Job Description

If you are located within Eastern time zone, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation, and performance. Join us and start doing your life's best work.SM

Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime or weekends.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

Use strong industry knowledge to add value to the clients' operation

Maintain an ongoing knowledge of clients' business; as well as their contract with OptumRx

Drive solutions by engaging multiple organizational areas and providing guidance to CSM's

Provide positive alternatives to complex situations encountered by client and manage expectations

Perform systems analysis to determine source of technical issues, and act as liaison between external clients and internal departments to resolve these issues.

Act in project coordinator/manager capacity to ensure accurate and timely completion of client projects, to the client's satisfaction

Produce and analyze key reports, offering viable solutions to key issues

Identify deliverables and manage to due dates

Complete service requests to translate customer needs and requirements for OptumRx product support and development teams

Communicate with clients via face-to-face meetings, conference calls and written correspondence

Interfaces with internal Optum departments

Other duties as assigned by SAE or Director (including special projects)

Intermediate or advanced understanding of Medicare Part D and other regulatory guidelines

Ensure client service level agreements and PGs are met

Understand organizations capabilities, products, and services

Following all policies and procedures related to job responsibilities and participating in the development and maintenance of departmental policies and procedures, and tools for Account Management, as appropriate

Working with Strategic Account Executive, and other team members on client renewals and renegotiating contracts with clients to obtain extended agreements while losing as little profitability as possible.

Provides training, support, and direction to other team members, as necessary.

Establishing multiple corporate relationships and participates in client sponsored events. Cultivating in-group growth through these relationships.

Identify and support potential upsell opportunities

Staying abreast of industry trends and developments and demonstrates strong communication skills in presenting these to clients.

Understanding the impact of industry and regulatory trends and changes for your client

Knowledge, Skills, and Abilities (including Core Competencies)

CMS Regulatory and Compliance experience preferred

CMS Auditing experience preferred

Ability to monitor compliance standards

Issue Management

Analytical thinker

Exhibit proficiency in executing software programs and utilities specific to OptumRx applications

Ability to effectively present information and respond to questions from clients, management, and technical associates

Ability to write reports, business correspondence and technical specifications

Ability to solve practical issues and deal with many variables in situations where only limited standardization exists

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

Excellent organizational skills

Excellent verbal and written communication skills

Excellent presentation skills

Ability to communicate to an executive audience

Ability to develop and maintain internal & external relationships

Project management skills

Customer service orientation and relationship management skills

Effective time Management

Account Management experience with implementation

Travel up-to 20%.

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:

Associate's Degree (or higher) OR equivalent related experience

3+ years of experience in the PBM (Pharmacy Benefit Management) industry

2+ years of direct Client Management experience with Medicare Part D clients

1+ years of Medicare Part D experience

Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Telecommuting Requirements:

Reside within Eastern time zone

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Ability to keep all company sensitive documents secure (if applicable)

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So, when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Connecticut Residents Only: The salary range for Connecticut residents is $72,800 - $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

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.

#RPO, #Yellow