Clinical Pharmacist - Remote in CST or EST

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Clinical Pharmacist will support the Clinical Pharmacy team by developing and maintaining drug policies for the pharmacy and medical benefit, supporting United's Medicaid line of business. This role will partner with peers supporting formulary and trend management, clinical pharmacy operations, drug utilization review programs, and state partners to develop and implement clinical programs and formularies that support plan objectives and organizational growth goals. The ideal candidate will be able to provide subject matter expertise across both the pharmacy and medical drug benefit, have a strong understanding of process development and implementation and possess a strong analytical skillset with the ability to turn large datasets into end user formats to be used to measure performance and/or support clinical decision making.

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

Primary Responsibilities:

• Support the strategy and development of formularies for the Medicaid business to provide clinically sound and affordable care for members, while meeting all government required regulations
• Build and maintain utilization management programs for the Medicaid business. These programs include but are not limited to prior authorization, quantity limits, and step therapy edits
• Discuss proposed policies with key stakeholders
• Measure and report the value of utilization management programs for the Medicaid business
• Serve as a clinical liaison to our National Pharmacy and Therapeutics Committee, including presenting utilization management programs for approval
• Develop strong partnerships with cross functional team members, including from our PBM, to support the Medicaid business
• Help support appeals team on member and provider appeals of coverage decisions
• Problem solve and recommend approaches based on review of clinical literature

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:

• Registered Pharmacist with license in good standing within a US State or Territory
• 3+ years of clinical pharmacy experience or completion of a managed care pharmacy residency
• Experience with writing/developing utilization management criteria for medications available on the pharmacy benefit
• Experience with presenting clinical content and recommendations to various audiences
• Solid proficiency in Sharepoint, MS Office Suite (including Excel)
• Solid organizational skills with the ability to balance multiple tasks and both accept direction, and self-manage daily activities
• Skilled communicator with an ability to adapt written and verbal communications to needs of audience
• Ability to work both independently and within a matrixed team environment to deliver objectives within an established timeline
• Demonstrated curiosity and willingness to adopt new tools and approaches, including AI-enabled analytics or automation such as CoPilot, to improve efficiency and effectiveness

Preferred Qualifications:

• Completion of a managed care pharmacy residency
• Attained Board of Pharmacy Specialties (BPS) certification or other equivalent accredited pharmacy board certification
• Experience with writing/developing utilization management criteria for physician administered medications
• Experience with Microsoft Access and advanced analytical tools such as Tableau, SQL, and/or SAS
• Proven analytical skills with an ability to sift through data and identify solutions to solve problems
• Demonstrated ability to build internal and external relationships with key stakeholders

*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 $91,700 to $163,700 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.

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.