial Hospital is seeking a clinical account manager to support client initiatives... ...clinical program goals and providing consultation to our clients. A Bachelor of Science in Pharmacy or PharmD and an active pharmacist license are required. Candidates should...Health Insurance$91.7k - $163.7k
Crains Cleveland is seeking a Clinical Account Manager to join their team in Eden Prairie, MN. You will work closely with clients to improve health outcomes, manage clinical goals, and provide top-tier consultation. This role requires a Bachelor's in Pharmacy or PharmD...Health Insurance$144.5k - $258.3k
...detailed and specialized clinical content to support... ...other Wolters Kluwer Health Products, and apply advanced... ...external expert consultant relationships to facilitate... ...Certified Specialty Pharmacist (CSP) credential a... ...Medical, Dental, & Vision Plans, 401(k), FSA/HSA,...Work at office$120k - $200k
...Pharmacy Clinical Pharmacist– Clinical Program Support This is a Hybrid position. Candidates based... ...clinical affordability and total health outcomes. Develop and maintain drug... ...experience working in a managed care, health plan, Pharmacy Benefit Management (PBM)...Health InsuranceWork at officeLocal areaWork from home3 days per week$37.26 - $55.42 per hour
...Details Working Title: Cardiovascular Health Clinical Systems Specialist Job Class: State... ...implementation of Minnesota’s Action Plan to Address Cardiovascular Disease, Stroke... .... Demonstrated facilitation, consultation, and technical assistance skills, including...Health InsuranceHourly payFull timeTemporary workPart timeH1bLive inWork at officeLocal areaRemote workRelocationMonday to FridayShift workDay shift- ...Fairview is seeking a Clinical Oncology Pharmacist to support hematology, oncology... ...expert and consultative resource to physicians, nurses... ...pharmacy information systems and health IT tools to support daily... ...& Safe Time Retirement plans with employer contribution...Health InsuranceFull timeTemporary workRelocation packageShift workWeekend workAfternoon shift
- ...one of the largest pediatric health systems in the United States... ..., nine primary care clinics, multiple specialty clinics... ...Minnesota is staffed by registered pharmacists and certified pharmacy technicians... ...medication education, consultation and specialized drug information...Full timePart timeLocal areaShift workNight shiftRotating shiftWeekend workDay shiftAfternoon shift
$50 - $72 per hour
...development, 401(k), dental insurance, health insurance, paid time off, profit sharing... ...insurance, wellness resources. Clinical Pharmacist Coordinate and help manage clinical... ...formulate recommendations and treatment plans. Individualize patient care by evaluating...Health InsuranceHourly payWork at officeRemote workFlexible hoursWeekend workAfternoon shift$62.7k - $94.08k
A nonprofit health plan is looking for a Pharmacy Analytics Analyst to evaluate pharmacy data and identify trends. The analyst will utilize data analysis tools, develop comprehensive reports, and ensure accurate pharmacy reporting. Candidates should possess strong analytical...Health Insurance$128.6k - $214.3k
...Senior Clinical Pharmacist, Drug Evaluation Unit Location: Bloomington,... ...clinical content expert for consulting with various evaluation and... ...participate in an annual bonus plan. At The Cigna Group, you'... ...focus on supporting your whole health. Starting on day one of your...Work at officeLocal areaWork from home- ...Opportunity Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in... ...Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As...Full timePart timeLocal areaShift workNight shiftWeekend work
- ...Opportunity for advancement Training & development PRN Clinical Pharmacist Coordinate and help manage clinical programs and initiatives... ...guidelines to formulate recommendations and treatment plans • Individualize patient care by evaluating indication, efficacy...ReliefWork at officeRemote workFlexible hoursWeekend workAfternoon shift
- ...Job Overview Fairview is seeking a casual Pediatric Clinical Pharmacist to join our inpatient pediatric pharmacy team at UMMC West... ...offers employees the option to participate in the Fairview 403(b) plan, earn Sick and Safe Time, and early access to earned wages....Contract workCasual workRelocation package
- ...one of the largest pediatric health systems in the United States... ..., nine primary care clinics, multiple specialty clinics... ...Minnesota is staffed by registered pharmacists and certified pharmacy technicians... ...medication education, consultation and specialized drug information...Night shiftRotating shiftWeekend workDay shiftAfternoon shift
- ...seeking a dedicated Long Term Care Pharmacist to play a crucial role in... ...use. Counsel staff on health topics and provide information... ...Medix offers 6 different health plans: 3 Major Medical Plans, 2... ...other drugs, working within a clinical setting, handling sharp instruments...Health InsuranceTemporary workLocal areaWeekend work
$100k - $150k
...Day in the Life A typical day as a Healthcare Revenue Cycle Consultant might include: Conducting onsite and remote revenue cycle... ...of various healthcare software packages and electronic health record systems (i.e., EPIC, Cerner, MediTech, etc.) You are comfortable...Health InsuranceInterim roleWork at officeLocal areaRemote workVisa sponsorship$51.79 - $85.52 per hour
...for our specialty services and innovative clinical advances, we strive to make The Johns... ...others. Responsibilities of the Clinical Pharmacist 1 (Night Shift) include but are not... ...certification is desired ~Previous clinical health-system experience is desired Salary...Full timeNight shift$51.79 - $85.52 per hour
...for our specialty services and innovative clinical advances, we strive to make The Johns... ...have equivalent experience. This Clinical Pharmacist I works collaboratively with... ...students, residents, pharmacists, other health care practitioners and patients and family...Full timeRelocation packageDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Consultant Pharmacist, Health Plans. Be the first to apply!
- healthcare consultant Eden Prairie, MN
- clinical consultant Eden Prairie, MN
- remote healthcare consultant Eden Prairie, MN
- health system specialist Eden Prairie, MN
- medical advisor Eden Prairie, MN
- hospital pharmacist Eden Prairie, MN
- clinical pharmacist Eden Prairie, MN
- medical insurance work from home Eden Prairie, MN
- health insurance long term care Eden Prairie, MN
- health insurance sales Eden Prairie, MN


