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Director Commercial Formulary Operations

UnitedHealth Group

Irvine, CA
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Job Details

741486 Director Commercial Formulary Operations

Director Commercial Formulary Operations (741486)

Position Description

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm)



Primary Responsibilities:


The Director, Commercial Formulary Operations, is responsible for the following:

  • Lead the implementation and maintenance of Commercial / Medicaid / Exchange client formularies by directing a team of 35 on - shore staff (including 3 Managers and 32 individual contributors) and leveraging 21 off - shore resources

  • Execute on strategic initiatives in Commercial formulary operations by developing and enhancing operational and technology - based solutions for complex challenges

  • Provide quality and production oversight of operational processes to ensure client satisfaction through implementation of client intent, achievement of performance guarantees and compliance with regulatory requirements

  • Understand the multiple applications utilized within Formulary Operations to identify opportunities to leverage technology for operational improvements

  • Foster team development and engagement through strong department vision and roadmap

  • Collaborate with business partners and stakeholders to achieve strategic objectives of OptumRx

  • Embrace UHG Cultural Values of Integrity, Compassion, Relationships, Innovation and Performance

Required Qualifications:

  • 4 year degree
  • Active, unrestricted Pharmacist license
  • 3+ years PBM, Managed Care or Health Plan management experience
  • 4+ years of experience managing staff
  • 1+ year experience implementing large scale initiatives / projects
  • Proven working knowledge of formulary operations
  • Strong presentation and communication skill
  • Demonstrated ability to drive to data - driven results and cost - effective operations solutions
  • Aptitude and experience in using technology to solve operational challenges


Preferred Qualifications:

  • Advanced degree
  • Experience with process improvement and metric development
  • Experience managing an operational area through multiple layers of management and senior level professional staff

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.



Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


Job keywords: Pharmacy, Pharmacist, licensed, PBM, Managed Care, Formulary Operations, California, CA

Job Details

  • Contest Number741486
  • Job TitleDirector Commercial Formulary Operations
  • Job FamilyPharmacy
  • Business SegmentOptumRx

Job Location Information

  • Irvine, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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