UnitedHealth Group Vice President, Pharmacy Innovation - Eden Prairie, MN or Telecommute Considered in Eden Prairie, Minnesota

Optum continues to develop a deep, national footprint of healthcare services that operate at the local level through both its OptumCare and OptumRx units. Industry dynamics, such as the merger of CVS Health / Aetna, are increasing the focus on care services delivered locally.

OptumCare is building value-oriented, consumer-centric, provider-led health delivery systems in specific markets, focused on improving the quality, experience, and cost of care, while also enhancing the provider experience. OptumCare is inclusive of our medical groups, IPAs, specialists, and ambulatory surgery and urgent care centers. When you join our team, you’ll be surrounded by focused, performance driven leaders who are dedicated to building the highest value healthcare delivery system.

OptumRx provides pharmacy benefit management and pharmacy dispensing services to 65 million members. OptumRx’s pharmacy footprint is nationwide and includes home delivery, specialty pharmacy, infusion services, and specialized pharmacies for high-need populations like those suffering from severe mental illness.

The Vice President, Pharmacy Innovation is responsible for working across OptumRx and OptumCare to better integrate pharmacy capabilities at the local level in order to improve quality, access, cost, and provider experience.

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

Primary Responsibilities:

  • Co-develop with OptumCare clinical and financial teams and OptumRx the business case, financial plan, and strategy for all pharmacy related initiatives

  • Establish best-in-class pharmacy practices by building and managing the relationship between OptumCare and OptumRx, as the primary partners in this endeavor

  • Be accountable for determining pathway to improved management of specialty medications in OptumCare delivery organizations on medical benefit driving $10M cost of care improvement annually

  • Determine appropriate pathway and timeline (if relevant) to Part D risk for all OptumCare markets

  • Materially increase home delivery of drugs to OptumCare patients ($1M+ opportunity in 2019); Includes identification of barriers to adoption and solution development with OptumRx team to overcome barriers

  • Identify data driven best practices for prescribing decisions that can be implemented into the workflow (likely to include scaled implementation of Pre-Check My Script) as well as medication adherence best practices, leveraging the extensive data assets and existing programs within OptumRx

This leader will report to OptumCare leadership with a dotted line to OptumRx leadership. They will be accountable to both organizations for optimizing pharmacy activities.

Required Qualifications:

  • Bachelor's degree

  • 10+ years of healthcare experience in managed care

  • Managed care experience in a risk environment with emphasis on integration of pharmacy into physician work flow

  • Experience leveraging leadership and collaboration skills across multiple functional groups in a matrix organization

  • Proven and extensive understanding of risk agreements including DOFR (Division of Financial Responsibility) and financial implications

  • Sophisticated understanding of healthcare industry from provider, health plan, and hospital perspective, including relevant economic, regulatory, market, and reimbursement issues

Preferred Qualifications:

  • Master’s degree in business administration, healthcare administration, finance, or related field

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most

advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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