Vice President Formulary and Trend Management - UHC Government Programs - Remote
Location: Minnetonka, Minnesota
Internal Number: 117505925
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
The VP Formulary Development and Trend Management will serve as a key leader within the Government Programs Pharmacy team in the development of formulary strategies to support UnitedHealthcare’s Medicare, Medicaid, and Individual Exchange businesses. This leadership role will partner with the plan’s Actuarial, Finance, Clinical Operations, Industry Relations, and Product teams to design formularies that align with all CMS requirements and corresponding product strategies to support Medicare Part D, Medicaid, and Individual Exchange goals. The ideal candidate for this position will bring a balance of clinical acumen, strategic insight, and a solid analytic mindset. Additionally, candidates require solid relationship building skills with an ability to represent the plan in the engagement with key stakeholders related to formulary decisions, the evaluation and selection of strategies to impact emerging trends, and any necessary communication related to pharmaceutical pipeline monitoring. This position will represent the Government Programs Pharmacy Organization, working across the enterprise to strengthen partnerships and drive value for the organization.
You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.
Lead the strategy and development of formularies across UHC Government Programs that provide clinically sound and affordable care for members, meet all government required regulations, and manage spend through the modeling, evaluation, and selection of preferred agents that support product strategy goals
Monitor and evaluate complex pharmacy data, identify causes of pharmacy trends, and recommend strategic action to drive impact across different plan populations
Foster solid partnerships with key business cross-functional teams across the Government Programs organization including but not limited to Actuarial, Finance, Product, and Industry Relations to support the Medicare Part D bid as well as Medicaid and Individual Exchange strategy
Own the development of clinical and financial content related to formulary decisions via governance committees that involve a leadership audience requiring a clear, concise presentation manner that highlights key items, encourages discussion, and drives sound decisions
Drive a solid organizational culture supporting employee development, growth, and retention
Collaborate with Industry Relations colleagues within PBM to identify and evaluate pharmaceutical contracting opportunities that drive organizational value and support product strategy and formulary objectives across Government Programs lines of business
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.
Registered pharmacist with a license in good standing within a US State or Territory OR equivalent experience (i.e. 10 years of Healthcare Economics, Data Analytics)
10+ years of experience applying advanced analytical skills with a demonstrated ability to sift through data and identify solutions to solve problems
10+ years of Managed Care pharmacy experience specific to Medicare Part D formulary development
5+ years of experience in negotiating with pharma (government experience highly preferred)
5+ years of experience managing and leading a team
Experience within a matrixed team environment to deliver objectives within an established timeline
Solid history of developing partnerships and building relationships both with direct reports and cross functional leaders
Experience in Managed Medicaid and Individual Exchange formulary management
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 at UnitedHealthcare M&R Underwriting & HCE. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)
Colorado, Connecticut, Nevada, or New York City Residents Only: The salary range for Colorado residents is $134,200 to $257,700. The salary range for Connecticut/Nevada/New York City 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.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.