Sr. PBM Account Manager - Health Plans - Remote

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 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 Sr. Account Manager is responsible for driving client satisfaction by managing ongoing client relationships and service delivery to assigned client(s). This role acts as an outward-facing, dedicated resource for assigned client(s), typically with direct client contact for large/complex accounts. The Sr. Account Manager builds client relationships and serves as the primary point of contact for overall & day-to-day service delivery by working closely with the internal partners. This role represents client(s) internally and coordinates with other functions to capture and support client requirements, complete projects, and address ongoing operations and/or service needs.

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

Primary Responsibilities:

• Facilitate all operational ongoing maintenance to ensure it is successfully executed
• Own the day-to-day service experience of assigned health plan client by working with the matrix partners as required to ensure issues are resolved promptly and accurately exceeding the customer's expectations
• Facilitate resolution of all escalated requests by working with the Operations Team
• Coordinate activities to support impact reporting, root cause analysis, and full remediation
• Demonstrate a high level of knowledge pertaining to the assigned customer's specific benefit design
• Coordinate 1/1 readiness activities; monitors implementation/set up of new products and groups; scenario testing, facilitate daily updates/progress reports with client and internal functional partners
• Serve as lead for internal and external escalations
• Facilitate training of all Optum Rx client-facing systems & tools
• Maintain client action logs and facilitate regular cadence of discussions to review
• Knowledge of all LOBs including Commercial, ACA, FEHBP and Medicare Part D
• Perform other assignments and responsibilities as required by management

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:

• 3+ years of experience in Client Management or client facing role
• 3+ years of experience working in PBM operations
• Proficiency with RxClaim
• Proficiency with MS Suite (Outlook, Word, Excel, PowerPoint, TEAMs)

Preferred Qualifications:

• PBM Client Management experience working with HealthPlan clients
• Experience with 1.1 PBM client readiness
• PBM reporting experience
• Complex issue resolution and remediation experience
• Experience developing project plans, managing timeline and cross functional teams through project completion
• Multiple LOB experience (Commercial, ACA, FEHBP, Medicare Part D)
• Ability to use PBM tools to drive operational activities (reporting, issue management, claims adjudication)
• Proven solid written and verbal communications skills
• Proven solid organizational skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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 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 employer 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.

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