Clinical Program Consultant - Remote

UnitedHealth Group•Minneapolis, MN

2d•$91,700 - $163,700•Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together As the Clinical Program Consultant, Affordability Medical Drug Benefit, you will identify and execute affordability opportunities, and execute strategies to address them, including contracting and affordability program development across the commercial book of business. Your overarching focus will be on identifying areas of affordability for drugs managed on our medical benefits. This role will engage with network leadership to define contracting/reimbursement standards and strategies, along with process controls, and support their successful implementation, to produce predictable unit cost and trend across our enterprise. This position will also support clinical UM program implementation and help drive cross-functional collaboration between Network and Pharmacy, because we recognize we are ‘Better Together’. You’ll partner with leadership across our enterprise, including data and analytics, legal and regulatory, clinical, HCE, network management and pharmacy experts. This position requires a motivated self-starter who has the flexibility and versatility to pivot to adjust to evolving business needs and to lead a team of individuals in the same manner. This individual will engage with enterprise leadership, presenting and gaining support for affordability strategies. This individual will focus relentlessly on execution and value delivery, balancing speed and quality. The Associate Director reports to the Director of Medical Benefits, Clinical Strategy within UHC E&I. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

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

Nice To Haves

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

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