PBM Specialist - Remote

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 equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

The PBM capability analyst is a replacement position and will support one of UMR's key value propositions needed for continued membership and IOI growth, our Optum Rx integrated solution. For 2023, we saw a 15% growth on this segment. This segment makes up 61% of UMR's customers base, and accounts for 33% of our membership. The PBM capability analyst will play a critical role in the ability to deliver Optum Rx products to UMR customers. They will also help manage large/complex customers with Optum Rx through our integrated solution. This position will work with UMR operations, OptumRx product, UMR and Optum Rx Growth and Retention teams, and Customer Solutions teams. This replacement position will allow UMR to enhance the value story and integrated service model for UMR customers with Optum Rx. This position may be customer facing and would not be a candidate for offshoring.

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

Primary Responsibilities:

Proactive review of ORx products
Product meeting facilitation with ORx
Internal UMR process management to approve and roll out new Rx products
Maintenance of all internal documentation, communications, and oversight of ORx processes (not just products, all processes to support the integrated model)
Provide applicable training to UMR AM and internal teams for new product rollout
Ongoing platform migration management for UMR and OptumRx
Assist in new business benefit analysis and review
Support Rx activity for National Accounts and large complex groups with OptumRx (Integrated Solution)
Support the UMR Medical Rebate product

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:

High School Diploma / GED (or higher)
1 years of relevant experience in the health care industry and extensive experience with assigned product lines
1 years of relevant experience working for or with Pharmacy Benefit Managers
Experience with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, formatting, formulating spreadsheets)

Preferred Qualifications:

Bachelor's Degree
1 years of experience working for OptumRx
1 years of product/project management experience. (i.e. experience managing developing and managing project plans)

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

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

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $56,300 to $110,400. 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.

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.