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Senior Clinical Consultant

$112.7k - $193.2k

UnitedHealth Group

Job ID: 102774117408Posted: 2026-11-03Location: Oregon City, Oregon, United StatesSalary: $112,700 - $193,200/yearJob Area: PharmacyCompany: UnitedHealth GroupOptum 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 OptumRx clinical operations, professional practice, and clinical products and the Clinical Consultant's assigned client base. The role provides clinical support for OptumRx 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.Primary Responsibilities:Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend managementCollaborate 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 applicableCommunicate drug information to clients and respond to plan-specific clinical inquiriesStay 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 opportunitiesComprehend and effectively explain formulary and clinical program changes to clientsEffectively manage client objections to new programs and required changesIdentify and create opportunities to manage trend and add OptumRx productsFormulate client recommendations based on available data and trendDeliver clinically sound and fiscally responsible recommendations to clients based on their trendRoutinely collaborate with account management to provide clinical aspects of client quarterly reviewsAnalyze & interpret benefit designsDemonstrate critical thinking by analyzing relevant information with multiple methods Generate innovative ideas that can be scaled across the organizationDevelop clinical strategy as outward-facing, direct client contact for large, complex and/or strategic accountsClearly communicate analytical and reporting needs to supporting departmentsHelp clients be competitive within their marketIdentify opportunities to increase efficiencyLead and manage ongoing contract relationships and pharmacy benefit analysis and consultation delivery to clients. Manages/facilitates custom P&T committees for select clients, per contractual requirementsProvide education for clients, pharmacists, members and physicians per contractual requirementsSupport sales and marketing including participating in RFP & strategic Finalist activities, per department policiesServe as subject matter expert in one or multiple areas and represent Clinical Consulting department in these areas - internally and externally Assist in training new Clinical Consultants - in part or in whole Assist in development of existing Clinical Consultants Provide administrative/management/leadership back-up support to Director as necessaryDrive enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority to the client Maintain familiarity with assigned client contract terms; particularly pricing of clinical programs/services, and is able to actively engage in contract renewal negotiations as neededConsistently look at existing processes, methods and materials to find opportunities for improvementMaintain strategic relationships with client leaders, key stakeholders, and brokers/consultants while maintaining focus on UHG and Optum strategies and goalsServe as Subject Matter Expert (SME) for other departments on Clinical Consulting-specific issues/inquiresRoutinely identify, develop and share best practice experience with peersMentor new clinical consultants when requestedMentor clinical consultants on the team when requested 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: Bachelor of Science in Pharmacy or Doctor of Pharmacy degree requiredActive, unrestricted US state-specific pharmacist license5+ years of pharmacy practice experience or equivalent 3+ years of PBM experience3+ years of client facing or clinical account management experience2+ years of experience providing formal client presentationsExperience managing multiple clients simultaneouslyExperience prioritizing customer-centric activitiesProven basic competency in Microsoft Word, Excel, PowerPoint, Teams, and OutlookAbility and willingness to travel up to10% of the timePreferred Qualifications: Specialty Pharmacy experienceMedicaid experienceProven intermediate level competency in Microsoft Word, Excel, PowerPoint, Teams and OutlookRemote from West Coast region *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Vacancy posted 4 days ago
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