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 diversity and inclusion, 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.

This role will be responsible for ideation and discovery with profound impact on member experience, outcomes and affordability initiatives in the pharmaceutical space. This role should have advanced and deep understanding of managed care with experience with P&T committees, governance bodies, comparative efficacy and safety drug reviews, lines of business, and benefit structures. We are changing the face of healthcare with cutting edge ideas and technologies to meet the quadruple aim. This role will be required to provide pharmacotherapeutic subject matter expertise in all disease areas and be able to contribute to overall clinical content strategy. We develop solutions that have high impacts across UHC, Optum, and Care Delivery Organizations to ensure projects are aligned with core strategies and goals. This role requires a high level of comfort with verbal presentations to various committees, our external markets, and physician leadership. This role requires advanced communication skills, both written and oral, ability to function in a highly matrixed team environment. The work role is for individual contribution but requires both independent and teamwork, the ability to lead from behind and support, the ability to capture the work vision and develop work plans, and commitment to deliver to deadlines.

Primary Responsibilities:

• Independently develop and manage evidenced-based clinical pharmacy initiatives or programs across the clinical consistency lifecycle
  • Research and develop therapeutic clinical comparative efficacy and safety reviews from primary literature resources for the National Value and Therapeutics Committee
  • Ability to synthesize clinical EBM to support and drive strategic business opportunities
  • Develop and lead various subcommittees with internal and external partners to drive work collateral and initiatives to consensus
  • Ability to synthesize complex information to present to providers and patients for clinical detailing programs and pipeline monitoring
  • Develop clinical guidelines, algorithms, and pathways for oncology and non-oncology drug utilization programs
• Ability to apply prioritization to multiple projects or lead a singular focused complex, cross-business project
  • Act as a subject matter expert for functionally diverse project teams to achieve desired end-results on complex problems regarding projects
• Establish lasting internal and external relationships with relevant businesses for strategic alignment to work initiatives
  • Ability to work with external pharmaceutical manufacturers to develop relationships while maintaining focus on the OptumCare mission and values for cost-effective and quality care
• Bridge the clinical gap with data analytics to team to develop analysis plans with RWE/RWD to support various strategies cost/benefit, business value, and service targets
• Drives engagement with technology or operations on requirements and approach for desired business outcomes

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:

• Doctor of Pharmacy (PharmD) Degree required with clinical work experience desired
• 5+ years of relevant work experience (this may include residency or fellowship in one of the following areas): Managed Care, Healthcare, Health Plan, or health management consulting
• 5+ years of experience developing/managing/directing large scale projects
• Demonstrated ability to think critically, ask good questions, anticipate the customer/leadership ask and act proactively by rapidly acquiring and synthesizing knowledge from past projects to engage in new initiatives
• Demonstrated self-starter with ability to drive independent problem solving and develop systemic solutions
• Proven solid project management, planning, organizational, and process improvement skills
• Demonstrated ability to summarize information and succinctly communicate analysis verbally and in writing
• Demonstrated ability to effectively present information and interact with senior management including physicians

Preferred Qualifications:

• Post-graduate residency or Master’s degree in a pharmacy management related field (drug Information, pharmacoeconomics, healthcare administration, health informatics, public health, etc.)
• Experience with pharmacy and medical claims and knowledge of medical and pharmacy billing
• Proficiency with MS Word and PowerPoint, advanced skills in Excel (pivot tables, formulas), Access and Visio

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

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.

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.