UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Clinical Platform Capability & Requirements Lead

Location

United States

Posted

3 days ago

Salary

$91.7K - $163.7K / year

Seniority

Lead

No structured requirement data.

Job Description

Clinical Platform Capability & Requirements Lead

UnitedHealth Group

Role Description The Clinical Platform Capability & Requirements Lead is responsible for defining, documenting, and managing business and functional requirements for enhancements to the MedMonitor platform, with a primary focus on supporting clinician network growth, Comprehensive Medication Review (CMR) program expansion, and operational scalability. This role serves as the primary bridge between Clinical Operations, Pharmacy Network Management, Health Plan partners, Health Systems, Clinician Groups, third-party vendors, and Information Technology teams to ensure MedMonitor capabilities effectively support the routing, assignment, management, and reporting of Comprehensive Medication Review (CMR) opportunities across a diverse network of pharmacies and healthcare providers. The position will work closely with IT teams throughout the software development lifecycle, from requirements gathering and solution design through testing, implementation, and ongoing enhancement of platform capabilities. The ideal candidate will possess strong healthcare business analysis skills and experience translating complex operational needs into scalable platform capabilities that improve clinician engagement, network performance, workflow efficiency, and patient outcomes. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Lead the identification, definition, and prioritization of MedMonitor platform enhancements that support clinician network growth and clinical program expansion - Develop business cases and capability roadmaps aligned with organizational growth objectives - Evaluate current platform functionality and identify opportunities to improve workflow automation, scalability, reporting, and user experience - Collaborate with business and technology stakeholders to define future-state platform capabilities - Facilitate stakeholder interviews, workshops, and requirements-gathering sessions - Support solution design reviews to ensure requirements are fully represented - Translate business needs into: - User stories - Process flows - Use cases - Acceptance criteria - Business requirements documents (BRDs) - Feature specifications - Ensure complete traceability between business objectives, requirements, development, testing, and implementation - Manage and maintain enhancement backlogs and feature prioritization - Develop and execute User Acceptance Testing (UAT) plans - Validate delivered functionality against business requirements and acceptance criteria - Support implementation, change management, and post-launch optimization activities Qualifications - Bachelor’s degree in Pharmacy or PharmD degree - Active Pharmacist license in good standing - 3+ years of experience in healthcare business analysis, product ownership, healthcare technology, or clinical operations Requirements - Excellent communication, facilitation, and stakeholder management skills - Strong attention to detail - Demonstrated project management and time management skills - Ability to effectively manage multiple priorities and meet deadlines - Bachelor's degree in Information Systems - Experience gathering and documenting business and functional requirements - Experience working with or supporting healthcare technology platforms including Optum’s or platforms used by Pharmacies, Health systems, Provider groups or Health plans - Strong understanding of healthcare workflows and operational processes - Experience supporting Agile development teams and product lifecycle management - Knowledge of pharmacy operations, health plan clinical programs, and provider network management Benefits - A comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements)

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