Remote Director, Pharmacy Value Economics & Strategy

Careerwebsite; Draper, Northern (UT, KY); Hybrid; USD 135,000 - 231,000; Full time

Benefits offered by this job

Remote work within US

Job summary

Optum is seeking a Director of Pharmacy Value Economics to lead national measurement, forecasting, and value realization for rebate and manufacturer-funded programs. You will partner with clinical, finance, analytics, and market leaders to deliver enterprise-wide recommendations balancing affordability, access, quality, and sustainable value.

The role requires 8+ years in healthcare or related fields, 5+ years of leadership, and an ability to translate data into executive-level insights and

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 to support strategic decision-making.
• 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 that support scalable forecasting, performance measurement, opportunity sizing, and value realization.
• Experience measuring financial performance, including forecast accuracy, budget variance, value capture, 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 market leadership.
• 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, financial performance standards, 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 pharmacy affordability opportunities with clinical, finance, analytics, and market leadership
• Evaluate net cost effectiveness post rebate with Clinical Pharmacy Insights to ensure clinically appropriate and affordability-aligned recommendations
• Lead national forecasting methodologies for rebate revenue, manufacturer value programs, value product opportunities, and market expansion initiatives
• Develop financial models and executive business cases supporting strategic planning, investment decisions, affordability initiatives, and value realization commitments
• Monitor forecast accuracy and identify key drivers impacting performance
• Identify variance between vendor estimates and actual performance including drivers of financial impact, leakage, and realized value
• Own executive dashboards, scorecards, KPIs, and value reporting informing senior leadership decisions
• Produce actionable insights related to rebate performance, net cost optimization, utilization trends, value capture, and affordability opportunities
• Translate data and analytic conclusions into concise executive-level narratives, recommendations, 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 to ensure opportunities translate into measurable realized value
• Monitor trends affecting pharmacy value, including market dynamics, biosimilar adoption, reimbursement changes, and regulatory developments
• Assess impact of Medicare Drug Price Negotiation (MFP), Inflation Reduction Act provisions, and evolving manufacturer strategies
• Develop scenario analyses and strategic recommendations for leadership
• Lead measurement and financial performance evaluation of value product initiatives, future manufacturer value opportunities, and affordability initiatives
• Develop integrated value measurement approaches across clinical, financial, actuarial, healthcare economics, contracting, and operational stakeholders
• Establish and scale the analytics framework beyond rebates toward total pharmacy value measurement across populations, markets, and lines of business
• Lead, coach, and develop a high-performing team responsible for forecasting, analytics, reporting, and financial modeling
• Establish priorities, performance expectations, and development plans
• Foster a culture of accountability, innovation, continuous improvement, and data-driven decision making

Skills

Executive reporting

Cross-functional leadership

Analytics leadership

Data modeling

Financial modeling

Executive communication

Value economics

Education

PharmD or pharmacist licensure

Tools

Power BI

Tableau

Job description

Optum is seeking a Director of Pharmacy Value Economics to lead national measurement, forecasting, and value realization for rebate and manufacturer-funded programs. You will partner with clinical, finance, analytics, and market leaders to deliver enterprise-wide recommendations balancing affordability, access, quality, and sustainable value.

The role requires 8+ years in healthcare or related fields, 5+ years of leadership, and an ability to translate data into executive-level insights and