Note: The job is a remote job and is open to candidates in USA. UnitedHealth Group is a health care organization focused on simplifying the health care experience and improving access to quality care. The Clinical Program Consultant will identify and execute medical drug benefit affordability strategies, develop contracting and affordability programs, and support clinical utilization management implementation. The role also leads cross-functional collaboration, stakeholder engagement, performance analysis, and roadmap execution across network, pharmacy, clinical, legal, regulatory, operations, and technology teams.
Responsibilities
- Create and drive incremental affordability based on analysis of performance results, opportunity identification, and enterprise business strategies
- Lead development of affordability program strategies including business requirements, process flows and implementation, in conjunction with legal/regulatory, clinical, operations, technology and other key partners
- Collaborate with other network/affordability leaders to ensure programs and priorities align across the broader enterprise, avoiding redundancy
- Own contracting affordability program execution from UHC Pharmacy perspective, managing scope, timelines, and stakeholder expectations, to drive an integrated value proposition for pharmacy trend and spend
- Translate affordability strategy into tactics the organization can execute against with key milestones, responsibilities, and defined dates
- Work collaboratively with cross-functional teams including clinical and strategy leaders within UHN, clinical team, operations, program management, technology, legal, Optum MBM, and other internal teams to execute roadmap
- Establish, analyze and report key metrics to ensure optimal business results and ongoing performance
- Be able to communicate and educate network on relevant network, pharmacy, and regulatory trends, along with competitor offerings
- Manage competing priorities and work in a fast-paced environment
- Learn, navigate and communicate end to end processes
Skills
- 5+ years of experience in pharmacy and/or facility/provider contracting roles, with a focus on affordability management and development/implementation of drug payment strategies
- 5+ years of health care industry experience
- 3+ years of experience in strategy implementation and program operations/development process
- Demonstrated experience presenting strategic and performance level information to large audiences
- Demonstrated expertise influencing to drive decision-making
- Demonstrated expertise analyzing business data and trends to identify new opportunities for business growth and improvement in provider/member experience
- Experience network and/or product/operations teams
- Excellent verbal and written communication skills including MS Word, Excel, and PowerPoint skills
- High attention to detail including ability to manage multiple, competing priorities simultaneously
- Willingness to roll up your sleeves and do whatever is necessary, owner mentality
- Demonstrated ability to think strategically and execute methodically
- Demonstrated solid interpersonal, communication and Excel skills
- Demonstrated solid analytical, project management and critical thinking skills
- Demonstrated ability to think creatively and comfort being hands-on in a fast-paced environment
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- The flexibility to work remotely from anywhere within the U.S.
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