Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the ca…
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The Specialty Operations Manager leads client relationships and manages the day-to-day operations of specialty pharmacy programs. They are responsible for clinical strategy execution, performance reporting, and providing data-driven recommendations to optimize client health outcomes.
Requirements
Candidates must hold a Bachelor of Science in Pharmacy or a PharmD and possess an active, unrestricted US state-specific pharmacist license. Experience in specialty pharmacy, account management, and total cost of care is required, along with proficiency in Microsoft Office.
Full job description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Lead and manage ongoing client relationships, pharmacy benefit analysis and consultation delivery to clients. Collaborate in development of strategy as outward-facing, dedicated resources for assigned accounts, typically with direct client contact for large/complex accounts. Builds client relationships and serves as primary point of contact for clinical specialty pharmacy needs. Represents client(s) internally and coordinates with other functions to implement client systems, complete projects, and address ongoing pharmacy service needs.
The Strategic Specialty Operation Manager is responsible for day-to-day management of the Specialty program, including issue escalation and resolution, operational, reporting, data and analytical needed and Specialty performance. Additionally, the Specialty Operation Manager will support the Specialty team on execution on all clinical strategies, patient care support, Specialty Drug List consultation and quality initiatives as well as participate in quarterly business reviews detailing pipeline tracking, including forecasting, key performance indicator (KPI) review, strategic guidance, and comprehensive medical management initiatives.
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Support routine reporting to client management leadership regarding milestone attainment and any significant issues within their segment that may be impacting overall team performance
Maintains understanding of individual client contracts and ensures proper execution of all relevant deliverables specific to those agreements
Work with the Client Management Leadership Team to drive and execute toward strategic goals and objectives
Collaborates with clients to establish achievable but aggressive specialty program goals, including support on patient care support, Specialty Drug list consultation and quality initiatives
Formulates and delivers clinically-sound and fiscally responsible recommendations to clients based on trend
Create action plans to address any client satisfaction concerns
Stays aware of and provides market intelligence to clients on specialty pharmacy products
Provides education for clients, pharmacists, members and physicians per contractual requirements
Supports strategies around other revenue-enhancement efforts (e.g., specialty, formulary, UM, mail, etc.) in coordination with client mgmt./sales teams where appropriate
Routinely collaborates with client management leadership peers to provide well-coordinated, impactful quarterly performance review sessions with clients
Serves a key resource for new clinical product/service ideation and liaison to clinical product development / management areas to create new or enhance existing programs
Identifies and collaborates with clinical management leadership on specialty management strategies
Drives enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority for the client
Consistently looks at existing processes, methods, and materials to find opportunities for improvement
Maintains strategic relationships with client leaders, key stakeholders, and brokers/consultants
Serves as Subject Matter Expert (SME) for other departments on Specialty Pharmacy-specific issues/inquiries
Lead departmental and interdepartmental workgroup and project work
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Bachelor of Science in Pharmacy or PharmD
Active, unrestricted US state-specific pharmacist license
Experience with specialty pharmacy
Experience with total cost of care
Experience with account management and reporting
Advanced proficiency in delivering presentations to various audiences
Proficient skills in Microsoft Office and Outlook
Willing to work with clients and colleagues across various time zones
Ability to travel up to 10%25
Preferred Qualifications:
2+ years of PBM account management experience
2+ years of experience supporting PBM Healthplan clients
Experience giving formal presentations
Experience in data analytics and drawing insights
Experience in Rx Claim
Experience in MediSpan
Advanced understanding of PBM industry
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
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How much do Data & Analytics jobs in Durham, NC pay?
Based on 256 listings with disclosed salaries, most data & analytics jobs in Durham, NC pay between $79k–$273k per year. Individual offers vary with seniority, company size, and specialization.
How many Data & Analytics jobs are open in Durham, NC right now?
There are currently 486 open data & analytics positions in Durham, NC listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Data & Analytics roles in Durham, NC?
Companies currently hiring include Duke University School of Medicine, Laboratory Corporation of America Holdings, IQVIA, Fidelity Investments, NetApp, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Data & Analytics jobs in Durham, NC?
Yes — 224 of the 486 open data & analytics positions offer remote or hybrid work (70 remote, 154 hybrid).
How do I apply for Data & Analytics jobs in Durham, NC?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.