Prior Auth Hub Sr. Account Manager – Remote

Remote Full-time
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Join to apply for the PAHub Sr. Account Manager - Remote role at Optum

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Join to apply for the PAHub Sr. Account Manager - Remote role at Optum

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This role serves as the primary face of prior authorization to clients, directly interacting with them and collaborating with internal stakeholders to support the relationship such as operations, compliance, clinical, reporting analytics, general account management, and marketing.

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

Primary Responsibilities

  • Serve as the client-facing representative of the prior authorization department, focusing on relationship management and day to day issue resolution
  • Represent the client perspective to all internal stakeholders, including PA operations and compliance, clinical, and general account management
  • Advance the client relationship and execution of their clinical strategy performance through evaluation of client PA data and collaboration with internal partners
  • Communicate proactively, through the creation and delivery of recurring formal presentations that distill complex data into executive-level headlines using client-friendly and appropriate messaging

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 Account Management working with business clients
  • 3+ years of experience working within a PBM or health plan experience
  • Authorization experience, including exposure to the prior authorization process
  • Experience developing and delivering formal presentations, influencing individuals at all levels of an organization
  • Experience analyzing and interpreting pharmacy or medical data
  • Proficient with Microsoft Word, Excel, PowerPoint, and Outlook
  • Ability to travel up to 15%

Preferred Qualifications

  • PAHub Experience
  • Familiarity with regulatory requirements (federal, state, accreditation bodies) within PBM industry governing the prior authorization process
  • 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 $89,900 to $160,600 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.

Seniority level

  • Seniority level

    Mid-Senior level

Employment type

  • Employment type

    Full-time

Job function

  • Job function

    Sales and Business Development
  • Industries

    Hospitals and Health Care

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Salary: USD 89900 - 160600 per year

Experience: 5 years required
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