UnitedHealth Group

Associate Director of Pharmacy Strategy & Programs - Telecommute

Posted on: 16 Mar 2021

Los Alamitos, CA

Job Description

The Associate Director of Pharmacy Strategy and Programs is responsible for managing, coordinating and completing projects across various functional areas and business units related to PartB drug therapies, including specialty and home infusion. Advance understanding of P&T committees, drug reviews, financial models, distribution channels, pharmaceutical group purchasing organizations, wholesalers, provider/facility networks, unit costs and pricing, revenue cycle mgmt., site of service and medical benefits. Provides subject matter expertise in areas including project scope definition, risk identification, project methodology, resource allocation, facilitation, and other areas of expertise based on established project management techniques. Makes presentations to management on project updates, project cycle, and expected results. Collaborate with stakeholders across UHC, Optum, Care Delivery Organizations etc. to ensure projects are aligned with core strategies and goals, implemented and launched on time and in scope. Participate in annual business planning and end-to-end designs of pharmacy programs and strategies. May manage vendor and service providers to define project scope and performance expectations.

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



Primary Responsibilities:

* Research and develop therapeutic clinical reviews and financial models for Pharmacy and Therapeutics (P&T)
* Develop, implement, and support pharmacy programs to achieve key strategic and business goals
* Ensure alignment and understanding of program/project scope and objectives with the organization's strategic objectives and the Voice of the Customer(s)
* Partners with executive leaders in the development of organizational objectives and short and long term goals
* Partners with various business units, leadership, and Care Delivery Organizations (CDOs) to identify/define performance planning/measures, programs, initiatives, based on emerging industry trends and growth opportunities
* Oversees and instructs functionally diverse teams in order to achieve desired end-results on complex problems regarding projects
* Leads and guides functional and segment teams through project implementations with competing agendas and priorities
* Creates compelling interactive dashboards for internal and external customers to identify, design, recommend and execute solutions to deliver actionable information
* Develops appealing data visualizations leveraging multiple internal and external data sources (quantitative and qualitative), and drawing insightful conclusions for decisions makers
* Solves unique and complex problems with broad impact on the business
* Provides subject matter expertise and operational support to internal business partners
* Coaches, mentors and provides feedback to others
* Maintains project and process knowledge bank to support best practice identification and implementation
* Collaborates cross departmentally to manage risk forecasting/mitigation, project progress and issue resolution efforts
* Acts as a liaison between internal and external teams to help steer work stream communications to ensure response integrity
* Influences senior leadership to adopt new ideas, products, and/or approaches that may have segment-wide impact
* Performs all other related duties as assigned
* This is a challenging role that relies on your ability to effectively lead project teams and build relationships with stakeholders. Your ability to use various methodologies and tools to collaborate in a cross-matrix environment will drive long term success keeping the team on track within the project scope and timeline.



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:

* Doctorate of Pharmacy (PharmD)
* Current and unrestricted Pharmacy License in your current state of residence
* 5+ years of clinical pharmacist, operations, and Pharmacy & Therapeutics experience
* 5+ years of experience working with Group Purchasing Organizations (GPOs), Distributors, Manufacturers, with understanding of government and commercial contracts and pricing
* 3+ years of experience in a Pharmacy Benefit Manager (PBM) or Managed Care plan, with understanding of provider network contracts and/or pharmaceutical rebates
* 3+ years of experience in provider practices with revenue mgmt. cycle experience, must have a working knowledge of payer contracts, fee schedules, allowable tables
* 3+ years of professional project management experience
* Solid proficiency with Visio, SharePoint, MS Office Suite (including excel and access)
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Qualifications:

* Solid prioritization, attention to detail, effective multi-tasking, verbal/written communication and organizational skills.
* Ability to create an effective team environment, build strong relationships.
* Solid in solving problems and issues in a matrix environment and communicating effectively at all levels of an organization.
* Advance analytical and technical skills, including Tableau, SQL or SAS

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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.

Job Keywords: Pharmacy Operations, PBM, Project Management, Telecommute, Telecommuter, Telecommuting, Work from home, Work at home, Remote, CA, California, Los Alamitos

UnitedHealth Group

Hopkins, MN

UnitedHealth Group Incorporated operates as a diversified health care company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers, small businesses, and individuals; health and well-being services to individuals age 50 and older, addressing their needs for preventive and acute health care services, as well as services dealing with chronic disease and other specialized issues for older individuals; and Medicaid plans, Children’s Health Insurance Program, and health care programs; and health and dental benefits.

The OptumHealth segment provides access to networks of care provider specialists, health management services, care delivery, consumer engagement, and financial services. This segment serves individuals through programs offered by employers, payers, government entities, and directly with the care delivery systems.

The OptumInsight segment offers software and information products, advisory consulting arrangements, and services outsourcing contracts to hospital systems, physicians, health plans, governments, life sciences companies, and other organizations. The OptumRx segment provides pharmacy care services and programs, including retail network contracting, home delivery, specialty and compounding pharmacy, and purchasing and clinical, as well as develops programs in areas, such as step therapy, formulary management, drug adherence, and disease/drug therapy management. UnitedHealth Group Incorporated was founded in 1974 and is based in Minnetonka, Minnesota.

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