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 Value Pharmacist

Location

United States

Posted

8 days ago

Salary

$91.7K - $163.7K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Clinical Value Pharmacist

UnitedHealth Group

Role Description At OptumRx, a part of the UnitedHealth Group family of businesses and one of the largest pharmacy benefits managers in the United States, we're dispensing with tradition. Join us as we take on the challenge of reinventing the health system. As a Clinical Pharmacist, you will play an important role in enhancing clinical pharmacy programs such as: - Drug utilization review - Prior authorization - Health outcomes - Disease state management - Care management - Other specialty programs The Clinical Value Pharmacist identifies, develops, and implements clinical and affordability strategies that improve health outcomes, optimize total cost of care, and support value-based care delivery. This role collaborates across local markets and national teams to evaluate emerging opportunities, support evidence-based decision-making, and advance initiatives related to: - Population health - Benefit optimization - Pharmacy affordability You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Qualifications - Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy (BS Pharm) - Current, unrestricted pharmacist license in good standing in at least one U.S. jurisdiction - Successful completion of a PGY1 pharmacy residency program and at least one year of pharmacy experience, or a minimum of three years of relevant pharmacy experience - 2+ years of experience in managed care, health plan, PBM, and/or GPO environments Requirements - Active Board of Pharmacy Specialties (BPS) certification (e.g., BCPS, BCACP, BCGP, BCOP) - 2+ years of experience working collaboratively in multidisciplinary teams within a matrixed organization - Familiarity with value-based care models, including shared savings and risk arrangements - Intermediate or advanced proficiency in Microsoft Office tools, including Excel (pivot tables, XLOOKUP, INDEX/MATCH, COUNTIFS), Power BI, Outlook, and Teams - Demonstrated clinical knowledge of specialty therapeutics, including infusions and injectables, with proficiency in literature evaluation and evidence-based medicine - Demonstrated solid analytical and quantitative skills, including experience reconciling and analyzing medical and pharmacy claims to identify utilization trends and cost drivers Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) 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.

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