Director, PBM Drug Trend Intelligence
About The Position
The Director of Trend Intelligence will lead thought leadership responsible for reporting out on macro drug cost trends within all lines of business focusing on key strategic pillars including oncology, weight loss, inflammatory and cardiovascular conditions as well as insights in areas such as biosimilar adoption, formulary compliance, new pipeline entrants and clinical solution innovation. This role will work cross functionally in close partnership with our clinical, account management, and trade teams and be an important external and internal resource for this area. This leader will help to identify innovative product solutions to the marketplace that improve member care, increase provider engagement, and lower client costs while driving business performance of Optum Rx. The position will provide strategic support to key Optum Rx clients to serve as subject matter expert on client specific trend insights working to identify possible solution sot help mitigate drug trend driving affordability and high-quality pharmacy care. This role will have broad, enterprise-wide impact across Optum Rx, shaping how drug trend intelligence informs clinical strategy, product innovation, pricing, formulary design, and client engagement. The Director of Trend Intelligence will act as a central connector between clinical, trade, product, analytics, and account teams, ensuring consistent, data-driven insights are embedded across Optum Rx decision-making, go-to-market strategies, and long-term affordability initiatives.
Requirements
- Bachelor’s Degree or Advanced clinical degree (PhD, PharmD, and/or MPH)
- 5+ years of experience in analytics; analyzing clinical literature, analyzing large data sets to identify key trends
- 3+ years within pharmaceutical space selling healthcare services capabilities to companies, providers, and/or members
- Experience communicating insights, clinical overviews & drug trends to strategic clients and stakeholders
- Experience evaluating clinical studies/research
- Ability to travel up to 25%25
Nice To Haves
- Experience directly working with clients in the health plan, PBMs, life sciences and/or specialty pharmacy industry
- Experience extracting data for analysis from reports and/or dashboards using Excel, PowerBI and/or SQL
- Experience in public health, pharmacology, bio statistics, and/or pharmacy
- Experience in Health Economics Outcomes Research (HEOR)
- Consultant experience
Responsibilities
- Translate macro and therapeutic drug trend insights into actionable strategies across Optum Rx, influencing formulary, clinical programs, pipeline prioritization, and product roadmaps
- Partner with clinical, trade, product, and analytics leaders to ensure trend intelligence is consistently integrated into enterprise initiatives and operating decisions across all lines of business
- Serve as an internal center of excellence for drug trend insights, standardizing methodologies, narratives, and materials used across Optum Rx for client delivery, sales, and executive engagement
- Inform enterprise affordability strategies by identifying cross-portfolio opportunities to mitigate drug trend, improve clinical outcomes, and enhance member and provider experiences
- Drive alignment between external client-facing insights and internal Optum Rx priorities to ensure consistency, credibility, and scalability of trend intelligence
- Support Optum Rx leadership with enterprise-level insights and executive-ready perspectives on emerging trends, risks, and opportunities impacting pharmacy cost and care delivery
- Deliver thought leadership to understand current drug trends, considering key therapeutics, marketplace and regulatory factors, as well as client-specific benefit design
- Serve as a strategic partner to clients, account teams, and clinical consultants in optimizing benefit design and clinical strategies
- Ideate and define new products and champion their development, including innovative capabilities within existing products
- Help train Clinical Consultants and Account Management Staff on key trend insights.
- Participate in sales presentations, including PBM best and finals
- Provide integration opportunities and thought leadership to clinical partners within Optum Health and Optum Insight
- Present internally and externally to promote trend insights
- Follow guidelines established by Optum Clinical Policy teams
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
Director
