Senior Director, Pharmacy Affordability and Cost Management

1 week ago

El Segundo, California, United States UnitedHealth Group Full time
Job Summary

We are seeking a highly experienced and strategic Senior Director of Pharmacy Affordability and Cost Management to lead our efforts in managing pharmacy costs and improving access to affordable medications for our members in the West region. This role will have a direct focus on the California market.

Key Responsibilities
  • Develop and Execute Comprehensive Strategies: Develop and execute comprehensive strategies to address pharmacy affordability challenges in the West markets, focusing on innovative solutions and industry best practices.
  • Strategic Leadership: Collaborate with cross-functional teams, including clinical, operational, and regulatory departments, to align pharmacy affordability initiatives with overall organizational objectives.
  • Vendor Management: Lead and oversee all aspects of pharmacy vendor management, including contract design, performance evaluation, and ongoing relationship management.
  • Part B Prior Authorization: Oversee the California Part B PA team completing prep, review and approve/deny requests for prescription prior authorization and/or appeal.
  • Data Analysis and Reporting: Utilize data analytics to assess the impact of pharmacy affordability initiatives, identifying trends and opportunities for further improvement.
  • Leadership Responsibilities: Provide supervision and guidance in the professional growth and development of the assigned staff.
Requirements
  • PharmD or BS in pharmacy
  • Requires current Pharmacist license without restrictions
  • 4+ years of experience with coaching, mentoring and training
  • 3+ years of experience managing a team
  • 3+ years of client facing experience
  • Experience with Part B Pharmacy Utilization Management and Prior Authorization
  • Experience with CMS, Medicare Advantage plans or managed care
  • High level skill in Microsoft Word, Outlook, PowerPoint, Smartsheet and Excel
  • Proven excellent communication, negotiation, and leadership skills, with the ability to influence cross-functional teams and drive organizational change
  • Proven solid financial acumen of pharmacy products, services and affordability initiatives
  • Proven solid analytical skills with the ability to interpret complex data and develop actionable strategies
Preferred Qualifications
  • Advanced degree (MBA, MHA, MS, etc.
  • Completion of a PGY1/PGY2 pharmacy residency
  • BPS board certification (BCPS, BCACP, BCGP) or other added qualifications
  • Familiarity with health plan operations, including formulary management and cost-containment strategies
Compensation and Benefits

The salary range for this role is $, to $, annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and k contribution (all benefits are subject to eligibility requirements).

  • Senior Director of Pharmacy Affordability

    1 week ago

    El Segundo, California, United States Academy of Managed Care Pharmacy Full time

    About the RoleWe are seeking a highly experienced and strategic Senior Director of Pharmacy Affordability to lead our efforts in managing pharmacy costs and improving access to affordable medications for our members in the West region. This role will have a direct focus on the California market.Key ResponsibilitiesDevelop and Execute Comprehensive...

  • Senior Director, Preservice Utilization Management

    1 month ago

    El Segundo, California, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.The Senior Director of Preservice Utilization Management Optum West is responsible for supporting the strategic direction and...

  • Program Manager, Senior

    1 week ago

    El Segundo, California, United States Credence Management Solutions, LLC Full time

    Program Manager, SMECredence Management Solutions, LLC, a leading provider of management solutions, is seeking a highly skilled Program Manager, SME to support one of its premier space programs.About the RoleOversee the Program Acquisition Support (PAS) personnel responsible for Information Management.Manage the coordination of Information Requests, data...

  • Senior Program Manager

    1 week ago

    El Segundo, California, United States Credence Management Solutions, LLC Full time

    Program Manager, SMECredence Management Solutions, LLC is seeking a highly skilled Program Manager, SME to support one of its premier space programs.About the RoleOversee the Program Acquisition Support (PAS) personnel responsible for Information Management.Manage the coordination of Information Requests, data calls, document reviews, acquisition reporting,...

  • Lead Mechanical Engineer II

    2 weeks ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Important Note: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees, or eligible for required authorizations from the U.S. Department of State.At Roman Health Pharmacy LLC, we are innovators in the development of cutting-edge...

  • Lead Mechanical Engineer II

    2 weeks ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Important Note: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees, or eligible for required authorizations from the U.S. Department of State.At Roman Health Pharmacy LLC, we are innovators and leaders in developing cutting-edge...

  • Lead Mechanical Engineer II

    2 weeks ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Position Overview: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees, or eligible for necessary authorizations from the U.S. Department of State.At Roman Health Pharmacy LLC, we are innovators in the development of cutting-edge...

  • Senior Cost Analyst IV

    4 days ago

    El Segundo, California, United States Galorath Full time

    About the RoleWe are seeking a highly skilled Senior Cost Analyst IV to join our team at Galorath. As a key member of our cost estimation organization, you will provide expert support to commercial and public sector clients with a broad range of program, acquisition, and financial capabilities.Key ResponsibilitiesCost Analysis and Modeling: Develop,...

  • Senior Financial Specialist

    1 week ago

    El Segundo, California, United States Credence Management Solutions, LLC Full time

    Job SummaryCredence Management Solutions, LLC is seeking a highly skilled Senior Financial Specialist to support the SSIO Directorate of the United States Space Force (USSF), Space Systems Command (SSC) Command Staff Support contract.Key ResponsibilitiesAssist the Government with all aspects of SSC Space Acquisition Portfolio Program and financial...

  • Pharmacy Professional

    6 days ago

    El Cajon, California, United States Palm Care Pharmacy Full time

    About the RolePalm Care Pharmacy is seeking a highly skilled and dedicated Pharmacist to join our team. As a key member of our healthcare team, you will play a vital role in delivering exceptional patient care and wellness services.ResponsibilitiesImplement company initiatives to increase access to healthcare services in our communities.Deliver high-quality...

  • Lead Cost Estimator

    2 weeks ago

    El Segundo, California, United States Tecolote Research Full time

    Position OverviewAs a Senior Cost Analyst, you will leverage your expertise in cost estimation and program management to aid in the development and procurement of space launch vehicles for national security initiatives.Key ResponsibilitiesA successful candidate will:Utilize advanced cost estimating techniques to create comprehensive estimates.Possess a deep...

  • Lead Senior Cost Analyst IV

    1 day ago

    El Segundo, California, United States Galorath Inc. Full time

    Job SummaryWe are seeking a highly skilled and experienced Lead Senior Cost Analyst IV to join our team at Galorath Inc. in a cleared position. The successful candidate will provide cost and acquisition program support to government or military customers working in the premier cost and estimation organization responsible for delivering enterprise cost...

  • Cost Estimation Specialist

    2 weeks ago

    El Segundo, California, United States Warriors Recruiting Full time

    Job OverviewPosition: Cost Estimation SpecialistLocation: RemoteClearance Required: DoD SecretWarriors Recruiting is seeking a highly skilled Cost Estimation Specialist to provide essential support in addressing complex national security challenges. Our organization prides itself on delivering innovative solutions and maintaining a collaborative environment...

  • Head of Business Growth

    2 weeks ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Important Note: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees, or eligible for necessary authorizations from the U.S. Department of State.At Roman Health Pharmacy LLC, we are innovators in the healthcare sector, dedicated to...

  • Senior Contracts Manager

    1 week ago

    El Segundo, California, United States Zachary Piper Full time

    Zachary Piper Solutions is seeking a seasoned professional to support a large, long-term military program. This position requires a Top Secret/Secret Compartmented Information (TS/SCI) clearance and the work is fully on-site.**TS/SCI REQUIRED**Responsibilities of the Senior Contracts Manager:· Review contractual documents to ensure adherence to policies and...

  • Vice President of Business Growth

    2 weeks ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Important Note: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees (protected individuals as defined by 8 U.S.C. 1324b(a)(3)), or eligible to obtain the necessary authorizations from the U.S. Department of State.At Roman Health Pharmacy...

  • Vice President of Business Growth

    1 week ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Important Note: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees (protected individuals as defined by 8 U.S.C. 1324b(a)(3)), or eligible to obtain necessary authorizations from the U.S. Department of State.At Roman Health Pharmacy LLC,...

  • Vice President of Business Growth

    1 week ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Important Note: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees, or eligible to obtain necessary authorizations from the U.S. Department of State.At Roman Health Pharmacy LLC, we are innovators in providing advanced pharmaceutical...

  • Head of Business Growth

    2 weeks ago

    El Segundo, California, United States Roman Health Pharmacy LLC Full time

    Important Note: To comply with U.S. Government Space Technology Export Regulations, applicants must be U.S. citizens, lawful permanent residents, conditional residents, asylees, or refugees (protected individuals as defined by 8 U.S.C. 1324b(a)(3)), or eligible to obtain the necessary authorizations from the U.S. Department of State.At Roman Health Pharmacy...

  • Lead Cost Estimator

    1 week ago

    El Segundo, California, United States Warriors Recruiting Full time

    Job OverviewPosition: Lead Cost EstimatorLocation: El Segundo, CAClearance Level: DoD SecretWarriors Recruiting is seeking a highly skilled Lead Cost Estimator to provide expert analysis and support for complex national security projects. Our organization is recognized for delivering innovative solutions and maintaining a strong commitment to excellence in...