Clinical Value Pharmacist - Remote in US
Optum · Minneapolis, MN · 4 days ago
Healthcare$92k–$164k/yrFull-time
Primary Responsibilities
- Reviews clinical data, utilization trends, and industry developments to identify opportunities that improve clinical outcomes, optimize affordability, and support value-based care delivery
- Learns or supports implementation of clinical value strategies, including embedding programs within local markets as appropriate (additional licensure may be required)
- Develops provider- and patient-facing collateral to support adoption of clinical and affordability initiatives
- Delivers education and training to provider groups, local markets, and national teams regarding clinical value and affordability strategies
- Maintains initiative effectiveness and identifies opportunities for continuous improvement
Clinical Expertise and Governance
- Supports clinical and operational governance committees through pipeline drug assessments, affordability analyses, policy development, and standard operating procedure (SOP) creation
- Maintains expertise in therapeutic areas, emerging treatments, clinical guidelines, and healthcare trends to support strategic initiatives and decision-making
- Provides pharmacist consultation and subject matter expertise to cross-functional teams and business partners
General Responsibilities
- Mentors and supports peers through knowledge sharing, coaching, and professional development activities
- Buils effective partnerships across clinical, operational, and business stakeholders to advance organizational priorities
- Independently identifies solutions to complex and non-standard challenges
Required Qualifications
- Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy (BS Pharm)
- Current, unrestricted pharmacist license in good standing in at least one U.S. jurisdiction
- Successful completion of a PGY1 pharmacy residency program and at least one year of pharmacy experience, or a minimum of three years of relevant pharmacy experience
- Two (2) years of experience in managed care, health plan, PBM, and/or GPO environments
Preferred Qualifications
- Active Board of Pharmacy Specialties (BPS) certification (e.g., BCPS, BCACP, BCGP, BCOP)
- Two (2) years of experience working collaboratively in multidisciplinary teams within a matrixed organization
- Familiarity with value based care models, including shared savings and risk arrangements
- Intermediate or advanced proficiency in Microsoft Office tools, including Excel (pivot tables, XLOOKUP, INDEX/MATCH, COUNTIFS), Power BI, Outlook, and Teams
- Demonstrated clinical knowledge of specialty therapeutics, including infusions and injectables, with proficiency in literature evaluation and evidence based medicine
- Demonstrated solid analytical and quantitative skills, including experience reconciling and analyzing medical and pharmacy claims to identify utilization trends and cost drivers
Pay and Benefits
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).
The salary for this role will range from $91,700 - $163,700 annually based on full-time employment.
We comply with all minimum wage laws as applicable.