Clinical Value Pharmacist - Remote in US
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. At OptumRx, a part of the UnitedHealth Group family of businesses and one of the largest pharmacy benefits managers in the United States, we're dispensing with tradition. Join us as we take on the challenge of reinventing the health system. As a Clinical Pharmacist, and you'll play an important role in enhancing clinical pharmacy programs such as drug utilization review, prior authorization, health outcomes, disease state management, care management and other specialty programs. It's an exceptional opportunity to join a pharmacy team with a focus on clinical and business collaboration. Join us today and start helping making a difference in the lives of millions. The Clinical Value Pharmacist identifies, develops, and implements clinical and affordability strategies that improve health outcomes, optimize total cost of care, and support value-based care delivery. This role collaborates across local markets and national teams to evaluate emerging opportunities, support evidence-based decision-making, and advance initiatives related to population health, benefit optimization, and pharmacy affordability. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Requirements
- Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy (BS Pharm)
- Current, unrestricted pharmacist license in good standing in at least one U.S. jurisdiction
- Successful completion of a PGY1 pharmacy residency program and at least one year of pharmacy experience, or a minimum of three years of relevant pharmacy experience
- 2+ years of experience in managed care, health plan, PBM, and/or GPO environments
Nice To Haves
- Active Board of Pharmacy Specialties (BPS) certification (e.g., BCPS, BCACP, BCGP, BCOP)
- 2+ years of experience working collaboratively in multidisciplinary teams within a matrixed organization
- Familiarity with value based care models, including shared savings and risk arrangements
- Intermediate or advanced proficiency in Microsoft Office tools, including Excel (pivot tables, XLOOKUP, INDEX/MATCH, COUNTIFS), Power BI, Outlook, and Teams
- Demonstrated clinical knowledge of specialty therapeutics, including infusions and injectables, with proficiency in literature evaluation and evidence based medicine
- Demonstrated solid analytical and quantitative skills, including experience reconciling and analyzing medical and pharmacy claims to identify utilization trends and cost drivers
Responsibilities
- Reviews clinical data, utilization trends, and industry developments to identify opportunities that improve clinical outcomes, optimize affordability, and support value-based care delivery
- Leads or supports implementation of clinical value strategies, including embedding programs within local markets as appropriate (additional licensure may be required)
- Develops provider- and patient-facing collateral to support adoption of clinical and affordability initiatives
- Delivers education and training to provider groups, local markets, and national teams regarding clinical value and affordability strategies
- Monitors and evaluates initiative effectiveness and identifies opportunities for continuous improvement
- Supports clinical and operational governance committees through pipeline drug assessments, affordability analyses, policy development, and standard operating procedure (SOP) creation
- Maintains expertise in therapeutic areas, emerging treatments, clinical guidelines, and healthcare trends to support strategic initiatives and decision-making
- Provides pharmacist consultation and subject matter expertise to cross-functional teams and business partners
- Mentors and supports peers through knowledge sharing, coaching, and professional development activities
- Builds effective partnerships across clinical, operational, and business stakeholders to advance organizational priorities
- Independently identifies solutions to complex and non-standard challenges
- Performs other duties as assigned
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
