Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work. (sm) Our Specialty Pharmacy is a critical part of the future of the OptumRx integrated pharmacies as the pharmaceutical market increasingly shifts to specialty drugs. Success in these careers relies on many factors - your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone.
As a member of the Optum Specialty Pharmacy leadership team, the Vice President of Clinical Services will lead an organization responsible for clinical services, pharma manufacturer programs, pharmacy internship programs, as well as support accreditation, clinical quality and outcomes. This important leadership role will work in close collaboration with our pharma relations, PBM/payer relations, and specialty pharmacy operations to define, build and operationalize clinical services for therapeutic areas, specific drugs, and ensure industry-leading outcomes and experiences for every patient we serve, every time. This leader will have a solid business, clinical and operational acumen, representing our clinical services and operational excellence to life science companies and PBMs/payers, as well as serve as the face of the business for internal teams, as well as the company at annual industry events such as conferences and meetings. You will be part of the leadership team who runs specialty pharmacy departments including operations, payer relations, industry relations, provider sales, strategy, legal and finance. Responsibilities will span the wide range of supporting business development efforts to operational support to development of new services to implementation of new drug programs, to supporting licensing and accreditation, while building a culture of clinical excellence and innovation. Must be excited about challenging the status quo, have a mentality of lifelong learning, and be motivated to develop others into leadership roles, grow the business and expand the definition of the clinical pharmacy model to adapt to growing expectations and new needs around specialty drugs. Implementing services into the service model such as genetic counseling, pharmacogenomics, medication therapy management, and white glove case management will require cultivation of relationships with partners and successful execution of clinical models clients are willing to pay for. The successful candidate will bring a team of teams leadership mindset, a history of success building high performing leadership teams, and ability to leverage internal and external partners to get things built. Success will be measured by patient, pharma, and provider satisfaction, and achievement of business objectives including financial targets, employee experience indices, new drug wins, and achieving above fair market share. The position will report directly to the CEO of the specialty pharmacy. You must be someone who can attract and develop future leaders, navigate ambiguity, set a vision then gain organizational buy-in, lead by influence across the enterprise, and have unrelenting passion to make a difference in health care.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Manage a team of pharmacy leaders to identify, develop, implement and operate industry leading clinical services
Define, develop, & operationalize teams to deliver upon:
Specialty clinical strategy for therapeutic area success and industry leading outcomes
Portfolio of disease and drug specific clinical & patient services
Patient advocacy embedded into model for patient services
Clinical affairs and outreach with tailored models for different provider settings
Lead specialty clinical drug pipeline evaluation to include providing clinical strategy for each identified therapy, portfolio decisions for the clinical & operational fit of each product
Develop and implement clinical outcomes tracking for value based and outcomes based contracting models
Define, develop & operationalize the prior authorization & appeals support for all drug products supported
Responsible for clinical services and clinical affairs for the specialty pharmacy
Develop dedicated and designated disease state experts who will serve patients who need the drugs we dispense
Collaborate with provider teams to create a well-coordinated approach to patient care, and ensure that everything goes smoothly for the patient
Build relationships with specialty patient advocacy groups and champion our unique care model and patient centric services
Be the face of the business at key industry events, conferences, and other speaking opportunities to promote the unique services of our pharmacy and how we operate
Lead development of our leading care model and patient experience in close collaboration with our specialty front-end operations leader
Ensure our pharmacy is current in licensing and pursues the rigor to win highest accreditations for servicing specialty patients
Build a culture of passion for patient care, excellence in service, and highest standards for quality in execution
Adapt departmental plans and priorities to address business and operational challenges
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.
Licensed, Doctor of Pharmacy or RPh
10+ years of direct patient interactions with demonstrated excellence in patient care and support
5+ years of progressive leadership roles in pharmacy operations and service organizations
5+ years of experience with pharmacy accreditation and licensing
5+ years of experience with pharmacy technology platforms, and working knowledge of at least 3
3+ years of experience with client presentations and RFP finalist meetings
3+ years of experience helping patients get access to medications working with payers and providers
3+ years of experience working directly with pharmaceutical manufacturers
Demonstrated ability to achieve goals in an ambiguous and matrixed work environment
Demonstrated ability to work collaboratively and influence others
Proven ability to effectively communicate at all levels of the organization, comfortable presenting to senior leaders
Experience with state Medicaid
3+ years of clinical product, startup, innovation team or other entrepreneurial work
Experience with specialty patient services and programs for managing specialty drugs
Strategy or M&A experience
Working knowledge of payer and PBM business practices
Healthcare technology experience
Ability to commute to company, client and center of excellence locations across the U.S., up to 25%
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Colorado, Connecticut or Nevada Residents Only: The salary/hourly range for Colorado residents is $134,200 to $257,700. The salary/hourly range for Connecticut/Nevada residents is $134,200 to $257,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.