Clinical Pharmacist Formulary Operations

UnitedHealth Group•Schaumburg, IL

2d•Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Oversee formulary builds and maintenance covering all Commercial, Medicaid, and Exchange lines of business (ORx Direct and UHC) Responsible for commercial formulary program creation & maintenance in the formulary application Support short and long term operational and strategic business activities - by developing, enhancing and maintaining operational information as well as supporting development and maintenance of the Formulary Management applications Ability to apply clinical knowledge to drug programs and their implementation into formularies Review and analyze formulary data to determine the appropriate process for building and maintaining formularies in the Formulary Management applications Oversee formulary change process and perform formulary reporting and analysis functions Work collaboratively with others to track and maintain formulary information for specific clients Ensuring a comprehensive quality review of formulary data to maintain accuracy and service level agreements (i.e. Performance Guarantees). The pharmacist who fills this position will participate in all aspects of formulary operations including, but not limited to new formulary implementations, formulary maintenance, implementation of strategic projects, issue review, and related formulary operation activities. You may also research new prescription drugs or new applications of existing drugs and use this information to help guide tier and formulary decisions. This position requires excellent clinical and analytical skills, attention to detail, and the ability to communicate and work collaboratively with other departments. You’ll 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.

Requirements

Current and unrestricted Pharmacy License
2+ years of experience as a licensed pharmacist
1+ years of experience with project methodology (requirements, design, development, test and implementation)
Ability to be flexible and work in a dynamic and evolving business environment
Demonstrated process improvement, workflow, benchmarking and / or evaluation of business processes
Proficient level of experience with PC based software programs and automated database management systems (Word, Excel, PowerPoint)
Experience with client formulary data analysis (understanding client intent, review client changes requests, then accurately implementing formulary updates)
Working knowledge of relational databases and database structures
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

Pharm D
2+ years of Pharmacy Benefits Manager (PBM) experience
Experience with VBA macro tools
Formulary Operations and/or Submissions experience
Managed Care experience
RxClaim / AS400 knowledge and experience
Excellent communication, writing, time / project management, problem solving, organizational, and analytical skills
Ability to manage multiple, complex activities simultaneously without compromising quality
Ability to effectively work in collaboration in a team environment to meet client performance guarantees for quality and/or timeliness results

Responsibilities

Oversee formulary builds and maintenance covering all Commercial, Medicaid, and Exchange lines of business (ORx Direct and UHC)
Responsible for commercial formulary program creation & maintenance in the formulary application
Support short and long term operational and strategic business activities - by developing, enhancing and maintaining operational information as well as supporting development and maintenance of the Formulary Management applications
Ability to apply clinical knowledge to drug programs and their implementation into formularies
Review and analyze formulary data to determine the appropriate process for building and maintaining formularies in the Formulary Management applications
Oversee formulary change process and perform formulary reporting and analysis functions
Work collaboratively with others to track and maintain formulary information for specific clients
Ensuring a comprehensive quality review of formulary data to maintain accuracy and service level agreements (i.e. Performance Guarantees).
Participate in all aspects of formulary operations including, but not limited to new formulary implementations, formulary maintenance, implementation of strategic projects, issue review, and related formulary operation activities.
Research new prescription drugs or new applications of existing drugs and use this information to help guide tier and formulary decisions.