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Sr. PBM Strategic Account Executive - EGWP

Lead strategic client negotiations to optimize pharmacy benefit programs and contract terms
Trenton, New Jersey, United States
Senior
$110,200 – 188,800 USD / year
yesterday
UnitedHealth Group

UnitedHealth Group

A diversified health and well-being company offering a broad spectrum of products and services through two distinct platforms: UnitedHealthcare and Optum.

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Caring. Connecting. Growing Together.

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.

Primary Responsibilities:

  • Prepare and present custom client performance reviews and formal presentations to the client
  • Facilitate the Rate Development Process which supports client premium rate setting
  • Provide guidance and analysis of proposed Federal and State legislation that may impact the State’s pharmacy benefit
  • Manage client contract renewals and upselling programs
  • Represent client internally and coordinate with other functions to implement programs and benefits, complete projects and address ongoing service
  • Accountable for understanding the primary business objectives of the client, developing and managing shared goals, and demonstrating program value to the client
  • Understand OptumRx product and service offering, and can articulate the operational, clinical and financial value of our programs to the client across multiple stakeholders
  • Maintain consistent and regular client communications
  • Maintain a complete understanding of client contract terms including the reporting of performance guarantees
  • Lead and mentor account management team members
  • Assist with challenging client requests or issue escalations as needed
  • Stays abreast of industry trends and developments and demonstrate solid communication skills in presenting these to Client. Demonstrates expertise in pharmacy benefit strategies and OptumRx clinical programs
  • Provides regular feedback to management team regarding client metrics, client requirements and business development opportunities
  • Regularly attends and actively participates in company meetings as requested
  • Exhibit compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, OptumRx Code of Conduct, Business Ethics Policies and Procedures and other policies and procedures applicable to position
  • Performs other duties as assigned to meet corporate objectives

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:

  • 5+ years of PBM client relationship management or PBM account management experience
  • Client-facing presentation experience
  • Experience solving practical issues and dealing with many variables in situations where only limited standardization exists
  • Experience flexing communication style to a variety of audiences, presenting information in weekly ops meetings, QBR’s, etc.
  • Advanced knowledge of Medicare Part D Employer Group Waiver Plan requirements
  • Proven ability to handle and resolve complex client issues
  • Proven solid business and financial acumen with experience interpreting financial data
  • Currently reside in Eastern Time Zone
  • Able to travel up to 15% of the time

Preferred Qualifications:

  • Experience managing national and / or strategic accounts
  • Experience reading, interpreting and negotiating contract terms
  • Experience navigating through system enhancements or installations
  • Experience working with RxClaim
  • Experience working cross-functionally within a matrix environment
  • Proven ability to exhibit leadership through influencing without authority
  • Proven ability to work in a self-motivated environment with limited supervision

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 $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.

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.

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Sr. PBM Strategic Account Executive - EGWP
Trenton, New Jersey, United States
$110,200 – 188,800 USD / year
Sales
About UnitedHealth Group
A diversified health and well-being company offering a broad spectrum of products and services through two distinct platforms: UnitedHealthcare and Optum.