Director Pharmacy Value Economics - Remote

UnitedHealth Group•Draper, UT

18d•$134,600 - $230,800•Remote

About The Position

The Director, Pharmacy Value Economics leads the national measurement, forecasting, and realization of pharmacy value across Optum Health. The role initially focuses on manufacturer-funded programs and rebate economics that support clinically appropriate, evidence-based medication strategies. It owns the pharmacy value economics framework and leads a team working with matrixed finance, actuarial, accounting, clinical, analytics, and market partners on forecasting, financial performance measurement, net cost analytics, opportunity sizing, executive reporting, and value realization governance. The Director turns financial, utilization, and market data into enterprise-level recommendations that balance affordability, access, quality, appropriateness, and sustainable value creation. As a dyad partner to clinical and analytics leaders, the role ensures insights are clinically grounded and operationally feasible while establishing consistent methodology, governance, and reporting standards. The position will expand beyond rebate programs to support manufacturer strategy, value product initiatives, affordability programs, and total cost of care improvement. It is remote within the United States. Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

Requirements

8+ years of experience in healthcare, pharmacy, managed care, finance, healthcare economics, market access, manufacturer contracting, or rebate management.
5+ years of direct or matrixed people leadership experience.
Experience developing or applying healthcare, pharmacy, reimbursement, affordability, or drug economics methodologies to support strategic decision-making.
Experience developing forecasts, economic evaluation frameworks, value measurement methodologies, sensitivity analyses, and executive business cases.
Experience designing or overseeing claims, utilization, financial, or economic data models for scalable forecasting, performance measurement, opportunity sizing, and value realization.
Experience measuring financial performance, including forecast accuracy, budget variance, value capture, and revenue leakage.
Experience developing executive dashboards, scorecards, KPIs, performance measurement frameworks, and value realization reporting.
Experience leading cross-functional initiatives involving clinical, finance, analytics, operations, contracting, and market leadership stakeholders.
Experience translating complex healthcare, utilization, financial, claims, or operational datasets into scalable economic models, executive insights, and strategic recommendations.
Demonstrated ability to communicate with senior leaders and influence decisions through data-driven insights.

Nice To Haves

PharmD or pharmacist licensure.
Experience with pharmaceutical rebates, preferred product strategies, or value-based programs.
Experience conducting opportunity sizing, scenario analysis, or ROI analysis.
Experience using generative AI, predictive analytics, or automation technologies to improve forecasting, analytic productivity, decision support, or business insights.
Experience developing executive dashboards and performance measurement frameworks with Power BI, Tableau, or comparable business intelligence platforms.
Experience supporting Medicare Advantage, Medicaid, Commercial, and value-based care populations.
Working knowledge of medical benefit drugs, specialty pharmaceuticals, infused therapies, biosimilars, and manufacturer-sponsored programs.
Knowledge of pharmaceutical policy, reimbursement, and regulatory trends, including the Inflation Reduction Act and Medicare Drug Price Negotiation Program.

Responsibilities

Own the pharmacy value economics framework across Optum Health, including methodology, governance, financial performance standards, and value realization reporting.
Establish methodologies to measure rebate performance, yield, value realization, and return on investment.
Lead prioritization and execution of rebate, manufacturer value, and pharmacy affordability opportunities with clinical, finance, analytics, and market leadership partners.
Evaluate post-rebate net cost effectiveness with Clinical Pharmacy Insights to ensure recommendations are clinically appropriate, affordability-aligned, and compatible with Pharmacy Value & Therapeutics Committee guidance.
Lead national forecasting methodologies for rebate revenue, manufacturer value programs, value product opportunities, and market expansion initiatives.
Develop financial models and executive business cases supporting strategic planning, investment decisions, affordability initiatives, and value realization commitments.
Monitor forecast accuracy and identify key performance drivers.
Identify variances between vendor estimates and actual performance, including financial impact, leakage, and realized value.
Own executive dashboards, scorecards, KPIs, and value reporting used for senior leadership decisions and enterprise performance management.
Produce actionable insights on rebate performance, net cost optimization, utilization trends, value capture, and affordability opportunities.
Translate data and analytic conclusions into concise executive narratives, recommendations, and decision-support materials.
Identify revenue leakage and value capture gaps across rebate and manufacturer-funded programs, quantify opportunities, and prioritize improvements.
Drive operational accountability so identified opportunities result in measurable, sustained realized value.
Monitor pharmacy-value trends, including pharmaceutical market dynamics, biosimilar adoption, reimbursement changes, and regulatory developments.
Assess the impact of Medicare Drug Price Negotiation, Inflation Reduction Act provisions, and evolving manufacturer strategies; develop scenario analyses and strategic recommendations.
Lead measurement and financial performance evaluation of value product initiatives, future manufacturer value opportunities, and affordability initiatives.
Develop integrated value measurement approaches with clinical, financial, actuarial, healthcare economics, contracting, and operational stakeholders.
Establish and scale analytics beyond rebates toward total pharmacy value measurement across populations, markets, and lines of business.
Lead, coach, and develop a high-performing team responsible for forecasting, analytics, reporting, and financial modeling.
Establish team priorities, performance expectations, and development plans, and foster accountability, innovation, continuous improvement, and data-driven decision-making.