Remote Formulary Strategy Lead (Client-Facing)

Optum; Irvine (CA); On-site; USD 112,700 - 193,200; Full time

Job summary

Optum is seeking a clinical analyst to support Formulary Management Services, focusing on identifying and quantifying opportunities to maximize pharmaceutical rebate revenues and evaluating them via client-specific claims data.

The role involves delivering client-ready analyses, developing formulary strategies, and working cross-functionally to manage deliverables and timelines. Travel up to 10% may be required.

Qualifications

• 2+ years in client-facing or related roles in formulary management.
• Experience with formulary operations and contracts.
• Knowledge of pricing databases and claims data.
• Ability to translate clinical data into financial insights.
• Experience with PBM/health plan contracts is a plus.

Responsibilities

• Deliver value to clients through consultations and presentations focusing on formulary strategies.
• Apply clinical and business knowledge to financial models to identify cost-saving strategies.
• Develop and present client-facing materials that are clear and concise.
• Work cross-functionally to manage end-to-end operations, deliverables, and timelines.
• Contribute to team objectives and build relationships with partners.
• Serve as a subject matter expert on therapeutic class strategies.
• Pursue continuous quality and process improvements.
• Travel up to 10% as required.

Skills

Client management

Formulary operations

Clinical operations

Pharmacy plan design

Pharma discounts contracting

Financial modeling

Job description

Optum is seeking a clinical analyst to support Formulary Management Services, focusing on identifying and quantifying opportunities to maximize pharmaceutical rebate revenues and evaluating them via client-specific claims data.

The role involves delivering client-ready analyses, developing formulary strategies, and working cross-functionally to manage deliverables and timelines. Travel up to 10% may be required.