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 VP, Pharmacy Benefit Manager (PBM) Capability Leader leads the Optum Rx PBM capability team and is accountable for delivering on the PBM strategic priorities, the most critical priority being advancing PBM modernization via best-in-class technology and automation.
This role is accountable for leading dedicated capability teams independent from but connected to the business to drive technology investments aligned with long-range strategy and aimed at materially transforming our Optum Rx PBM. This role supports the entirety of Optum Rx's PBM direct business as well as emerging support for UnitedHealth Care (UHC) client segments expected over next several years.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Capital allocation prioritized based on highest value work that will have greatest impact on achieving our long-term plan
- Understands the key indicators to assess capability performance and inform decisions on new or enhanced opportunities that are aligned with business strategies and internal business functions
- Accountable for portfolio rationalization to merge duplications of existing capabilities driving towards common enterprise capabilities where possible and reduce low-value enhancements/feature development in existing systems to ensure majority of the capital is aimed at transformational, future-state investments
- Applies deep capability expertise and vision to credibly represent, manage and engage with business to drive transformation and create and execute a strategy and roadmap to help business achieve financial targets and improve the client performance and member experiences
- Representation includes C-Suite level engagement internally and regular participation in must-win client finalist sessions
- It is important that this leader brings a product mindset to ensure client and consumer needs are met through this transformation
- Drives innovation and use of emerging technologies such as AI/ML to reimagine technology used by operations and external clients to automate, drive value, transparency and a differentiated consumer and client experience
- Ensures the Optum Rx PBM has a proactive strategy and roadmap to remain compliant with federal and state regulations
- This is an ever-changing landscape, and it is imperative that the PBM capability team ensures Optum Rx is compliant with large regulatory mandates such as IRA Part D Redesign, Maximum Fair Price and NCPDP telecom vF6
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:
- 15+ years' experience healthcare industry, with at least 3 years' experience with PBM or Pharmacy
- 10+ years' experience leading teams
- 8+ years' experience leading capabilities or technology products
- Demonstrated ability to collaborate cross-functionally with teams in a fast-moving and dynamic business environment
Preferred Qualifications:
- Master's degree
- Experience with regulatory mandates such as IRA Part D Redesign, Maximum Fair Price and NCPDP telecom vF6
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $188,000 to $357,600 annually. 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.
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.
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