[Hiring] Clinical Pharmacist Formulary Operations @UnitedHealth Group

Role Description

Oversee formulary builds and maintenance covering all Commercial, Medicaid, and Exchange lines of business (ORx Direct and UHC).

• Responsible for commercial formulary program creation & maintenance in the formulary application.
• Support short and long term operational and strategic business activities by developing, enhancing and maintaining operational information as well as supporting development and maintenance of the Formulary Management applications.
• Ability to apply clinical knowledge to drug programs and their implementation into formularies.
• Review and analyze formulary data to determine the appropriate process for building and maintaining formularies in the Formulary Management applications.
• Oversee formulary change process and perform formulary reporting and analysis functions.
• Work collaboratively with others to track and maintain formulary information for specific clients.
• Ensuring a comprehensive quality review of formulary data to maintain accuracy and service level agreements (i.e. Performance Guarantees).

The pharmacist who fills this position will participate in all aspects of formulary operations including, but not limited to:

• New formulary implementations.
• Formulary maintenance.
• Implementation of strategic projects.
• Issue review and related formulary operation activities.

You may also research new prescription drugs or new applications of existing drugs and use this information to help guide tier and formulary decisions. This position requires excellent clinical and analytical skills, attention to detail, and the ability to communicate and work collaboratively with other departments.

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

• Current and unrestricted Pharmacy License.
• 2+ years of experience as a licensed pharmacist.
• 1+ years of experience with project methodology (requirements, design, development, test and implementation).
• Ability to be flexible and work in a dynamic and evolving business environment.
• Demonstrated process improvement, workflow, benchmarking and/or evaluation of business processes.
• Proficient level of experience with PC based software programs and automated database management systems (Word, Excel, PowerPoint).
• Experience with client formulary data analysis (understanding client intent, review client changes requests, then accurately implementing formulary updates).
• Working knowledge of relational databases and database structures.

Requirements

• Pharm D (Preferred).
• 2+ years of Pharmacy Benefits Manager (PBM) experience (Preferred).
• Experience with VBA macro tools (Preferred).
• Formulary Operations and/or Submissions experience (Preferred).
• Managed Care experience (Preferred).
• RxClaim / AS400 knowledge and experience (Preferred).
• Excellent communication, writing, time/project management, problem solving, organizational, and analytical skills (Preferred).
• Ability to manage multiple, complex activities simultaneously without compromising quality (Preferred).
• Ability to effectively work in collaboration in a team environment to meet client performance guarantees for quality and/or timeliness results (Preferred).

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).

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.