Eden Prairie, Minnesota, United States · Remote OK
$92k–$164k/yr
Senior$7.6B raised
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 ca…
Explore opportunities with CPS, part of the Optum family of businesses. We’re dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of car…
Senior Director, Data Security - Remote or Hybrid in MN and DC
Eden Prairie, Minnesota, United States · Hybrid
$159k–$273k/yr
Senior+$7.6B raised
Explore opportunities with the Enterprise Information Security (EIS) team at UnitedHealth Group. Join one of the world's largest health care companies and become part of the first line of defense against security threats…
Skills: Data security, Cloud security, Database security, Security engineering, Data governance
Reporting and Analytics Capability Manager, PBM Pricing Capability - Remote
Eden Prairie, Minnesota, United States · Hybrid
$92k–$164k/yr
Senior$7.6B raised
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 ca…
Skills: Reporting strategy, Analytics, Product ownership, Capability management, Data visualization
Charlotte, North Carolina, United States · On-site
$31/hr–$47/hr
Mid level$7.6B raised
Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helpin…
Skills: Medical social services, Coping mechanisms, Patient care, Interdisciplinary collaboration, Case management
Optum NY, (formerly Optum Tri-State NY) is seeking a Advanced Practice Clinician - Nurse Practitioner - Oncology to join our team in Middletown, NY. Optum is a clinician-led care organization that is changing the way cli…
Skills: Oncology, Diagnosis, Treatment planning, Disease prevention, Health promotion
Senior Systems Management Analyst - Cadence & Referrals
Auburndale, Massachusetts, United States · Remote OK
$92k–$164k/yr
Senior$7.6B raised
Our Company 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…
Dermatology Technician I, II, III - Kelsey Seybold Clinic - Pearland
Pearland, Texas, United States · On-site
$16/hr–$32/hr
Senior+$7.6B raised
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houst…
Skills: Patient care, Medical terminology, Scribing, Phototherapy, Excimer laser treatment
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 ca…
Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping …
Skills: Patient care, Venipuncture, EKG, Medical terminology, Infection control
Opportunities with American Health Network (AHN), part of the Optum family of businesses. Here, you’ll be part of a team that offers quality, affordable care that’s backed by a global organization, committed to improving…
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 ca…
Certified Occupational Therapist Assistant Home Health (PER DIEM)
Puyallup, Washington, United States · On-site
$62k–$92k/yr
Entry level$7.6B raised
Explore opportunities with Puyallup Assured Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedi…
Skills: Occupational therapy, Patient care, Home health, Treatment planning, Patient instruction
Nurse Practitioner or Physician Asst. Senior Community Care, St. Joseph and Elkhart, IN
South Bend, Indiana, United States · On-site
$110k–$164k/yr
Mid level$7.6B raised
$10,000 Sign-on Bonus for External Candidates No on-call, no weekends, and no holidays required Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are unitin…
Explore opportunities with SunCrest OMNI, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helpin…
Skills: Clinical supervision, Case management, Home health care, Patient care coordination, Nursing
We're hiring for an RN Patient Care Manager/Team Leader with home health experience Explore opportunities with Medical Centers HomeCare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians an…
Skills: Clinical supervision, Home health care, Patient care management, Interdisciplinary team coordination, Nursing
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 ca…
Optum Massachusetts Chief Of Dermatology Atrius Health & Reliant Medical Group
Worcester, Massachusetts, United States · On-site
$238k–$388k/yr
Senior$7.6B raised
Explore opportunities at Atrius Health, part of the Optum family of businesses. We’re an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and p…
Skills: Clinical leadership, Dermatology, Strategic planning, Process improvement, Team management
Explore opportunities with CPS, part of the Optum family of businesses. We’re dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of car…
Explore opportunities with CPS, part of the Optum family of businesses. We’re dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of car…
The Account Executive is responsible for the growth, retention, and strategic management of an assigned portfolio of clients within the PBM environment. They act as a liaison between sales, operations, and customers to ensure satisfaction, plan maintenance, and identify upsell opportunities.
Requirements
Candidates must have at least 5 years of experience in PBM client management and pharmacy benefits implementation. Proficiency in RxClaim, MS Excel, and MS PowerPoint is required, along with the ability to travel up to 25% of the time.
Full job description
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 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 Account Executive (AE), Client Management is a position that requires focus on an assigned portfolio of clients within a specific geographic area. The AE is responsible for the overall growth, retention and strategic planning of that portfolio. This includes acting as the lead for "inside sales" (upsells) and overall management of customer retention, satisfaction and up sell activity of their assigned accounts, operational submission of changes and plan maintenance and member specific assistance. In addition, the AE will be the liaison between sales, operations and the customer. The ideal candidate will have exceptional written and verbal communication skills, the ability to build solid relationships with key decision makers of each client, and solid organizational skills.
Self - starter high - performing individual; has comprehensive understanding of the PBM environment and broader health care system ability to work across departments to achieve success; has positive and respected relationships and uses knowledge and organizational skills to achieve desired objectives; exhibits ability to manage client expectations based on Optum’s capabilities - and looks for up sell / growth opportunities with the client; manages customer satisfaction of assigned accounts; takes accountability for individual and team objectives.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Maintain overall accountability for client satisfaction, retention and growth
Use solid industry knowledge to add value to the clients’ operation and look for up sell opportunities
Maintain an ongoing knowledge of clients’ business; as well as their contract with Optum
Provide leadership for new client projects / implementations
Provide regular communication to management on client concerns and feedback
Communicate with clients via face - to - face meetings, conference calls and written correspondence
Interfaces with internal Optum departments
Assist in the marketing of sales strategies; product / service information
Maintain client business plan
Understands the Eligibility and Pharmacy Claims adjudication process
Monitor performance guarantees / Service Level Agreements
Negotiate contract renewals
Conduct periodic reviews with client and recommend new products / services as appropriate
Participate in best and final sales support as appropriate
Travel to client sites may be required
Other duties as assigned
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 experience In PBM Client Management experience as well as Pharmacy benefits Implementation guidelines
5+ years of PBM and client management (business to business services) experience for low to mid-tier companies (5000 employees)
Experience using RxClaim to validate service delivery of Pharmacy Benefits
Claims validation experience
MS Excel experience to create basic spreadsheets; sort, filter, import/export data, create charts and graphs, and use basic formulas
MS PowerPoint to create and modify presentations experience
Able to work core business hours and have the flexibility to adjust their schedule to accommodate occasional overtime
The ability to travel up to 25%25 as needed
Preferred Qualifications:
5+ years experience In PBM and working with Pharmacy benefits Implementation guidelines
5+ years experience with owning / managing a book of business
Experience with renewal strategy & upsells
Exhibit proficiency in executing software programs and utilities specific to Optum’s applications
Ability to read, analyze and interpret procedures, general business periodicals and professional journals
Ability to effectively present information and respond to questions from clients, management and technical associates
Ability to analyze / understand reports, metrics and client trends
Good mathematical ability
Soft Skills:
Solid relationship building and communication skills
Self - directed and organized individual
Excellent organizational skills
Excellent verbal and written communication skills
Project management skills
Customer service orientation and relationship management skills
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
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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). 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 $91,700 to $163,700 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 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.
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.
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
Health CareWellness and Health ManagementRetiree Solutionsand Information TechnologyHospitalHealth CareWellnessBiotechnologyInsuranceLife Science
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
Health CareWellness and Health ManagementRetiree Solutionsand Information TechnologyHospitalHealth CareWellnessBiotechnologyInsuranceLife Science