Remote Clinical Program Analyst, Medicare Star & Pharmacy

UnitedHealth Group; Schaumburg (IL); Remote; USD 92,000 - 164,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock plan

401k contribution

Job summary

UnitedHealth Group seeks a Clinical Program Analyst, Pharmacist, to leverage data insights for strategic clinical pharmacy programs. You will influence Medicare Star initiatives, develop roadmaps, and collaborate with cross-functional teams to drive program improvements in a remote environment across the United States.

You will split time between pharmacy duties and program analysis, delivering data-driven recommendations, stakeholder presentations, and strategic plans that shape product

Qualifications

• PharmD or bachelor's degree in pharmacy
• Current and unrestricted pharmacist licensure
• 3+ years of experience as a clinical pharmacist
• 3+ years of Managed Care experience AND Clinical Program Development/Strategy experience
• Proficient in Outlook and Internet searches
• Proficient in Microsoft Excel, Power Query, Power BI and MS Office tools
• Experience collecting, analyzing data to develop business strategies
• Adept at data storytelling

Responsibilities

• Pharmacy SME for Part D Stars Measures and CMS requirements
• Analyze outcomes data for yearly reporting and improvement opportunities
• Present program findings to clients and leadership
• Oversee pharmacy projects from inception to completion
• Research program qualification and outcomes criteria
• Interpret customer needs and requirements
• Identify solutions to non-standard requests
• Collaborate with pharmacists and staff to tailor client strategy
• Interpret competition, market trends, and customer feedback for product development
• Develop business cases and cost/benefit analyses for product development
• Translate ideas into strategies and define roadmaps
• Collaborate cross-functionally to deploy new programs
• Define requirements for enhancements and capabilities
• Support market/sales strategies and value propositions
• Navigate matrixed teams across Optum/UHG
• Adapt plans to address challenges
• Analyze data and provide management summaries
• Support client-specific strategies and project plans
• Lead client interactions on performance and recommendations
• Drive program performance against key metrics
• Manage timelines and CMS submission deliverables
• Prepare executive-level business cases for leadership

Skills

Critical thinking

Data analysis

Power BI

Power Query

Education

PharmD or bachelor's degree in pharmacy

Master of Business or other advanced healthcare or business degree

Pharmacy residency

Medicare Part D experience

Tools

Excel

Power BI

Power Query

Job description

UnitedHealth Group seeks a Clinical Program Analyst, Pharmacist, to leverage data insights for strategic clinical pharmacy programs. You will influence Medicare Star initiatives, develop roadmaps, and collaborate with cross-functional teams to drive program improvements in a remote environment across the United States.

You will split time between pharmacy duties and program analysis, delivering data-driven recommendations, stakeholder presentations, and strategic plans that shape product