1+ months

Formulary Management Service Lead - Telecommute - 932259

Irvine, CA 92606 Work Remotely
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  • Job Code
    932259

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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This role requires a clinical aptitude to support clients in the growing Formulary Management Services (FMS) business segment, including identification and quantification of opportunities to maximize pharmaceutical rebate revenues and evaluation of these opportunities via financial therapeutic class models using client-specific actual claims data.

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

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Primary Responsibilities:

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  • Deliver value to clients through consultations and presentations that focus on formulary strategies to help clients achieve clinical and financial goals
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  • Apply clinical and business knowledge to execute financial models to identify formulary strategies yielding payor cost-savings, which will require you to:""
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    • Evaluate client formularies and UM criteria
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    • Read and understand client contracts and pharma contracts
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    • Access and use pricing databases, formulary databases, billing databases, claims databases
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    • Run, develop, and analyze client utilization and spending reports
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  • Develop & present client-facing materials that are clear, concise, and effective; must be able to simplify complex subjects without compromising content
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  • Work cross-functionally to understand end-to-end operations, and manage deliverables, expectations and timelines with internal and external partners
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  • Contribute to team business objectives
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  • Use soft skills to build and foster relationships with internal and external partners
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  • Serve as a subject matter expert on assigned therapeutic class strategies
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  • Actively pursue continuous quality and process improvement in self and work tasks
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  • Upto 10% travel may be required
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Youll 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.

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Required Qualifications:

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  • Bachelors degree
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  • 2+ years of experience in three or more of the following:""
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    • Client management or client-facing role
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    • Formulary operations, strategy, development
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    • Clinical operations (P&T, UMs, pipeline)
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    • Pharmacy plan design or new client implementation
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    • Pharma manufacturer discounts contracting, billing, or modeling
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  • Health plan/PBM financial modeling experience
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  • 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 similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • 5+ years of experience in a client-facing role
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  • 3+ years of clinical experience (e.g Pharmacist, Nurse, physician)
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  • Possesses excellent communication and interpersonal skills
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  • Ability to deal comfortably with ambiguity, uncertainty and risk, and can make high-quality decisions with less than perfect information
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  • Ability to change course quickly in a fast-paced environment
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  • Ability to demonstrate resourcefulness, and have the ability to innovate and problem-solve with initiative and ingenuity
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Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here youll fill far more than prescriptions. As a member of one of our pharmacy teams, youre empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

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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, 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.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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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.

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UnitedHealth Group is a drugfree workplace. Candidates are required to pass a drug test before beginning employment.

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"Job Keywords: Formulary Management Service Lead, Formulary Operations, Pharmacy, Healthcare, Health Plan, Irvine, CA, California, United States, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Telecommuting

Posted: 2021-05-25 Expires: 2021-07-23

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Formulary Management Service Lead - Telecommute - 932259

UnitedHealth Group
Irvine, CA 92606

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