The Director, Clinical Strategy Lead, serves as a trusted advisor to GPO Members, combining clinical expertise, formulary knowledge, and financial modeling capabilities to optimize pharmacy strategies and maximize value. This role supports GPO Members through formulary scenario analyses, rebate optimization initiatives, utilization management assessments, and pharmaceutical contracting insights, helping the member optimize formulary performance, maximize financial value, and achieve their clinical and business objectives.
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 GPO Members through consultative engagements and partners closely with Account Management, Strategy, Contracting, Analytics, and Operations teams to deliver actionable recommendations supported by clinical evidence, market intelligence, and financial impact analyses
- Apply clinical, financial, and business expertise to develop and execute formulary scenario analyses, rebate optimization models, and strategic recommendations
- Partner with GPO Clinical Consultants to evaluate member formularies, utilization management criteria, and benefit designs, providing recommendations that optimize clinical outcomes and rebate performance
- Analyze the clinical and financial implications of formulary changes, preferred product strategies, biosimilar adoption, therapeutic interchange opportunities, and utilization management programs
- Read, interpret, and apply provisions within GPO agreements to support member decision-making and contracting strategies
- Access and utilize pricing, formulary, claims, billing, and utilization databases to generate actionable insights and recommendations
- Develop, execute, and interpret utilization, spend, rebate, and trend analyses to identify cost-savings opportunities and improve rebate realization
- Communicate complex clinical, contracting, and financial concepts effectively to both clinical and non-clinical audiences
- Serve as a subject matter expert on assigned therapeutic classes, market trends, and pharmaceutical contracting strategies
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:- 2+ years of experience in three or more of the following areas:
- GPO Member management or client-facing consulting
- Formulary operations, strategy, or development
- Clinical operations (P&T committees, utilization management, or pipeline evaluation)
- Pharmacy benefit design or implementation
- Pharmaceutical manufacturer contracting, rebate administration, billing, or financial modeling
- Health plan, PBM, or managed care financial analysis
Preferred Qualifications:- 5+ years of Experience in a client-facing role supporting health plans, PBMs, GPOs, or managed care organizations
- 3+ years of clinical experience (PharmD, RN, NP, PA, or similar clinical credentials)
- Experience developing and executing formulary scenario modeling and rebate optimization analyses
- Solid understanding of pharmaceutical contracting economics, manufacturer rebate programs, and formulary management strategies
- Excellent communication, presentation, and stakeholder management skills
- Ability to simplify complex clinical and financial concepts for executive, client, and non-clinical audiences
- Demonstrated ability to operate effectively in a fast-paced environment with ambiguity and competing priorities
- Solid analytical, problem-solving, and strategic thinking skills
*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 $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
