[Hiring] Associate Director, Clinical Consulting @UnitedHealth Group

Role Description

This Associate Director of Clinical Consulting will oversee clinical consulting client relationships, proactively identify clinical solutions, and manage clinical resource allocation for one or more of OptumRx's segments of Clinical Consulting support. They will work with clinical leadership in developing a strategy related to the delivery of proactive consultative services and driving clinical upsell targets, including:

• Deployment of appropriate use guidelines and protocols
• Utilization management strategies
• Clinical products/services
• Formulary management strategies

The Associate Director of Clinical Consulting is expected to maintain strategic relationships with client leaders, key stakeholders, and brokers/consultants. They are accountable for direct management of a staff of clinical consultants and maintaining client satisfaction and retention.

Position is expected to start in January 2027.

If you are located in Columbia, SC, you will have the flexibility to work remotely as you take on some tough challenges.

Qualifications

• Bachelor of Science in Pharmacy or Doctor of Pharmacy degree
• Active license in the state of South Carolina
• 5+ years of pharmacy practice experience or equivalent
• 3+ years of client-facing or clinical account management experience with 2+ years of providing formal client presentations
• 2+ years in a leadership position or equivalent
• Experience developing and delivering professional communications, presentations, and documentation for varied audiences
• Experience prioritizing customer-centric activities
• Experience creating high-performing teams
• Demonstrated solid clinical and analytic background
• Proven ability to successfully manage multiple clients simultaneously
• Proven basic competency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
• Ability and willingness to travel

Requirements

• Mantains understanding of individual client contracts and ensures proper execution of all clinical deliverables specific to those agreements
• Ensures alignment of PBM clinical priorities with strategic goals and objectives of the overall organization and client
• Collaborates 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
• HEDIS & NCQA measures
• Formulates and delivers clinically-sound and fiscally responsible recommendations to clients based on trend
• Provides mentoring/coaching for Clinical Consultants to enhance employee engagement, promote professional development, and maintain high levels of staff satisfaction
• Assists in the recruitment, onboarding, and mentoring of new Clinical Consultant team members
• Provides superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
• Comprehends and effectively explains formulary and clinical program changes to clients
• Stays aware of and provides clinical market intelligence to clients
• Provides education for clients, pharmacists, members, and physicians per contractual requirements
• Communicates drug information to clients and responds to plan-specific clinical inquiries in a timely manner
• Supports other revenue-enhancement efforts (e.g., specialty, formulary, UM, mail, etc.) in coordination with client management/sales teams where appropriate
• Routinely collaborates with client management leadership peers to provide well-coordinated, impactful quarterly performance review sessions with clients
• Serves as a key resource for new clinical product/service ideation and liaison to clinical product development/management areas to create new or enhance existing programs
• Identifies and collaborates with account management on clinical renewal strategies
• Drives enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority for the client
• Consistently looks at existing processes, methods, and materials to find opportunities for improvement
• Maintains strategic relationships with client leaders, key stakeholders, and brokers/consultants
• Supports sales and marketing including participating in RFP/finalist activities as needed based on current standard operating procedure
• Serves as Subject Matter Expert (SME) for other departments on Clinical Consulting-specific issues/inquiries
• Actively participates in, and in some cases leads departmental and interdepartmental workgroup and project work

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

The salary for this role will range from $112,700 - $193,200 annually based on full-time employment.

Company Description

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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.