Director Clinical Pharmacy - Market Support - Remote

Lensa; Hollywood (FL); Remote; USD 106,000 - 195,000; Full time

Job summary

A leading healthcare organization is seeking a Director of Clinical Pharmacy to manage clinical programs and improve health outcomes. This remote role requires a Doctor of Pharmacy degree and extensive experience in clinical pharmacy practice, with responsibilities including program management and stakeholder communication. Join a team dedicated to advancing health equity and making a positive impact on communities.

Qualifications

• 5+ years of Clinical Pharmacy Practice experience.
• 3+ years of experience with Medicare STARs & HEDIS Measures.
• Ability to manage multiple complex projects.

Responsibilities

• Own end-to-end management of all quality clinical programs.
• Develop strategies based on market trends and performance data.
• Educate providers, clinic groups, and CDOs.

Skills

Communication

Project Management

Interpersonal Skills

Planning

Organizational Skills

Education

Doctor of Pharmacy degree

MBA/MPH Degree

Tools

Microsoft Office

Job description

Director Clinical Pharmacy - Market Support - Remote

Be among the first 25 applicants one day ago on Lensa, the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. Your work 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. We foster a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on the communities we serve and help advance health equity globally. Start with Caring. Connecting. Growing together.

The Clinical Performance Quality (CPQ) Director of Clinical Pharmacy (Market Support) supports Optum’s Care Delivery Organizations by assisting CDO markets and patient engagement teams. Responsibilities include targeted clinical and non-clinical interventions to address specific STARs/HEDIS measures, such as medication adherence, care for older adults, statins in persons with diabetes or cardiovascular disease, and medication therapy management. This role also serves as the measure owner for various medication-related STARs/HEDIS measures, including care for older adults, medication adherence, and medication therapy management.

This position collaborates with various functional teams across the organization: Clinical Service Delivery, Provider offices, Clinical Audit Team, Marketing, Project Management, Finance, Human Capital, and Contract Performance Management. It offers the flexibility to work remotely from anywhere within the U.S., tackling some challenging projects.

Primary Responsibilities

1. Own end-to-end management of all quality clinical programs and services.
2. Identify and resolve organizational challenges across a matrix.
3. Improve quality metrics performance while reducing costs.
4. Develop strategies based on market trends and performance data.
5. Create and maintain program summaries and portfolio documents, including market-facing tools and strategy documents.
6. Respond to questions related to clinical program summaries, processes, or recommendations.
7. Evaluate clinical programs and summarize results for client review and publication.
8. Handle pharmacy-related inquiries and other client, market, and provider inquiries into the central clinical team.
9. Develop programs to improve clinical outcomes in response to client requests.
10. Recommend process changes based on research and internal/external requests.
11. Educate providers, clinic groups, and CDOs.
12. Respond effectively to inquiries or complaints from clients or business community members.
13. Present clinical information verbally to clinical and business leaders.
14. Oversee the measure owner role, interfacing with market, clients, and reporting teams as the Pharmacy measure owner and SME.
15. Serve as a clinical resource and consultant in pharmacy and medication therapy management.
16. Develop and implement clinical strategies and quality initiatives.
17. Partner with clinical leadership as a SME for reporting across platforms and systems.
18. Communicate effectively with internal and external stakeholders about pharmacy programs and initiatives.
19. Utilize systems to retrieve clinical data for analyses.
20. Lead and partner organization-wide to deliver high performance for clients.
21. Perform other duties as assigned.

You will be rewarded and recognized for your performance in an environment that challenges you, provides clear success criteria, and offers development opportunities.

Required Qualifications

• Doctor of Pharmacy degree
• Active, unrestricted pharmacy license
• 5+ years of Clinical Pharmacy Practice experience
• 3+ years of experience with Medicare STARs & HEDIS Measures, including Medication Adherence and MTM
• 1+ years developing programs for clinical call centers with inbound and outbound capabilities
• Proficiency in Microsoft Office applications, especially Excel
• Ability to manage multiple complex projects
• Excellent communication and relationship-building skills
• Strong planning and organizational skills
• Interpersonal skills
• Ability to work independently and in teams
• Ability to travel up to 25%

Preferred Qualifications

• MBA/MPH Degree
• 2+ years experience in client and stakeholder communications with performance reporting
• Campaign Management experience
• Effective interpersonal skills for interfacing with all organizational levels and external clients

Physical & Mental Requirements

• Lift up to 25 pounds
• Receive and understand verbal and written instructions
• Use logical reasoning for problem-solving
• Adhere to remote work policies

Additional details include salary range ($106,800 - $194,200), benefits, and commitment to diversity, equity, and inclusion. The application deadline is at least 2 business days from posting or until a sufficient candidate pool is reached. UnitedHealth Group is an Equal Opportunity Employer and a drug-free workplace.