Pharmacy Director, Medicaid Strategy & Compliance

UnitedHealth Group; Seattle (WA); Remote; USD 113,000 - 193,000; Full time

Job summary

UnitedHealth Group's UnitedHealthcare Community Plan of Washington seeks a Plan Pharmacy Director to lead the pharmacy benefit program and strategy, ensuring compliance and affordability. The role involves PDL management, reporting, and stakeholder engagement with state agencies and health plans.

The position requires WA license, 3+ years in clinical pharmacy or managed care, and strong communication and analytics skills. A remote-work option is available for WA-based candidates.

Qualifications

• Bachelor-level or Doctor of Pharmacy degree required.
• Current, unrestricted Washington Pharmacist license.
• Experience in clinical pharmacy, sales or account management.
• Experience in managed care pharmacy and Medicaid/Medicare plans.

Responsibilities

• Executes pharmacy benefit and compliance with state contract, policies and regulations.
• Develops and drives strategic plans and goals with managed care knowledge.
• Analyzes forecasting and trend information for planning.
• Oversees pharmacy program priorities and financial impact for the health plan.
• Builds strong relationships with internal and external partners; primary Pharmacy contact.

Skills

Pharmacy leadership

Communication skills

Time management

Self-directed

Forecasting & analytics

Education

Pharmacist degree (BS Pharm or Pharm.D)

Tools

Microsoft Office Suite

Job description

UnitedHealth Group's UnitedHealthcare Community Plan of Washington seeks a Plan Pharmacy Director to lead the pharmacy benefit program and strategy, ensuring compliance and affordability. The role involves PDL management, reporting, and stakeholder engagement with state agencies and health plans.

The position requires WA license, 3+ years in clinical pharmacy or managed care, and strong communication and analytics skills. A remote-work option is available for WA-based candidates.