Clinical Pharmacist, Drug Pipeline Cost Modeling

UnitedHealth Group-posted 8 months ago
$89,800 - $176,700/Yr
Full-time • Mid Level
Remote • Eden Prairie, MN
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Pharmacist / Drug Pipeline Cost Modeling Analyst will be responsible for the research of new and existing medications and the evaluation of medical literature. The analyst will assist with the Modeling of the Vigilant Drug Program (VDP) process including biannual and weekly VDP review. The chosen candidate will support the drug pipeline surveillance team with cost modeling to estimate the per member per month impact of new drugs. The analyst will also support, Client Presentations of results of pipeline modeling, support client teams in formulary strategy decisions. The chosen candidate must be able to successfully work in a team environment as well as independently. The chosen candidate must be willing to support tasks and projects outside of standard duties.

  • Ownership of the VDP process including biannual and weekly VDP review, formulary alternatives, VDP savings analysis, VDP strategy including number and type of lists, VDP marketing material and collateral.
  • Work with internal stakeholders to design models including data collection procedures for research (e.g. Biannual VDP drug placement project).
  • Drug Pipeline modeling, including model frameworks, assumption research, development and presentation of results.
  • Client Presentations of results of pipeline modeling, support client teams in formulary strategy decisions.
  • Design analytical plans that specify procedures for conducting data collection and research (e.g., pipeline PMPM modeling, drug level assumption setting for pipeline modeling, clinical effectiveness and research for VDP modeling).
  • Work with internal and external stakeholders to determine key research questions related to drug strategy.
  • Utilize relevant information resources (e.g., on-line sources; share-point; medical journals; industry literature, etc.) to conduct literature searches and answer questions.
  • Demonstrate understanding of healthcare system nuances (like population characteristics, payment reimbursement etc. for commercial, Medicare and Medicaid).
  • Demonstrate and apply understanding of health care industry trends and their drivers in determining monthly alternatives.
  • P&T support (e.g. developing materials and presentation of material to P&T committee).
  • Be aware of current and emerging trends in clinical information, treatment guidelines and formulary review strategies.
  • Work with internal teams to implement updates Optum affordability initiatives and clinical program lists.
  • Regularly synthesize drug tiering and utilization management strategies to develop collateral used in consultant and client communications.
  • Assist in training and mentoring of pharmacy residents, students, and interns.
  • Other activities as determined by the VP of Formulary Strategy.
  • Pharm D degree.
  • Current, unrestricted Pharmacist license (any state).
  • 2+ years of experience working as a licensed pharmacist in a clinical setting (not retail pharmacy).
  • Experience working on or with a Pharmacy & Therapeutics (P&T) committee.
  • Experience writing and presenting monographs and class reviews.
  • Computer proficiency at the intermediate level and experience with MS Office (specifically Word, Excel and PowerPoint).
  • Willing or the ability to travel up to 10%.
  • Successful completion of a Pharmacy Residency program.
  • Experience in formulary strategy including understanding of the formulary placement decisions.
  • Experience working within a PBM or Managed Care.
  • Comprehensive benefits package.
  • Incentive and recognition programs.
  • Equity stock purchase.
  • 401k contribution.
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