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Clinical Pharmacist, Drug Pipeline Cost Modeling - Remote

Optum
401(k)
United States, Minnesota, Eden Prairie
11000 Optum Circle (Show on map)
Apr 25, 2025

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Pharmacist / Drug Pipeline Cost Modeling Analyst will be responsible for the research of new and existing medications and the evaluation of medical literature. The analyst will assist with the Modeling of the Vigilant Drug Program (VDP) process including biannual and weekly VDP review. The chosen candidate will support the drug pipeline surveillance team with cost modeling to estimate the per member per month impact of new drugs. The analyst will also support, Client Presentations of results of pipeline modeling, support client teams in formulary strategy decisions. The chosen candidate must be able to successfully work in a team environment as well as independently. The chosen candidate must be willing to support tasks and projects outside of standard duties.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:



  • Ownership of the VDP process including biannual and weekly VDP review, formulary alternatives, VDP savings analysis, VDP strategy including number and type of lists, VDP marketing material and collateral. Work with internal stakeholders to design models including data collection procedures for research (e.g. Biannual VDP drug placement project)
  • Drug Pipeline modeling, including model frameworks, assumption research, development and presentation of results. Client Presentations of results of pipeline modeling, support client teams in formulary strategy decisions
  • Design analytical plans that specify procedures for conducting data collection and research (e.g., pipeline PMPM modeling, drug level assumption setting for pipeline modeling, clinical effectiveness and research for VDP modeling)
  • Work with internal and external stakeholders to determine key research questions related to drug strategy
  • Utilize relevant information resources (e.g., on-line sources; share-point; medical journals; industry literature, etc.) to conduct literature searches and answer questions. (e.g. conduct research for responding to Inbox related questions, assumptions for pipeline modeling)
  • Demonstrate understanding of healthcare system nuances (like population characteristics, payment reimbursement etc. for commercial, Medicare and Medicaid)
  • Demonstrate and apply understanding of health care industry trends and their drivers in determining monthly alternatives
  • P&T support (e.g. developing materials and presentation of material to P&T committee)
  • Be aware of current and emerging trends in clinical information, treatment guidelines and formulary review strategies
  • Work with internal teams to implement updates Optum affordability initiatives and clinical program lists
  • Regularly synthesize drug tiering and utilization management strategies to develop collateral used in consultant and client communications
  • Assist in training and mentoring of pharmacy residents, students, and interns
  • Other activities as determined by the VP of Formulary Strategy



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:



  • Pharm D degree
  • Current, unrestricted Pharmacist license (any state)
  • 2+ years of experience working as a licensed pharmacist in a clinical setting (not retail pharmacy)
  • Experience working on or with a Pharmacy & Therapeutics (P&T) committee
  • Experience writing and presenting monographs and class reviews
  • Computer proficiency at the intermediate level and experience with MS Office (specifically Word, Excel and PowerPoint)
  • Willing or the ability to travel up to 10%



Preferred Qualifications:



  • Successful completion of a Pharmacy Residency program
  • Experience in formulary strategy including understanding of the formulary placement decisions
  • Experience working within a PBM or Managed Care



*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.

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