At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Associate Director, PDL Strategy will drive development of the Prescription Drug Lists (PDLs) including strategy and coverage decisions for medications covered under both the pharmacy and medical benefit. Work alongside analytic team responsible to identify opportunities, determine impact of strategic decisions, and monitor results. Work in conjunction with clinical, operations and medical teams to align and implement strategies. Develop and obtain discounts from pharmaceutical manufacturers to drive affordability and savings.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Drive development of the PDLs and accompanying programs for the Commercial business to achieve affordability and savings targets, manage trend and improve quality for approximately 14M covered lives
- Drive development of coverage strategies for medications covered under the medical benefit to achieve affordability and savings targets, manage trend and improve quality for approximately 24.5M covered lives
- Work in conjunction with PBM to develop strategies, as appropriate, and obtain industry-leading pricing for drugs covered under both the pharmacy and medical benefit
- Work with team providing analytics to understand current utilization patterns, develop models to estimate financial impact of various coverage strategies, and track / evaluate outcomes of PDL placement, utilization management and other programs
- Represent PDL strategies to internal and external stakeholders, providing evidence of underlying need or opportunity, rationale for decisions and expected impact of changes
- Develop and support innovative strategies and affordability initiatives that align with PDL and business priorities
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.
Required Qualifications:
- PharmD from an accredited college or university
- Current and unrestricted Pharmacist license
- 5+ years of managed care and/or HealthPlan experience
- Excellent analytic background, including performing financial impact analysis using financial, forecasting, and other relevant data analysis tools
- Proven intermediate MS Office Excel skills (e.g., V-lookups and Pivot tables)
Preferred Qualifications:
- Experience in value-based outcomes contracting and/or health economics and outcomes research
- Experience in strategy development and pharmacy coverage decisions
- Proven excellent verbal and written communication skills; ability to speak clearly and concisely, ability to understand, interpret, and convey complex technical information in an audience-specific manner
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ
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.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
