[Hiring] Formulary Consulting Group Lead @UnitedHealth Group

Role Description

This role requires a clinical aptitude to support clients in the growing Formulary Management Services (FMS) business segment, including identification and quantification of opportunities to maximize pharmaceutical rebate revenues and evaluation of these opportunities via financial therapeutic class models using client-specific actual claims data.

Hours: Monday - Friday 8:00 AM - 5:00 PM

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Deliver value to clients through consultations and presentations that focus on formulary strategies to help clients achieve clinical and financial goals.
• Apply clinical and business knowledge to execute financial models to identify formulary strategies yielding payor cost-savings, which will require you to:
  • Evaluate client formularies and UM criteria.
  • Read and understand client contracts and pharma contracts.
  • Access and use pricing databases, formulary databases, billing databases, claims databases.
  • Run, develop, and analyze client utilization and spending reports.
• Develop & present client-facing materials that are clear, concise, and effective; must be able to simplify complex subjects without compromising content.
• Work cross-functionally to understand end-to-end operations, and manage deliverables, expectations and timelines with internal and external partners.
• Contribute to team business objectives.
• Use soft skills to build and foster relationships with internal and external partners.
• Serve as a subject matter expert on assigned therapeutic class strategies.
• Actively pursue continuous quality and process improvement in self and work tasks.
• Up to 10% travel may be required.

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.

Qualifications

• 2+ years of experience in three or more of the following:
  • Client management or client-facing role.
  • Formulary operations, strategy, development.
  • Clinical operations (P&T, UMs, pipeline).
  • Pharmacy plan design or new client implementation.
  • Pharma manufacturer discounts contracting, billing, or modeling.
  • Health plan/PBM financial modeling experience.

Requirements

• 5+ years of experience in a client-facing role.
• 3+ years of clinical experience (e.g Pharmacist, Nurse, physician).
• Possesses excellent communication and interpersonal skills.
• Ability to deal comfortably with ambiguity, uncertainty and risk, and can make high-quality decisions with less than perfect information.
• Ability to change course quickly in a fast-paced environment.
• Ability to demonstrate resourcefulness, and have the ability to innovate and problem-solve with initiative and ingenuity.

Benefits

• Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• The salary for this role will range from $112,700 - $193,200 annually based on full-time employment.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.