Sr Director Clinical Consulting - Remote

Senior Director of Clinical Consulting

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 Senior Director of Clinical Consulting will oversee clinical consulting client relationships, proactively identify clinical solutions, and manage clinical resource allocation for one of OptumRx's major segments of Clinical Consulting support. They will work with executive 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 and formulary management strategies. The Sr. Director is accountable for direct management of a staff of clinical consultants, as well as other personnel and assumes ultimate ownership and accountability for client relationships, retention, and satisfaction levels within their segment.

Primary Responsibilities :

• Determine and manage clinical consulting resource allocation and assignment
• Provide routine reporting to clinical leadership regarding milestone attainment and any significant issues within their segment that may be impacting overall team performance
• Maintains understanding of individual client contracts and ensures proper execution of all clinical deliverables specific to those agreements
• Develop department goals and ensure departmental execution
• Work with the Clinical Leadership Team to establish strategic clinical goals and objectives
• Provide routine reporting to the Executive Leadership Team regarding milestone attainment and any significant issues within the segment that may be impacting overall performance
• 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, and HEDIS & NCQA measures
• Formulates and delivers clinically-sound and fiscally responsible recommendations to clients based on trend
• Create and maintain departmental policies and procedures
• Create action plans to address any client satisfaction concerns
• Provides mentoring / coaching for Clinical Consultants in order to enhance employee engagement, promote professional development and maintain high levels of staff satisfaction
• Assist in the recruitment, on-boarding and mentoring of new Clinical Consultant team members
• Ensure the Clinical Consultants are delivering on client satisfaction, client retention, and trend management
• Stays aware of and provides clinical market intelligence to clients
• Provides education for clients, pharmacists, members and physicians per contractual requirements
• Supports strategies around other revenue-enhancement efforts (e.g., specialty, formulary, UM, mail, etc.) in coordination with client mgmt. / sales teams where appropriate
• Routinely collaborates with client management leadership peers to provide well-coordinated, impactful quarterly performance review sessions with clients
• Serves 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 client management leadership 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
• Lead departmental and interdepartmental workgroup and project work

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 :

Preferred Qualifications :

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 $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.