Remote Director: Pharmacy Value Economics & Forecasting

Taleo; Draper (UT); Remote; USD 135,000 - 231,000; Full time

Job summary

UnitedHealth Group is seeking a Director, Pharmacy Value Economics to lead national measurement, forecasting, and realization of pharmacy value with a focus on rebate programs and manufacturer-funded initiatives. The role collaborates with finance, actuary, and accounting to deliver enterprise-level insights rooted in affordability and value.

The position supports a remote work model across the U.S. and leads a high-performing team to establish governance, reporting standards, and scalable

Qualifications

• 8+ years of experience in healthcare, pharmacy, managed care, finance, healthcare economics, market access, manufacturer contracting, or rebate management.
• 5+ years of direct or matrixed people leadership experience.
• Experience developing or applying healthcare, pharmacy, reimbursement, affordability, or drug economics methodologies.
• Experience developing forecasts, economic evaluation frameworks, value measurement methodologies, sensitivity analyses, and executive business cases.
• Experience designing or overseeing claims, utilization, financial, or economic data models for scalable forecasting and value realization.
• Experience measuring financial performance, including forecast accuracy and revenue leakage.
• Experience developing executive dashboards, scorecards, KPIs, performance measurement frameworks, and value realization reporting.
• Experience leading cross-functional initiatives with clinical, finance, analytics, operations, contracting, and leadership stakeholders.
• Demonstrated ability to communicate with senior leaders and influence decisions through data-driven insights.

Responsibilities

• Own the pharmacy value economics framework across Optum Health, including methodology, governance, and value realization reporting.
• Establish methodologies to measure rebate performance, yield, value realization, and return on investment.
• Lead prioritization and execution of rebate, manufacturer value, and affordability opportunities with clinical, finance, analytics, and market leadership.
• Evaluate net cost effectiveness post rebate with Clinical Pharmacy Insights to ensure clinical appropriateness and affordability.
• Lead national forecasting methodologies for rebate revenue, manufacturer value programs, and market expansion initiatives.
• Develop financial models and executive business cases to support strategic planning and investment decisions.
• Monitor forecast accuracy and identify key drivers impacting performance.
• Identify variance between vendor estimates and actual performance, including drivers of financial impact and value realization.
• Own executive dashboards, scorecards, KPIs, and value reporting for senior leadership decisions and enterprise performance management.
• Produce actionable insights on rebate performance, net cost optimization, utilization trends, and affordability opportunities.
• Translate data and analyses into concise executive narratives and decision-support materials.
• Identify revenue leakage and value capture gaps across rebate and manufacturer-funded programs.
• Quantify opportunity size and prioritize improvement initiatives; drive accountability with operational teams.
• Provide guidance to ensure opportunities translate into measurable realized value.

Education

PharmD or pharmacist licensure

Tools

Power BI

Tableau

Job description

UnitedHealth Group is seeking a Director, Pharmacy Value Economics to lead national measurement, forecasting, and realization of pharmacy value with a focus on rebate programs and manufacturer-funded initiatives. The role collaborates with finance, actuary, and accounting to deliver enterprise-level insights rooted in affordability and value.

The position supports a remote work model across the U.S. and leads a high-performing team to establish governance, reporting standards, and scalable